Effects of Arm Swing Exercise Program on HbA1C and Nutritional Status in Adults and Older Adults with Type 2 Diabetes: A Quasi-Experimental Study

Sangthong Terathongkum, Kamonrat Kittipimpanon
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Abstract

Abstract Regular physical activity is recommended for managing type-2 diabetes to achieve optimal glycemic control. Limited studies compared the effects of exercise between adults and older adults with type-2 diabetes. This quasi-experimental aim to investigate the effects of the Arm Swing Exercise Program on HbA1C and nutritional status among four groups of adults and older adults with type-2 diabetes. Eighty eligible participants were assigned to the experimental groups (20 adults and 21 older adults) receiving the 12-week Arm Swing Exercise Program 30 minutes/day 5 day/week along with standard care, whereas the control groups (17 adults and 22 older adults) received standard care. Data were obtained, using the demographics questionnnaire, HbA1C, and nutritional status including waist circumference, body mass index, visceral fat, and skeletal muscle, before and after the Program. Paired t-tests, ANCOVA, and ANOVA were used for data analysis. The findings revealed no significant difference in HbA1C, waist circumference, body mass index, visceral fat, and skeletal muscle after receiving the Program between adults and older adults in the experimental groups. Older adults in the experimental group had significantly lower waist circumference than older adults in the control group, while adults in the experimental group had significantly lower waist circumference than adults and older adults in the control groups. This program was effective in only waist circumference reduction. Thus, nurses should encourage people with type-2 diabetes to continuously practice both the arm swing exercise and standard care to achieve glycemic control and better nutritional status. Further study should have more participants using randomized controlled trials and control other sensitive outcomes to the arm swing exercise. Keywords: Arm swing exercise, Hemoglobin A1C, Nutritional status, Adults, Older adults, exercise
手臂摆动运动对成人和老年2型糖尿病患者HbA1C和营养状况的影响:一项准实验研究
推荐有规律的身体活动来管理2型糖尿病,以达到最佳的血糖控制。有限的研究比较了成人和老年2型糖尿病患者锻炼的效果。本实验旨在探讨摇臂运动对四组成人及老年2型糖尿病患者HbA1C及营养状况的影响。80名符合条件的参与者被分配到实验组(20名成年人和21名老年人),他们接受为期12周的手臂摆动锻炼计划,每天30分钟,每周5天,以及标准护理,而对照组(17名成年人和22名老年人)接受标准护理。通过人口统计问卷、糖化血红蛋白(HbA1C)和营养状况(包括腰围、体重指数、内脏脂肪和骨骼肌),获得项目前后的数据。数据分析采用配对t检验、方差分析和方差分析。结果显示,实验组成人和老年人在接受该方案后的HbA1C、腰围、体重指数、内脏脂肪和骨骼肌没有显著差异。实验组老年人的腰围明显低于对照组老年人,实验组成年人的腰围明显低于对照组成年人和老年人。这个方案是有效的,只有腰围减少。因此,护士应鼓励2型糖尿病患者持续进行摆臂运动和标准护理,以达到血糖控制和更好的营养状况。进一步的研究应该有更多的参与者使用随机对照试验,并控制其他敏感结果的手臂摆动练习。关键词:摆臂运动,糖化血红蛋白,营养状况,成人,老年人,运动
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