Abstract: Objective To evaluate the effects of fast walking exercise on the physical activity in elderly patients with type 2 diabetes (T2DM) in glucose metabolism and physical activity indicators. Methods 80 patients with T2DM were randomly divided into two groups:exercise group and the control group, 40 cases in each group. Exercise group performed on 16 weeks of fast walking, before the movement of glucose metabolism and physical activity indicators were compared. Results The experimental group iftness program VO2max before and after exercise, 30s arm lfexion and extension, 2min standing still, chair-reach, grab the back stretch, 6min walk, six test scores were signiifcantly increased (P<0.05). While continuous improvement 30s standing and sitting in the chair stand test results go two (P<0.01). In the control group it had no signiifcant improvement after the test. Patients in the control group iftness body each index changed little (P>0.05). 2h postprandial blood glucose (2hPG) decreased significantly (P<0.05), glycosylated hemoglobin (HbAlc), postprandial 24h urine positive rate, fasting urine positive rate was signiifcantly lower (P<0.01) fasting plasma glucose (FPG), fasting insulin (Flns) and 2h postprandial insulin (2hIns) levels did not change signiifcantly (P>0.05). Lower extremity muscle strength tests comparing exercise group had ankle flexion and extension muscle strength growth to varying. Conclusion Fast walking exercise training program will help to improve glucose metabolism and activity in patients with T2DM.

Key words: fast walking, elderly, diabetic patients, physical activity ability