This study aims to evaluate the effects of a combined marching exercise with cognitive training program on physical performance, cognitive function, and autonomic cardiovascular responses in older adults with type 2 diabetes mellitus. Participants will be randomly assigned to either an intervention group receiving marching exercise with cognitive tasks or a control group receiving usual care. Outcomes will be assessed before and after the intervention period. The findings are expected to provide evidence for a feasible and safe exercise strategy to improve physical and cardiovascular health in older adults with type 2 diabetes.
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Heart rate variability (HRV)
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up
Handgrip strength test
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up
Five times sit-to-stand test (FTSST)
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up
Timed Up and Go Test (TUGT)
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up
Static Balance Single-leg stance test (SLST)
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up
6-minute walk test
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up
Motor-Cognitive Dual-Task Test:
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up
Motor-Cognitive Dual-Task Test
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up
Montreal Cognitive Assessment (MoCA)
Timeframe: Baseline, immediately after 6 weeks of intervention, and 1-month follow-up