The Effects of Planned Exercise Program on Metabolism, Cardiopulmonary Function and Exercise Compliance in Type 2 Diabetes Mellitus Patients

Hwang, Ae Ran; Yoo, Jinho; Kim, Chun‐Ja

doi:10.4040/jkan.2001.31.1.20

Cited by 11 publications

(6 citation statements)

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“…1). The total number of participants in the 23 studies [911121314151617181920212223242526272829303132] was 723 (432 in the intervention group and 291 in the control group; 190 [26.3%] men and 533 [73.7%] women), with a mean age of 60.4 years. The general characteristics of the included studies are summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Exercise Intervention in Reducing Body Weight and Glycosylated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus in Korea: A Systematic Review and Meta-Analysis

et al. 2019

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Background This study aimed to assess the effectiveness of exercise intervention in reducing body weight and glycosylated hemoglobin (HbA1c) level in patients with type 2 diabetes mellitus (T2DM) in Korea. Methods Cochrane, PubMed, Embase, KoreaMed, KMbase, NDSL, KCI, RISS, and DBpia databases were used to search randomized controlled trials and controlled clinical trials that compared exercise with non-exercise intervention among patients with non-insulin-treated T2DM in Korea. The effectiveness of exercise intervention was estimated by the mean difference in body weight changes and HbA1c level. Weighted mean difference (WMD) with its corresponding 95% confidence interval (CI) was used as the effect size. The pooled mean differences of outcomes were calculated using a random-effects model. Results We identified 7,692 studies through literature search and selected 23 articles (723 participants). Compared with the control group, exercise intervention (17 studies) was associated with a significant decline in HbA1c level (WMD, −0.58%; 95% CI, −0.89 to −0.27; I 2 =73%). Although no significant effectiveness on body weight was observed, eight aerobic training studies showed a significant reduction in body weight (WMD, −2.25 kg; 95% CI, −4.36 to −0.13; I 2 =17%) in the subgroup analysis. Conclusion Exercise significantly improves glycemic control; however, it does not significantly reduce body weight. Aerobic training can be beneficial for patients with non-insulin-treated T2DM in Korea.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of Exercise Intervention in Reducing Body Weight and Glycosylated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus in Korea: A Systematic Review and Meta-Analysis

et al. 2019

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“…These findings are consistent with those reported in previous studies among Korean participants with diabetes. 35,36,54,55 Fasting plasma glucose and HbA 1c significantly decreased in Korean adults with type 2 DM and metabolic syndrome after 16 weeks of CVD risk intervention. Glycated hemoglobin decreased by 0.33% in the intervention group, whereas a 0.17% increase was shown in the control group at 16 weeks.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Cardiovascular Risk Reduction Intervention With Psychobehavioral Strategies for Korean Adults With Type 2 Diabetes and Metabolic Syndrome

Kim

Park

2011

Journal of Cardiovascular Nursing

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Background: Type 2 diabetes mellitus (DM) and metabolic syndrome are associated with high risk of cardiovascular disease (CVD) and depression. Although lifestyle modifications including regular exercise and weight control are recommended as a primary approach to glycemic control and CVD risk reduction for people with DM and/or metabolic syndrome, little is known concerning the effects of CVD risk reduction interventions using psychobehavioral strategies in this population. Objective: This pilot study investigated the effects of a 16-week CVD risk reduction intervention in Korean adults with type 2 DM and metabolic syndrome. Methods: A prospective, pretest and posttest, controlled, quasi-experimental design enrolled a convenience sample of 43 Korean adults with type 2 DM and metabolic syndrome at a university hospital. The adults in the intervention group participated in a 16-week CVD risk reduction intervention consisting of 150 minutes of regular exercise per week; 200-to 300-kcal reduced daily diet for weight control; one-on-one psychobehavioral counseling based on constructs from the Transtheoretical Model such as processes of change, self-efficacy, and decisional balance; and telephone coaching for behavioral modification. Participants in the control group received a booklet with basic diabetic education as part of their routine care. Repeated-measures analysis of variance was used for analyzing the effects of the CVD risk reduction intervention on cardiometabolic risk factors including the UK Prospective Diabetes Study score for 10-year CVD risk, glycated hemoglobin (HbA 1c ), and depression. Results: The intervention group showed significant reductions (P G .05) at 16 weeks, compared with the control group on the UK Prospective Diabetes Study fatal risk scale (j1.73% vs j0.04%), triglycerides (j38.5 vs j15.1 mg/dL), fasting plasma glucose (j29.24 vs +1.77 mg/dL), HbA 1c (j0.37% vs +0.17%), and depression (score, j3.24 vs 1.40) measurements. Conclusions: This pilot study yielded evidence for the beneficial impact of the CVD risk reduction intervention for Korean adults with type 2 DM and metabolic syndrome on improved glycemic control, reduced CVD risk, and depression.

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“…Despite the high percentage of practicing regular exercise, it is predicted that almost half of the adults adopting exercise may discontinue the exercise within 6 months. 13,14,19 In one study, the percentage of relapse or termination of exercise was 45.1% among young US adults. 19 Hence, future longitudinal studies are needed to explore how to prevent people from terminating regular exercise and develop effective strategies to maintain their regular exercise behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…However, despite the benefits of regular exercise behavior, more than half of those who begin an exercise program stop it within 3 to 6 months. 13,14 Strategies that seek to increase participation in a regular exercise regimen and sustain this participation in people with metabolic syndrome have been hindered by the lack of knowledge concerning the psychobehavioral strategies based on the readiness of individuals to engage in exercise behavior.…”

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confidence: 99%

Application of the Transtheoretical Model

Kim

Kim²,

Chae³

2010

Journal of Cardiovascular Nursing

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In this study of regular exercise behavior and transtheoretical model-related variables, consciousness raising, self-reevaluation, and self-liberation were associated with a positive effect on regular exercise behavior in adults with metabolic syndrome. Our findings could be used to develop strategies and interventions to maintain regular exercise behavior directed at Korean adults with metabolic syndrome to reduce CVD risk. Further prospective intervention studies are needed to investigate the effect of regular exercise program on the prevention and/or reduction of CVD risk among this population. Health care providers, especially nurses, are optimally positioned to help their clients initiate and maintain regular exercise behavior in clinical and community settings.

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The Effects of Planned Exercise Program on Metabolism, Cardiopulmonary Function and Exercise Compliance in Type 2 Diabetes Mellitus Patients

Cited by 11 publications

References 0 publications

Effectiveness of Exercise Intervention in Reducing Body Weight and Glycosylated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus in Korea: A Systematic Review and Meta-Analysis

Effectiveness of Exercise Intervention in Reducing Body Weight and Glycosylated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus in Korea: A Systematic Review and Meta-Analysis

Effects of a Cardiovascular Risk Reduction Intervention With Psychobehavioral Strategies for Korean Adults With Type 2 Diabetes and Metabolic Syndrome

Application of the Transtheoretical Model

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