Abstract
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
References
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.
Copyright Notice
Authors submit manuscripts with the understanding that if accepted for publication, copyright of the article will be assigned to the Jendela Nursing Journal (JNJ) and the Department of Nursing, Poltekkes Kemenkes Semarang, as the publisher of this journal.
Copyright includes the right to reproduce and transmit the article in any form and media, including reprints, photographs, microfilm, and other similar reproductions, as well as translations. Reproduction of any part of this journal, its storage in a database, and its transmission in any form or medium, such as electronic, electrostatic, or mechanical copies, photocopies, recordings, magnetic media, etc., will only be permitted with written permission from the Jendela Nursing Journal (JNJ) and the Department of Nursing, Poltekkes Kemenkes Semarang.
Jendela Nursing Journal (JNJ) and Department of Nursing, Poltekkes Kemenkes Semarang make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in Jendela Nursing Journal (JNJ) are sole and exclusive responsibility of their respective authors and advertisers.
The Copyright Transfer Agreement Form can be downloaded by click this link Copyright Transfer Agreement Form. The copyright form should be filled with respect to article and be signed originally and sent to the Editorial Office in the form of original email, or scanned document file (softcopy) to:
Nina Indriyawati (Editor-in-Chief)
Department of Nursing, Poltekkes Kemenkes Semarang
Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, Jawa Tengah, Indonesia 50268
Email Principal : [email protected]
Email Support : [email protected]
Phone : 024 7470364
