Heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis

Aims Type-2 diabetes mellitus (T2DM) is a common health condition which prevalence increases with age. Besides lifestyle modifications, passive heating could be a promising intervention to improve glycemic control. This study aimed to assess the efficacy of passive heat therapy on glycemic and cardi...

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Autores principales: Judit Sebők, Zsófia Édel, Szilárd Váncsa, Nelli Farkas, Szabolcs Kiss, Bálint Erőss, Zsolt Török, Gábor Balogh, Zsolt Balogi, Rita Nagy, Philip L. Hooper, Paige C. Geiger, István Wittmann, László Vigh, Fanni Dembrovszky, Péter Hegyi
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Publicado: Taylor & Francis Group 2021
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spelling oai:doaj.org-article:a3a34884c9914f0fa3c6b719569dc10d2021-11-26T11:19:45ZHeat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis0265-67361464-515710.1080/02656736.2021.2003445https://doaj.org/article/a3a34884c9914f0fa3c6b719569dc10d2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/02656736.2021.2003445https://doaj.org/toc/0265-6736https://doaj.org/toc/1464-5157Aims Type-2 diabetes mellitus (T2DM) is a common health condition which prevalence increases with age. Besides lifestyle modifications, passive heating could be a promising intervention to improve glycemic control. This study aimed to assess the efficacy of passive heat therapy on glycemic and cardiovascular parameters, and body weight among patients with T2DM. Methods A systematic review and meta-analysis were reported according to PRISMA Statement. We conducted a systematic search in three databases (MEDLINE, Embase, CENTRAL) from inception to 19 August 2021. We included interventional studies reporting on T2DM patients treated with heat therapy. The main outcomes were the changes in pre-and post-treatment cardiometabolic parameters (fasting plasma glucose, glycated plasma hemoglobin, and triglyceride). For these continuous variables, weighted mean differences (WMD) with 95% confidence intervals (CIs) were calculated. Study protocol number: CRD42020221500. Results Five studies were included in the qualitative and quantitative synthesis, respectively. The results showed a not significant difference in the hemoglobin A1c [WMD −0.549%, 95% CI (−1.262, 0.164), p = 0.131], fasting glucose [WMD −0.290 mmol/l, 95% CI (−0.903, 0.324), p = 0.355]. Triglyceride [WMD 0.035 mmol/l, 95% CI (−0.130, 0.200), p = 0.677] levels were comparable regarding the pre-, and post intervention values. Conclusion Passive heating can be beneficial for patients with T2DM since the slight improvement in certain cardiometabolic parameters support that. However, further randomized controlled trials with longer intervention and follow-up periods are needed to confirm the beneficial effect of passive heat therapy.Judit SebőkZsófia ÉdelSzilárd VáncsaNelli FarkasSzabolcs KissBálint ErőssZsolt TörökGábor BaloghZsolt BalogiRita NagyPhilip L. HooperPaige C. GeigerIstván WittmannLászló VighFanni DembrovszkyPéter HegyiTaylor & Francis Grouparticlediabetesdiabetes mellitusdiabetologyheat-therapyglycemic controlmeta-analysisMedical technologyR855-855.5ENInternational Journal of Hyperthermia, Vol 38, Iss 1, Pp 1650-1659 (2021)
institution DOAJ
collection DOAJ
language EN
topic diabetes
diabetes mellitus
diabetology
heat-therapy
glycemic control
meta-analysis
Medical technology
R855-855.5
spellingShingle diabetes
diabetes mellitus
diabetology
heat-therapy
glycemic control
meta-analysis
Medical technology
R855-855.5
Judit Sebők
Zsófia Édel
Szilárd Váncsa
Nelli Farkas
Szabolcs Kiss
Bálint Erőss
Zsolt Török
Gábor Balogh
Zsolt Balogi
Rita Nagy
Philip L. Hooper
Paige C. Geiger
István Wittmann
László Vigh
Fanni Dembrovszky
Péter Hegyi
Heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis
description Aims Type-2 diabetes mellitus (T2DM) is a common health condition which prevalence increases with age. Besides lifestyle modifications, passive heating could be a promising intervention to improve glycemic control. This study aimed to assess the efficacy of passive heat therapy on glycemic and cardiovascular parameters, and body weight among patients with T2DM. Methods A systematic review and meta-analysis were reported according to PRISMA Statement. We conducted a systematic search in three databases (MEDLINE, Embase, CENTRAL) from inception to 19 August 2021. We included interventional studies reporting on T2DM patients treated with heat therapy. The main outcomes were the changes in pre-and post-treatment cardiometabolic parameters (fasting plasma glucose, glycated plasma hemoglobin, and triglyceride). For these continuous variables, weighted mean differences (WMD) with 95% confidence intervals (CIs) were calculated. Study protocol number: CRD42020221500. Results Five studies were included in the qualitative and quantitative synthesis, respectively. The results showed a not significant difference in the hemoglobin A1c [WMD −0.549%, 95% CI (−1.262, 0.164), p = 0.131], fasting glucose [WMD −0.290 mmol/l, 95% CI (−0.903, 0.324), p = 0.355]. Triglyceride [WMD 0.035 mmol/l, 95% CI (−0.130, 0.200), p = 0.677] levels were comparable regarding the pre-, and post intervention values. Conclusion Passive heating can be beneficial for patients with T2DM since the slight improvement in certain cardiometabolic parameters support that. However, further randomized controlled trials with longer intervention and follow-up periods are needed to confirm the beneficial effect of passive heat therapy.
format article
author Judit Sebők
Zsófia Édel
Szilárd Váncsa
Nelli Farkas
Szabolcs Kiss
Bálint Erőss
Zsolt Török
Gábor Balogh
Zsolt Balogi
Rita Nagy
Philip L. Hooper
Paige C. Geiger
István Wittmann
László Vigh
Fanni Dembrovszky
Péter Hegyi
author_facet Judit Sebők
Zsófia Édel
Szilárd Váncsa
Nelli Farkas
Szabolcs Kiss
Bálint Erőss
Zsolt Török
Gábor Balogh
Zsolt Balogi
Rita Nagy
Philip L. Hooper
Paige C. Geiger
István Wittmann
László Vigh
Fanni Dembrovszky
Péter Hegyi
author_sort Judit Sebők
title Heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis
title_short Heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis
title_full Heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis
title_fullStr Heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis
title_full_unstemmed Heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis
title_sort heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/a3a34884c9914f0fa3c6b719569dc10d
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