Evaluating Nordic Walking Rehabilitation in Overweight or Obese Adults with Type 2 Diabetes and Cardiovascular Disease

What this Trial Is About

This research aims to evaluate the effectiveness, safety, and adherence to a rehabilitation program using Nordic Walking compared with standard rehabilitation and cardiological counseling in overweight or obese adults with Type II diabetes and cardiovascular complications. Nordic Walking combines special poles with walking to engage about 90% of the bodys muscles and improve cardiovascular performance while reducing joint load. The study is a randomized controlled trial with three parallel groups, focusing on cardiovascular performance and exercise adherence over 6 and 12 months after a 3-month intervention. Participants will be assigned to one of three groups Nordic Walking, Standard Rehabilitation, or Control Group. The Nordic Walking group will attend supervised sessions three times weekly for 12 weeks, each lasting 90 minutes with warm-up, walking, and cool-down phases, progressively increasing intensity. The Standard Rehabilitation group will engage in supervised aerobic exercises five days a week for 40 minutes per session, also gradually increasing intensity. The Control Group receives cardiological counseling with guidance for unsupervised aerobic activity at home. All groups receive a balanced diet plan with moderate caloric restriction based on body composition. During the study, participants will undergo assessments including a Six Minute Walking Test to measure cardiovascular fitness, adherence tracking, evaluations of anxiety, depression, quality of life SF-12, body mass index changes, and peak oxygen uptake. These measures will be taken at intervals up to 12 months. The study monitors safety and dropout rates, aiming to understand the benefits and feasibility of Nordic Walking compared to other rehabilitation methods in this population.

EffectiVenEss of a Rehabilitation Treatment With Nordic Walking in obEse or oveRweight Patients