Research has proven that aerobic exercise improves glucose homeostasis among patients with type 2 diabetes mellitus (T2DM). Elastic resistance (tube or band) is suggested as a good alternative for home-based strength training among older adults including those with T2DM due to its low cost, simplicity, portability, and versatility. This study aimed to measure the effects of 16-week home-based progressive resistance training (PRT), using a resistance tube on glucose homeostasis and cardiovascular risk factors among older adults with T2DM. A total of 70 participants aged 61.68 (5.50) years with T2DM were assigned to the intervention ( n = 35) and control ( n = 35) groups in this quasi-experimental trial. The intervention group underwent 16 weeks of home-based PRT using a resistance tube. Significant improvements in HbA1c (−1.34% point, p < 0.001), fasting blood glucose (−1.30 mmol/L, p < 0.001), and systolic blood pressure (−1.42 mmHg, p < 0.05) were observed after 16 weeks of intervention. However, no significant changes were observed in lipid profile, diastolic blood pressure, resting heart rate, and ankle–brachial index. The finding suggests that 16 weeks of home-based PRT using a resistance tube has the potential to improve glycemic control and reduce systolic blood pressure among older adults with T2DM and caused no adverse events.
Many research articles have studied the conflicts and stress experienced by parents and mothers of special needs children with different disability such as autism, cerebral palsy, learning disabilities, down syndrome and others. Unfortunately, there are lack of study focusing the experiences of Malaysian fathers of special needs children. This study aimed to examine the stress level using Parental Stress Scale (PSS) and quality of life (QOL) using WHOQOL-BREF, a short version of QOL and to study correlation between stress and quality of life. Two hundred and fifty-six (n=256) samples included fathers of special needs children (n=128) and fathers of typical children (n=128) were recruited into this cross-sectional study from centers or schools in Klang Valley. A set of questionnaire containing 3 sections were distributed via hard copies and online survey. Section 1 comprised father’s demographic data and child’ demographic data and Section 2 was a questionnaire Parental Stress Scale (PSS) to assess stress of fathers and Section 3 was WHOQOL-BREF questionnaire to examine the quality of life of fathers. The demographic data, PSS score and WHOQOL score was analysed using descriptive analysis. Meanwhile, Pearson r was used to identify the correlation between stress and quality of life of fathers of special needs children. The findings of the study showcased that fathers of special needs children have higher mean stress level (M=44.50) and lower quality of life (M=14.16) and where else, fathers of typical children has lower stress level (M=39.70) and higher quality of life (M=15.41). The Person r correlation test indicated moderate negative correlation between stress and quality of life (QOL) of fathers of special needs children, r= .328, p<0.01, two-tailed, n=128. Higher parental stress indicated lower level of sensitivity and poorer quality of parental-child relationship.
Introduction Existing research has addressed the importance of community integration (CI) and its benefits of dwelling in a community but has yet to address the methods and efficiency of improving these activities among older people. Thus, it is vital to understand how healthcare workers can integrate the benefits of CI among older people, especially with the use of occupational therapists (OTs). The latter are actively working to improve ageing individuals mobility within the community. Objective This study aims to identify Malaysian OTs’ perspectives on CI’s and its implication on older people. Method Occupational therapist from different states of Malaysia participated in a semi-structured interview, through a virtual medium (Zoom Cloud Meetings). The interview guide encapsulated the theory of critical incident technique (CIT). Results Thematic content analysis, over fourteen participants from 13 states of Malaysia, provided insights into CI’s barriers for older people in Malaysia. The findings revealed that multifaceted factors from an individual, organisational and socio-environmental perspective limit older people’s active CI engagement. Conclusion South-East Asia hierarchal and collectivist culture play a significant role in influencing all factors of CI. OTs must understand and incorporate appropriate cultural norms during CI practice development for the older population in Malaysia.
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