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The Effect of Exercise Program in Korea for Controlling Blood Glucose Levels in elderly women patients undergoing type II diabetes mellitus

제 2형 당뇨병 여성 노인 환자의 혈당조절을 위한 국내 운동 프로그램의 효과분석

  • Bang, Yun Yi (Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine & College of Nursing, Ewha Womens University)
  • 방윤이 (강북삼성병원 간호본부 & 이화여자대학교 간호학과)
  • Received : 2019.02.08
  • Accepted : 2019.04.05
  • Published : 2019.04.30

Abstract

The purpose of this study was to investigate the effects of exercise program intervention in Korea for the control of blood sugar levels in elderly women patients undergoing diabetes mellitus typeII and to investigate the effects of exercise program intervention. Research methods were searched through RISS, KISS, KoreaMed, and KMbase as domestic databases and limited to domestic papers published from 2010 to May 2017. Diabetes, female diabetes, and diabetes mellitus typeII were used as the search terms related to the patient group. Programs related to intervention, intervention, exercise, blood glucose, glucose insufficiency, glucose control, fasting glucose and HbA1c were used. A total of 12 papers were provided according to the intervention method. The mediation period was 12 weeks(50%), 3 times per week(58.3%), and 50 to 69 minutes(83.4%) was the most. The combined aerobic and anaerobic exercise was found to be an effective exercise method to control not only blood glucose level but also HbA1c. Individualized exercise program intervention should be provided considering the physical fitness level and health status of elderly patients undergoing diabetes mellitus typeII and should be encouraged to maintain effective blood glucose control through continuous exercise rather than one-off exercise.

본 연구의 목적은 제2형 당뇨병 여성 노인 환자의 혈당 조절을 위한 국내 운동 프로그램 효과에 대한 주요 결과를 고찰하고 중재의 효과를 알아보기 위함이다. 연구 방법은 국내 데이터베이스로 한국 교육학술정보원, 한국 학술정보, 대한의학 편집인 협의회, 한국 의학논문 데이터베이스를 통해 검색하였으며, 2010년부터 2017년 5월까지 출판된 국내 논문을 분석하였다. 검색어로는 당뇨, 여성 당뇨, 노인 당뇨, 제2형 당뇨병을 사용하였으며, 중재 관련 검색어로는 프로그램, 중재, 운동, 혈당, 혈당장애, 혈당조절, 공복 시 혈당, 당화 혈색소를 사용하였다. 최종 12개의 논문이 분석에 사용되었으며, 연구결과 운동프로그램의 중재 기간은 12주(50%), 주당 3회(58.3%), 1회당 50-69분(83.4%)이 가장 많았다. 또한, 유산소와 무산소복합운동은 혈당뿐 만 아니라 당화 혈색소도 조절할 수 있는 효과적인 운동방법으로 나타났다. 따라서 제2형 당뇨병 여성 노인 환자의 체력 수준과 건강 상태를 고려하여 집단교육보다는 개별교육의 운동 프로그램 중재를 적용해야 하며 일회성 운동보다는 지속적인 운동을 통해 효과적인 혈당조절을 유지하는 것이 필요하다.

Keywords

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Fig. 1. Flow chart of study selection.

Table 1. General Characteristics and Research Methodology

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Table 2. Intervention and Dependent Variables

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Table 3. Independent Variables

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Table 4. Description of Included Studies and Results

