Ismail, Aziz Al-Safi and Mohamed, Mafauzy and Nordin, Rusli and Muda, Wan Abdul Manan Wan and Ibrahim, Noor
(2004)
An interventive and kap study on healthy lifestyle of overweight
and uncontrolled diabetic patients
in Kota Bharu, Kelantan.
An interventive and kap study on healthy lifestyle of overweight and uncontrolled diabetic patients in Kota Bharu, Kelantan.
(Submitted)
Abstract
OBJECTIVES: To assess the effects of a regular exercise programme on metabolic
control and also knowledge, attitude and practice (KAP) of exercise and physical
activity among Type 2 diabetes mellitus patients.
MATERIAL AND MET{{ ODS: Forty two Type 2 diabetes patients from the
community medicine and medical specialist clinics in USM were assigned . to two
groups; The interventive group consisted of 13 males and 14 females, mean age
52.6(8.7) (mean (SD)), body mass index 27.2 (3.9) participated in regular group
exercise sessions (3 times a week, 1 hour sessions) for 7 weeks. Exercise intensity was
predetermined based on the predicted target heart rate for each subject. The control
group consisted of 7 males and 8 females, mean age 56.5(11.1), body mass index
25.8(2.73). Pre and post-intervention anthropometric measurements and blood
investigations were done. These include height, weight, body mass index, body fat
percentage and fat free mass (FFM), blood pressure, cardiorespiratory fitness level,
fasting plasma glucose level (FPG), HbA I c level, fasting lipid profile, insulin and Cpeptidelevel.
RESULTS:, In the intervention group, FFM increased from 45.98(9.71) to 47.93(10.53)
kg,; percentage body fat decreased from 32.37(11.02) to 30.14(10.73)%. Diastolic
pressure reduced from 91(11.2) to 83.3(7.5) mmHg, cholesterol level decreased from
6.23(1.03) to 5.74(1.23) mmoVI, HDL level increased from 0.97(0.31) to 1.19(0.28)
mmolll. Estimated V02max increased from 21.6(7.04) to 27.7(8.72) mllkg/min. Resting
heart rate declined significantly from 80(7) to 73( II) bpm. There was no improvement
in body mass index (BMI), fasting plasma glucose, insulin and C-peptide levels.
Knowledge and attitude scores were higher than practice scores.
CONCLUSION: Seven weeks of exercise intervention among type 2 diabetes patients
resulted in an improvement in body composition, cardiorespiratory fitness, lipid profile
and a reduction in blood pressure. However there is a disparity between knowledge and
practice of exercise and physical activity.
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