The Effect of Different Training Programs on Patients With Chronic Diseases
The Effect of Different Training Programs on Patients With Chronic Diseases
A total of 240 hypertensive subjects aged 40-69 years (including 126 patients complicated
 with diabetes) will be included in a few communities in Beijing, and will be divided into 3
 groups according to the individual wishes of the subjects: walking group(n=80, including 42
 patients complicated with diabetes), Chinese square dancing group(n=80, including 42 patients
 complicated with diabetes) and control group(n=80, including 42 patients complicated with
 diabetes). All exercise sessions will be supervised and subject's exercise implementation
 process will be managed with intelligent equipment. The purpose of the study is to evaluate
 the effectiveness and safety of different training programs in the real world.

 The demographics data, physical activity questionnaires, blood pressure, blood glucose, blood
 lipids, height, weight and physical fitness （cardiorespiratory fitness,muscle strength,
 muscle endurance, flexibility, body composition)will be measured before and after 3-month
 exercise training .The adverse reactions in the implementation of the interventions will be
 recorded. The primary outcomes are blood pressure and blood glucose.
The global burden of disease study shows that unreasonable diets and physical inactivity are
 the largest health risks facing the world today. In recent years, foreign and domestic
 scholars have gradually introduced the concept of "Exercise is Medicine " guide the the
 public exercise scientifically. However, under the special cultural background of China, it
 is urgent to answer how to help the public to realize reasonable scientific exercise, how to
 choose the popular exercise mode and whether the exercise mode is scientific and effective.

 Previous meta-analysis studies on the improvement of blood pressure and blood glucose by
 walking have been published, but few studies on Chinese square dancing have been conducted.
 Previous studies on whether Chinese square dancing was scientific and effective were mostly
 small sample population studies carried out by Chinese scholars. The research results were of
 large heterogeneity, and the research design lacked reasonable consideration.

 This study intends to select two common exercise mode for scientific evaluation, one is
 walking and the other is Chinese square dancing. The purpose of this study is to evaluate the
 efficacy and safety of two common types of exercise (walking and Chinese square dancing) in
 Chinese patients with hypertension and patients with hypertension complicated with diabetes.
Inclusion Criteria:

 1. 40-69 years of age

 2. Meet any one of the two conditions:

 2.1 Hypertension: diagnosed with hypertension, systolic blood pressure is 130-159
 mmHg, take no antihypertensive drug or no more than 2 kinds of antihypertensive drugs
 2.2 Hypertension complicated with diabetes: diagnosed with hypertension and type 2
 diabetes, systolic blood pressure is 130-159 mmHg and the fasting blood glucose in the
 past 2 weeks was 5.6-16.7 mmol/L (13.8-16.7 mmol/L was negative for urinary ketone) ,
 take no more than 4 kinds of antihypertensive and hypoglycemic drugs

 3. Maintain the current state of medication for the next 3 months

 4. Lived in the current community in the past six months

 5. Have no intention of moving out for the next three months

 6. Have no regular exercise habit (moderate intensity activity less than 3 times a week,
 less than 30 minutes each time or 30 minutes cumulative), at least exercise 3 days a
 week

 7. Sign informed consent

 Exclusion Criteria:

 1. Manual works(such as farmers, couriers, athletes and workers, who rely on physical
 activity to make a living)

 2. Physical disability that prevents patients from walking or Chinese square dancing

 3. Currently enrolled in another lifestyle intervention trial(interventions such as
 nutrition, psychology, exercise and health education)

 4. Pregnant or planning to become pregnant

 5. BMI(body mass index)≥35 kg/m2

 6. Answers to questions 2, 3 and 6 of the questionnaire in 2014PAR-Q+ are "yes"

 7. Cardio-cerebrovascular events have occurred in the past 6 months(heart disease
 diagnosed by doctors, such as coronary heart disease, hypertensive heart disease,
 acute myocarditis, pulmonary heart disease, etc.)

 8. Fasting blood glucose of diabetic patients is 13.8-16.7 mmol/L and urinary ketone is
 positive

 9. Severe complications of diabetes affecting exercise , such as foot, eye disease and
 renal insufficiency

 10. Complicated with other serious chronic diseases such as asthma, malignant tumor,
 chronic heart failure, severe depression or other mental disorders