Exercise training is a key component in the prevention and treatment of various chronic diseases such as Type 2 diabetes (T2DM). Adaptations and effects that occur with exercise training differ according to exercise protocols. Most exercise interventions in T2DM base their results on HbA1c. Since the molecular and epigenetic effects of exercise training on β-cell function have not been fully revealed, the importance and effect of exercise training have not been fully understood. The patients included in the study will be divided into six groups; the control group (20 adolescents), the moderate continuous aerobic exercise training group (20 adolescents), the high-intensity interval training group (20 adolescents), the resistance exercise training group (20 adolescents), combination of moderate continuous aerobic exercise training with resistance exercise training group (20) and combination of high-intensity interval training with resistance exercise training (20 adolescents). At the beginning of the study, demographic and physical characteristics of the patients will be recorded, and anthropometric and laboratory evaluations, pulmonary function test, measurement of respiratory muscle strength and endurance, measurement of peripheral muscle strength, evaluation of functional and aerobic capacity, measurement of physical activity levels and energy consumption, evaluation of the quality of life, epigenetic analysis, evaluation of β-cell function and biochemical structure of insulin will be done. All patients will receive exercise training 3 days a week for 16 weeks. All measurements and evaluations will be made before starting exercise training and after 16 weeks of exercise training. As a result of the data obtained, it will be tried to objectively present which type of exercise intervention, at which doses and frequencies, will be more effective for patients with T2DM, with its effect on epigenetic factors.
Age range
10 Years – 19 Years
Sex
ALL
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Anthropometric Evaluation
Timeframe: 1-24 month
Body mass index
Timeframe: 1-24 month
Forced vital capacity
Timeframe: 1-24 month
Forced expiratory volume in the first second
Timeframe: 1-24 month
The ratio of forced expiratory volume in the first second to the forced vital capacity
Timeframe: 1-24 month
Peak flow rate
Timeframe: 1-24 month
Respiratory muscle strength and endurance test
Timeframe: 1-24 month
Peripheral muscle strength test
Timeframe: 1-24 month
Cardiopulmonary exercise test
Timeframe: 1-24 month
Physical activity and energy consumption measurement
Timeframe: 1-24 month
Quality of life measurement
Timeframe: 1-24 month
Methylome analysis with next-generation sequencing
Timeframe: 1-24 month
β-cell function analysis
Timeframe: 1-24 month