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References

  1. Korea Statistical Information Service. "2017 Life table"' Available From: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B41&conn_path=I2 (accessed 1 February, 2019)
  2. A. A. Tahrani, C. J. Bailey, S. Del Prato and A. H. Barnett, "Management of type 2 diabetes: new and future developments in treatment", Lancet (London, England), Vol.378, No.9786, pp.182-197, 2011. DOI: https://dx.doi.org/10.1016/s0140-6736(11)60207-9
  3. S. Lim, D. J. Kim, I. K. Jeong, H. S. Son, C. H. Chung, G. Koh, D. H. Lee, K. C. Won, J. H. Park, T. S. Park, J. Ahn, J. Kim, K. G. Park, S. H. Ko, Y. B. Ahn and I. Lee, "A Nationwide Survey about the Current Status of Glycemic Control and Complications in Diabetic Patients in 2006-The Committee of the Korean Diabetes Association on the Epidemiology of Diabetes Mellitus", Korean Diabetes Journal, Vol.33, No.1, pp.48-57, 2009. DOI: https://doi.org/10.4093/kdj.2009.33.1.48
  4. Korean Centers for Disease Control & Prevention. Korea National Health and Nutrition Examination Survey VI, the 3rd year [Internet]. Daejeon: Statistics Korea, c2016, Available From: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11702_N102&vw_cd=MT_OTITLE&list_id=117_11702_B01&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1. (accessed 18 May, 2017)
  5. N. G. Boule, E. Haddad, G. P. Kenny, G. A. Wells and R. J. Sigal, "Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials", JAMA, Vol.286, No.10, pp.1218-1227, 2001. DOI: https://doi.org/10.1001/jama.286.10.1218
  6. R. J. Sigal, G. P. Kenny, D. H. Wasserman, C. Castaneda-Sceppa and R. D. White, "Physical Activity/Exercise and Type 2 Diabetes: A consensus statement from the American Diabetes Association", Diabetes care, Vol.29, No.6, pp.1433-1438, 2006. DOI: https://dx.doi.org/10.2337/dc06-9910
  7. C. H. Chen, T. H. Huang, T. L. Cheng, C. F. Chang, C. Z. Wang, M. H. Wu and L. Kang, "Exercise training ameliorates glucosamine-induced insulin resistance in ovariectomized rats", Menopause (New York, N.Y.), Vol.24, No.6, pp.617-623, 2017. DOI: https://dx.doi.org/10.1097/gme.0000000000000811
  8. T. P. Gavin, R. M. Kraus, J. A. Carrithers, J. P. Garry and R. C. Hickner, "Aging and the Skeletal Muscle Angiogenic Response to Exercise in Women", The journals of gerontology. Series A, Biological Sciences and Medical Sciences, Vol.70, No.10, pp.1189-1197, 2015. DOI: https://dx.doi.org/10.1093/gerona/glu138
  9. J. H. Park, J. S. Lee, J. O. Yang, B. J. Lee and D. W. Han, "Effects of combined exercise on changes of lower extremity muscle activation during walking in older women", Journal of Physical Therapy Science, Vol.27, No.5, pp.1515-1518, 2015. DOI: https://dx.doi.org/10.1589/jpts.27.1515
  10. S. Y. Kim, J. E. Park, H. J. Seo, Y. J. Lee, B. H. Jang, H. J. Son, H. S. Suh and C. M. Shin, "NECA's guidance for undertaking systematic reviews and meta-analyses for intervention", National Evidence-based Healthcare Collaborating Agency, Seoul, 2011.
  11. J. H. Choi, W. S. Shin, K. T. Rho and P. S. Yeon, "Effects of acute forest walking exercise on blood glucose of IGT, NIDDM in the elderly", Journal of Korean Society of Forest Science, Vol.99, No.1, pp.47-51, 2010.
  12. T. W. Jeng, J. I. Choi and J. W. Lee, "The effects of the aerobic and resistance exercise of the 2nd type elderly women diabetics on the risk factors for cardiovasculars disorders", Korean Journal of Sport Science, Vol.22, No.4, pp.1211-1221, 2013.
  13. W. T. Shin and J. W. Lee, "The effect of exercise type on blood vessel inflammatory markers in elderly women patients with diabetes mellitus", Journal of the Korean Society for Wellness, Vol.7, No.1, pp.201-211, 2012.
  14. P. B. Choi, "Effects of exercise on geriatric hypertension and diabetes mellitus risk factors as well as immuno-function according to different time slot", Korean Journal of Sport Science, Vol.20, No.4, pp.831-841, 2011.
  15. J. N. Lee and H. H. Hwang, "Effects of the weight training on the cardiovascular risks factors and the depression in the elderly female diabetes type II patients", Journal of Korean Physical Education Association for Girls and Woman, Vol.25, No.3, pp.71-84, 2011.
