Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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The Effects of Short Term Comprehensive Life Style Modification Program on Glycemic Metabolism, Lipid Metabolism and Body Composition in Type 2 Diabetes Mellitus

단기간의 포괄적인 생활습관개선 프로그램이 제2형 당뇨병환자의 당대사 및 지질대사와 체구성에 미치는 효과

  • Yoo Ji Soo (College of Nursing, Yonsei University) ;
  • Lee Suk Jeong (Brain Korea 21 Project for Medical Science, Yonsei University) ;
  • Lee Hyun Chul (College of Medicine, Yonsei University) ;
  • Kang Eun Seok (College of Medicine, Yonsei University) ;
  • Kim So Hun (College of Nursing, Yonsei University) ;
  • Park Eun Jeong (Graduated master course of College of Nursing, Yonsei University)
  • 유지수 (연세대학교 간호대학 간호학과) ;
  • 이숙정 (연세대학교 BK21 의과학 사업단) ;
  • 이현철 (연세대학교 의과대학 의학과) ;
  • 강은석 (연세대학교 의과대학) ;
  • 김소헌 (연세대학교 의과대학) ;
  • 박은정 (연세대학교 간호대학)
  • Published : 2004.12.01
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Abstract

Purpose: This study was to evaluate the effects of a short term comprehensive life style modification program on glycemic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus patients. Method: A nonequivalent control group with a pre post test was designed. Data collection was done from October 2003 to June, 2004 at a hospital. Glycemic metabolism was measured by a.c., p.c. and $HbA_{1}c$, and lipid metabolism was measured by cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. Body Composition was measured by body weight, body mass index, waist, measurement waist per hip ratio, body fat, muscle weight and abdominal fat tissue(intra abdominal distance). The Experimental group, which was composed of 29 participants, was educated based on a life style modification protocol at a weekly meeting for 12 weeks and carried out exercise, diet along individual parameters and self monitoring, while 24 participants in the control group received only diet education. Result: 1. The experimental group showed a significant lower a.c.(t=2.11, p=.04) and $HbA_{1}c$(t=2.65, p=.01) compared to those of the control group. 2. The experimental group showed a significant lower LDL than the results of the control group(t=2.42, p=.02). 3. The experimental group showed a significant lower weight(t=3.09, p=.00), BMI(t=3.01, p=.00), body fat(t=2.94, p=.01) and abdominal fat tissue(t=3.05, p=.01) than those of the control group. Conclusion: The results provided evidence for the effectiveness of a short term comprehensive life style modification program composed of exercise, diet, support, self efficacy elevation and self monitoring in type 2 diabetes mellitus.

Keywords

References

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