성인간호학회지 (Korean Journal of Adult Nursing)

  • 제23권3호
  • /
  • Pages.298-307
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  • 2011
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  • 1225-4886(pISSN)
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  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
권호 표지

제2형 당뇨병 환자의 신체활동이 혈당조절에 미치는 영향

Effects of Physical Activity on Glycemic Control in Type 2 Diabetics

  • Choi, Eun-Jin (Department of Nursing, Kyongbuk Science University)
  • 투고 : 2010.11.09
  • 심사 : 2011.06.22
  • 발행 : 2011.06.30
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초록

Purpose: The purpose of this study was to examine the effects of physical activity on glycemic control among Koreans with type 2 diabetes. Methods: A total of 215 patients with type 2 diabetes (82 male and 133 female) were recruited (mean age = $59.0{\pm}9.7$ years). The amounts of physical activity was assessed using the physical activity scale for elderly (PASE). Fasting blood glucose (FBG), Hemoglobin A1c ($HbA_1c$), and 2 hours post-prandial glucose (2hrPG) were measured. Results: The highest PASE score was housework-related physical activity. However, the amounts of walking was significantly higher in good FBG level (Z = 1.39, p=.041) and the amounts of leisure-time physical activity was higher in good HbA1 and 2hrPG level than in the poor glycemic control group (Z = 2.29, p<.001; Z = 1.99, p=.001). A logistic regression analysis showed that patients with leisure-time physical activity in the top quartile more likely presented with good glycemic control in $HbA_1c$, OR=3.84 (95% Confidence Interval (CI) = 1.65~8.95) and in 2hrPG, OR=4.06 (95%CI = 1.77~9.27), compared to patients in the lowest quartile. Conclusion: Leisure-time physical activity is effective for controlling the glucose levels, especially $HbA_1c$ and 2hrPG among type 2 diabetic patients. It is suggested that health providers need to more focus on providing aggressive recommendations on physical activity considering physical activity patterns by individuals.

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참고문헌

  1. American Diabetes Association (2010). Standards of medical care in diabetes. Diabetes care, 33 (Suppl 1), S11-S61.
  2. Ann, K. H., Han, K. A., & Min, K. W. (2005). Long term effect of exercise on waist-hip ratio, BMI, HbA1c. Journal of Korean Diabetes Association, 29 , 526-532.
  3. Bianchi, G., Rossi, V., Muscari, A., Magalotti, D., & Zoli, M. (2008). Physical activity is negatively associated with the metabolic syndrome in the elderly. Quarterly Journal of Medicine, 101 , 713-721.
  4. Cavalot, F., Petrelli, A., Traversa, M., Bonomo, K., Fiora, E., Conti, M., et al. (2006). Postprandial blood glucose is a stronger predictor of cardiovascular events than fasting blood glucose in type 3 diabetes mellitus, particularly in women: Lessons from the Dan Luigi Gonzaga Diabetes Study. The Journal of Clinical Endocrinology and Metabolism, 91 , 813-819.
  5. Ceriello, A., & Motz, A. (2004). Is oxidative stress the pathogenic mechanism underlying insulin resisitance, diabettes, and cardiovascular disease? The common soil hypothesis revisited. Arteriosclerosis, Thrombosis, Vascular Biology, 24 , 816-823.
  6. Choe, M. A., Kim, J., Jeon, M. Y., & Chae, Y. R. (2010). Evaluation of the Korean version of physical activity scale for the elderly(K-PASE). Korean Journal of Women Health Nursing, 16 , 47-59. https://doi.org/10.4069/kjwhn.2010.16.1.47
  7. Healy, G. N., Dunstan, D. M., Shaw, J. E., Zimmet, P. Z., & Owen, N. (2006). Beneficial associations of physical activity with 2-h but not fasting blood glucose in Australian adults: The AusDiab study. Diabetes Care, 29 , 2598-2604.
  8. Jekal, Y., Lee, M. K., Kim, E. S., Park, J. H., Lee, H. J., Han, S. J., et al. (2008). Effects of walking and physical activity on glucose regulation among type 2 diabetics. Korean Diabetes Journal, 32 (1), 60-67.
  9. Kim, Y. G. (2001). Which is more important between fasting blood glucose and postprandial glucose? Clinical Diabetes, 2 , 1-5.
  10. King, D. K., Estabrooks, P. A., Strycker, L. A., Toobert, D. J., Bull, S. S. & Glasgow, R. E. (2006). Outcomes of a multifactorial physical activity regimen as part of a diabetes self-management intervention. Annals of Behavioral Medicine, 31 , 128-137.
  11. Krarup, L. H., Truelsen, T., Gluud, C., Anderson, G., Zeng, X., Korv, J., et al. (2008). Prestroke physical activity is associated with severity and long term outcome from first-ever stroke. Neurology, 71, 1313-1318.
  12. Lee, H. Y. (2008). Diabetes with well-being life. Clinical diabetes, 9 (1), 147-154.
  13. Min, K. W., An, K. H., Sohn, T. S., Park, Y. M., Hong, Y. S., Kim, Y. S., et al. (2005). The study of physical activity in the Korean with type 2 diabetes. Journal of Korean Diabetes Association, 29 , 517-525.
  14. Min, K. W., & Park, S. W. (2006). Physical activity and type 2 diabetes, Journal of Korean Diabetes Association, 30 (1), 1-9.
  15. National Statistical Office. (2010). Annual Report on the Death Statistics.
  16. Nelson, K. M., Riber, G., & Boyko, E. J. (2002). Diet and exercise among adults with type 2 diabetes: findings from the third national health and nutrition examination survey (NHANES III). Diabetes Care, 25, 1722-1728.
  17. Shenoy, S., Guglani, R., & Sandhu, J. S. (2010). Effectiveness of an aerobic walking program using heart rate monitor and pedometer on the parameters of diabetes control in Asian Indians with type 2 diabetes. Primary Care Diabetes, 4 (1), 41-45.
  18. Xu, Y., Toobert, D., Savage, C., Pan, W., & Whitmer, K. (2008). Factors influencing diabetes self-management in Chinese people with type 2 diabetes. Research in Nursing & Health, 31 , 613-625.
  19. Washburn, R. A., Smith, K. W., Jette, A. M., & Janney, C. J. (1993). The physical activity scale for the Ederly (PASE): Development and evaluation. Journal of Clinical Epidemiology, 46 , 153-162.