  16. P. B. Choi, "Effects and correlation analysis of long-term exercise on diabetes indicators, lipids profile, and pancreatic cancer factor in the elderly with type II diabetes mellitus", Korean Journal of Exercise Rehabilitation, Vol.8, No.4, pp.93-102, 2012.
  17. S. J. Kang and B. H. Ryu, "Effects of combined exercise on HbA1c, cardiovascular disease risk factors, and physical fitness in elderly women with type 2 diabetes mellitus", Journal of Kinesiology, Vol.16, No.2, pp.21-30, 2014. DOI: https://doi.org/10.15758/jkak.2014.16.2.21
  18. H. A. Choi, Y. Y. Kim and M. G. Lee, "Effects of 8 weeks of aerobic training and resveratrol on physical fitness, insulin resistance, liver function, and blood pressure in T2DM elderly women", Korean Journal of Sport Science, Vol.27, No.3, pp. 507-522, 2016. DOI: https://dx.doi.org/10.24985/kjss.2016.27.3.507
  19. C. H. Kim, J. W. Lee and Y. S. Seo, "The effect of 12-week aerobic exercise on inflammatory markers of elderly women patients with diabetes mellitus", Korean Journal of Sport Science, Vol.19, No.4, pp.1337-1349, 2010.
  20. J. U. Jung and S. M. Kim, "An effect of 12-weeks Korean dance for senile female with diabetes on their body composition, physical fitness and constituent parts of the blood", Journal of Korean Dance, Vol.29, No.1, pp.259-280, 2011. DOI: https://doi.org/10.15726/jkd.2011.29.1.011
  21. N. H. Song, "The effects of elastic band training on glycated hemoglobin, insulin resistance of the elderly female patients with diabetes", Korean Journal of Sports Science, Vol.24, No.3, pp. 1359-1369, 2015.
  22. P. Brasnyo, G. A. Molnar, M. Mohas, L. Marko, B. Laczy, J. Cseh, E. Mikolas, I. A. Szijarto, A. Merei, R. Halmai, L. G. Meszaros, B. Sumegi and I. Wittmann, "Resveratrol improves insulin sensitivity, reduces oxidative stress and activates the Akt pathway in type 2 diabetic patients", The British Journal of Nutrition, Vol.106, No.3, pp. 383-389, 2011. DOI: https://dx.doi.org/10.1017/s0007114511000316
  23. E. M. Evans, S. B. Racette, L. R. Peterson, D. T. Villareal, J. S. Greiwe and J. O. Holloszy, "Aerobic power and insulin action improve in response to endurance exercise training in healthy 77-87 yrolds", Journal of Applied Physiology (Bethesda, Md. : 1985), Vol.98, No.1, pp.40-45, 2005. DOI: https://dx.doi.org/10.1152/japplphysiol.00928.2004
  24. R. J. Sigal, G. P. Kenny, D. H. Wasserman and C. Castaneda-Sceppa, "Physical activity/exercise and type 2 diabetes", Diabetes care, Vol.27, No.10, pp. 2518-2539, 2004. https://doi.org/10.2337/diacare.27.10.2518
  25. W. R. Thompson, N. F. Gordon, L. S. Pescatello and American College of Sports Medicine, "ACSM's Guidelines for Exercise Testing and Prescription", Lippincott Williams & Wilkins, Philadelphia, PA, 2010.
  26. B. S. Oh and S. G. Lee, "Effects of aqua aerobic exercises on HbA1c, CRF, HGH in elderly women with type 2 diabetes mellitus", Journal of Sport and Leisure Studies, Vol.45, No.2, pp.891-900, 2011. https://doi.org/10.51979/KSSLS.2011.08.45.891
  27. N. Brooks, J. E. Layne, P. L. Gordon, R. Roubenoff, M. E. Nelson and C. Castaneda-Sceppa, "Strength training improves muscle quality and insulin sensitivity in Hispanic older adults with type 2 diabetes", International Journal of Medical Sciences, Vol.4, No.1, pp.19-27, 2006. DOI: https://doi.org/10.7150/ijms.4.19
  28. P. Srikanthan and A. S. Karlamangla, "Relative muscle mass is inversely associated with insulin resistance and prediabetes. Findings from the third National Health and Nutrition Examination Survey", The Journal of Clinical Endocrinology and Metabolism, Vol.96, No.9, pp.2898-2903, 2011. DOI: https://dx.doi.org/10.1210/jc.2011-0435
  29. A. Grontved, E. B. Rimm, W. C. Willett, L. B. Andersen and F. B. Hu, "A prospective study of weight training and risk of type 2 diabetes mellitus in men", Archives of Internal Medicine, Vol.172, No.17, pp.1306-1312, 2012. DOI: https://dx.doi.org/10.1001/archinternmed.2012.3138
  30. Z. AminiLari, M. Fararouei, S. Amanat, E. Sinaei, S. Dianatinasab, M. AminiLari, N. Daneshi and M. Dianatinasab, "The Effect of 12 Weeks Aerobic, Resistance, and Combined Exercises on Omentin-1 Levels and Insulin Resistance among Type 2 Diabetic Middle-Aged Women", Diabetes & Metabolism Journal, Vol.41, No.3, pp.205-212, 2017. DOI: https://dx.doi.org/10.4093/dmj.2017.41.3.205