The Effects of Exercise Motivation Program on Anthropometric, Blood Glucose Level, Blood Pressure and Cardiovascular Fitness among Diabetes High Risk Group inNhongtagai Village Muang District, Udonthani Province
Article Sidebar
Main Article Content
Abstract
This quasi experimental research design aimed to compare level of Fasting Blood glucose (FBS), glyceted hemoglobin (HBA1C), maximum velocity O2 consumption (VO2 max), Body Weight (BW), Body Mass Index (BMI), Waist Circumference (WC) and blood pressure before and after entering the exercise program. Fifty-six participants volunteered to the study. The inclusion criteria were adults aged 35-59 year-old who had fasting glucose level between 100-125 mg/dl and were willing to join the study. The participants were assigned to an experimental group and to a control group which composed of 28 participants in each group. All participants in the intervention group were informed knowledge about diabetes in 4-time group sessions based on diabetes prevention, lifestyle modification and skill training in 40 supervised pedometer exercise sessions with minimum 30 minutes of daily brisk walking five days a week (Monday to Friday). After 12 weeks, there were significantly improved in VO2 max (p<.001), but no statistically changed in BW, BMI, WC, FBS and HBA1C (p>.05) among the experimental group. However, their FBS and HBA1C levels were significantly lower than the control group (p<.001). There were significantly increased in BW, BMI, WC, FBS and HBA1C (p<.01) Conclusions: This study suggested that the exercise motivation program could be a useful strategy to motivate pre-diabetes participants to exercise. The result shows improvement in cardio-respiratory fitness, and blood pressure. This program can maintain healthy blood sugar level and prevent diabetes in high risk group in the future.
Article Details
Copyright Notice articles, information, images, etc. was published in this Journal of Yala Rajabhat University is a copyright of the journal Yala Rajabhat University. If any person or deparment wants to bring all or part of it for publish or take any action. Authorization is required in written form from the Journal of Yala Rajabhat University only.
References
2.American Diabetes Association. (2010). Diagnosis and Classification of Diabetes. Diabetes Care, 3(Suppl1), S62-69.
3.Baker, M. K., Simpson, K., Lloyd, B., Bauman, A. E. & Singh, M. A. F. (2011). Behavioral strategies in diabetes prevention programs: A systematic review of randomized controlled trials. Diabetes Research and clinical practice, 91(1), 1-12.
4.Belli, T., Ribeiro, L. F. P., Ackermann, M. A., Baldissera, V., Gobatto, C. A. & Galdino da Silva, R. (2011). Effects of 12-week overground walking training at ventilatory threshold velocity in type 2 diabetic women. Diabetes Research and Clinical Practice, 93(3), 337-343.
5.Burr, B. & Nagi, D. (1999). Exercise and sport in diabetes. Chichester, England: John Wiley & Sons.
6.Buyukyazi, G., Ulman, C., Taneli, F., Esen, H., Gozlukaya, F., Ozcan, I., et al. (2010). The effects of different intensity walking programs on serum blood lipids, high-sensitive C-reactive protein, and lipoprotein-associated phospholipase A2 in premenopausal women. Science & Sports, 25(5), 245-252.
7.Dawes, D., Ashe, M., Campbell, K., Cave, D., Elley, C. R., Kaczorowski, J., et al. (2015). Preventing diabetes in primary care: A feasibility cluster randomized trial. Canadian Journal of Diabetes, 39(2), 111-116.
8.Donnelly, J., Blair, S., Jakicic, J., Manore, M., Rankin, J. & Smith, B. (2009). American College of Sports Medicine Position Stand: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc, 41(2), 459-471.
9.Drigny, J., Gremeaux, V., Guiraud, T., Gayda, M., Juneau, M. & Nigam, A. (2013). Long-term high-intensity interval training associated with lifestyle modifications improves QT dispersion parameters in metabolic syndrome patients. Annals of Physical and Rehabilitation Medicine, 56(5), 356-370.
10.Lindström, J., Ilanne-Parikka, P., Peltonen, M., Aunola, S., Eriksson, J. G., Hemiö, K., et al. (2010). Reducing the risk of type 2 diabetes with nutrition and physical activity- efficacy and implementation of lifestyle interventions in Finland. Public Health Nutrition, 13(6(A)), 993-999.
11.Marquis-Gravel, G., Hayami, D., Juneau, M., Nigam, A., Guilbeault, V., Latour, É., et al. (2015). Intensive lifestyle intervention including high-intensity interval training program improves insulin resistance and fasting plasma glucose in obese patients. Preventive Medicine Reports, 2, 314-318.
12.Mendham, A. E., Duffield, R., Marino, F. & Coutts, A. J. (2015). A 12-week sports-based exercise programme for inactive Indigenous Australian men improved clinical risk factors associated with type 2 diabetes mellitus. Journal of Science and Medicine in Sport, 18(4), 438-443.
13.Miller. (1996). Motivational interviewing: research, practice, and puzzles. Addictive Behaviors, 21(6), 835-42.
14.Moura, B. P., Marinsa, J. C. B. & Amorima, P. R. S. (2011). Self selected walking speed in overweight adults: Is this intensity enough to promote health benefits?. Apunts Med Esport, 46, 11-15.
15.Murtagh, E. M., Nichols, L., Mohammed, M. A., Holder, R., Nevill, A. M. & Murphy, M. H. (2015).
The effect of walking on risk factors for cardiovascular disease: An updated systematic review and meta-analysis of randomised control trials. Preventive Medicine, 72, 34-43.
16.Ohno, Y., Miyazaki, T., Sato, M., Araki, R., Takahashi, S., Takenaka, T., et al. (2015). Lifestyle modifications supported by regional health nurses lowered insulin resistance, oxidative stress and central blood pressure in subjects with metabolic syndrome. Obesity Research & Clinical Practice, Article in Press.
17.Prochaska, J., DiClemente, C. & Norcross, J. (1992). In search of how people change. Applications to addictive behaviors. American Psychologist, 47(9), 1102-1114.
18.Shenoy, S., Guglani, R. & Sandhu, J. S. (2010). Effectiveness of an aerobic walking program using heart rate monitor and pedometer on the parameters of diabetes control in Asian Indians with type 2 diabetes. Primary Care Diabetes, 4(1), 41-45.
19.Swartz, A. M., Strath, S. J., Bassett , D. R., Moore, J. B., Redwine, B. A., Groër, M., et al. (2003).
Increasing daily walking improves glucose tolerance in overweight women. Preventive Medicine, 37(4), 356-362.
20.Vogler, C. M., Sherrington, C., Ogle, S. J. & Lord, S. R. (2009). Reducing risk of falling in older people discharged from hospital: A randomized controlled trial comparing seated exercises, weight-bearing exercises, and social visits. Archives of Physical Medicine and Rehabilitation, 90(8), 1317-1324.
21.Wang, D., Li, X.-y., Zhang, L.-n., Zhou, L. & Zhang, K.-j. (2015). Effects of motivational interviewing on lifestyle modification and diabetes prevention in adults with pre-diabetes. Diabetes Research and Clinical Practice (Article in press).
22.Whiting, D. R., Guariguata, L., Weil, C. & Shaw, J. (2011). IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Research and Clinical Practice, 94(3), 311-321.
23.Wu, Y. C., Yang, Y. S., Chen, Y. J. & Huang, C. N. (2014). The effect of structured self-monitoring of blood glucose in insulin-treated type 2 diabetes. Diabetes Research and Clinical Practice,106(Supplement 1), S86-S87.
