Abstrak
Background: the proportion of people with prediabetes is 2-4 times higher than the proportion of people with diabetes. One of the prevention efforts is through physical activity. Several studies have shown that physical activity has a significant effect on glycemic control.
Purpose: this study aims to determine the effectiveness of different physical activities to glycemic control in prediabetic clients in Semarang municipality.
Methods: a randomized control trial (RCT) with a pretest-posttest design was conducted on 60 prediabetic clients using different treatments (healthy / slow walking, brisk walking, combination of both slowly and brisk walking). An initial measurement (pretest) of glycemic control was carried out using an indicator of HbA1c levels and was remeasured (posttest) after 3 months.
Results: the average level of glycemic control (HbA1c levels) before intervention in the healthy walking group was 5.57% and decreased to 5.46% after intervention; the combination group decreased from 5.93% to 5.78%, and in the slowly walking group decreased from 5.74% to 5.71%. However, there was no significant effect of slowly walking on glycemic control (HbA1c levels). Meanwhile, brisk walking and combination of slowly walking and brisk walking had a significant effect on glycemic control (HbA1c levels) (p<0.05).
Conclusion: the combination of physical activity group (brisk walking and slowly walking) has a better effect on glycemic control (HbA1c levels).Â
Referensi
Alqudah S, Jarab AS, Eman Alefishat A, Mayyas F, Khdour M, Pinto S. (2019). Factors Associated with Poor Hemoglobin A1c Control in Patients with Type 2 Diabetes. Curr Diabetes Rev, 15(2), 164-170.
Amanat S, Ghahri S, Dianatinasab A, Fararouei M, Dianatinasab M. (2020). Exercise and Type 2 Diabetes. Adv Exp Med Biol, 1228, 91-105.
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, et.al. (2020). World Health Organization 2020 Guidelines of Physical Activity and Sedentary Behavior. Br J Sorts Med, 54(24), 145`-1462.
d’Emden MC, Shaw JE, Jones GR, Cheung NW. (2015). Guidance concerning the use of glycated haemoglobin (HbA1c) for the diagnosis of diabetes melitus. MJA, 203(July), 89–91. https://doi.org/10.5694/mja15.00041.
Gottwald-Hostalek U, Rett K. (2019). Undersatnding prediabetes: definition, prevalence, burden and treatment options for emerging disease. Current Medical research and Opinion, 35(9), 1529-1534.
Kagaku T. (2018). Energy Metabolism and Body Composition in Athletes. Japanese Jpurnal of Physical Fitness and Sports Medicine, 67(5), 357-364.
Klimek M, Knap J, Reda M, Masternak M. (2019). Physical Activity In Prevention And Treatment Of Type 2 Diabetes Mellitus. Journal of Education. Health and Sport. 9(9), 1175-1181.
Mahajan RD; Mishra B. (2011). Using glycated hemoglobin HbA1c for diagnosis of diabetes mellitus : An Indian perspective. International Journal of Biological & Medical Research, 2(2), 508–512.
Malik S, Basit R, Naz S, Mawani M, Masood MQ, Akhte J. (2006). Adherence to lifestyle advice and treatments in Pakistani patients with type 2 diabetes mellitus. Journal of Diabetes Mellitus, 6, 49-57.
Rakhis SAB, AlDuwayhis NM, Aleid N, AlBarrak AN, Aloraini AA. (2020). Glycemic Control for Type 2 Diabetes Mellitus Patients: A Systematic Review. Cureus, 14(6), e26180.
Semarang City Health Office. (2020). Health profile og Semarang City. Semarang: Semarang City Health Office.
Wild S, Roglic G, Green A, Sicree R, King H. (2004). Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care, 27(5), 1047-53.
Pemberitahuan Hak Cipta
Penulis mengirimkan naskahnya dengan pemahaman bahwa jika diterima untuk diterbitkan, hak cipta artikel akan diberikan kepada Jurnal Keperawatan Jendela (JNJ) dan Departemen Keperawatan, Poltekkes Kemenkes Semarang sebagai penerbit jurnal ini.
Hak cipta meliputi hak untuk memperbanyak dan mengirimkan artikel dalam segala bentuk dan media, termasuk cetak ulang, foto, mikrofilm dan reproduksi serupa lainnya, serta terjemahan. Penggandaan setiap bagian dari jurnal ini, penyimpanannya dalam basis data dan transmisinya dengan bentuk atau media apa pun, seperti salinan elektronik, elektrostatik dan mekanik, fotokopi, rekaman, media magnetik, dll., hanya akan dengan izin tertulis dari Jurnal Keperawatan Jendela (JNJ) dan Jurusan Keperawatan, Poltekkes Kemenkes Semarang.
Jendela Nursing Journal (JNJ) dan Jurusan Keperawatan Poltekkes Kemenkes Semarang berupaya semaksimal mungkin untuk memastikan tidak ada data, opini atau pernyataan yang salah atau menyesatkan yang dipublikasikan di jurnal. Dalam hal apa pun, isi artikel dan iklan yang diterbitkan di Jurnal Keperawatan Jendela (JNJ) sepenuhnya merupakan tanggung jawab masing-masing penulis dan pengiklan.
Formulir Perjanjian Pengalihan Hak Cipta dapat diunduh dengan mengklik tautan ini Formulir Perjanjian Pengalihan Hak Cipta. Formulir hak cipta harus diisi sesuai dengan artikel dan ditandatangani asli serta dikirim ke Redaksi dalam bentuk email asli, atau berkas dokumen hasil pindai (softcopy) ke:
Nina Indriyawati (Pemimpin Redaksi)
Jurusan Keperawatan, Poltekkes Kemenkes Semarang
Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, Jawa Tengah, Indonesia 50268
Email Utama : [email protected]
Email Pendukung : [email protected]
Telepon: 024 7470364
