Effects of a RANS 30 Exercise Program on Diabetic Preventive Behavior, Body Mass Index, and Capillary Blood Glucose in Persons with Pre-diabetes

Main Article Content

Supichaya Wangpitipanit
Sangthong Terathongkum
Maliwan Pakpayak


This quasi-experimental one group pre-test post-test research design aimed at examining the effects of the RANS 30 Exercise Program on diabetic preventive behavior, body mass index, and capillary blood glucose for persons with pre-diabetes. The purposive participants selected using inclusion criteria were 30 persons with pre-diabetes receiving the RANS 30 (R=Resiliency, A=Autonomy, N=Nuture, S=Smart, 30=30 mins/day) Exercise Program integrating Self-efficacy Theory for eight weeks. The program included demonstration and return demonstration by trained nursing students using RANS 30 video developed by the researchers, knowledge of food exchange, and exercise assignment at home. Data were collected twice, before and immediately after the intervention, using the Diabetic Preventive Behavior Questionnaire, body mass index (BMI), and fasting capillary blood glucose. Data were analyzed using descriptive statistics and paired t-test. Results revealed that after the RANS 30 Exercise Program completed, the body mass index of the participants significantly decreased as compared to that before the program, but diabetic preventive behavior and capillary blood sugar were not significantly different from before the program. This research indicates that the exercise program assists to decrease in body mass index. Therefore, this program should be used to promote physical activity in the community. However, the study time should be extended to assess changes in diabetic preventive behavior and blood glucose levels.
Keywords: RANS 30 Exercise Program, Body mass index, Diabetic preventive behavior,Capillary blood glucose, Persons with pre-diabetes


Download data is not yet available.

Article Details

How to Cite
Wangpitipanit S, Terathongkum S, Pakpayak M. Effects of a RANS 30 Exercise Program on Diabetic Preventive Behavior, Body Mass Index, and Capillary Blood Glucose in Persons with Pre-diabetes. Rama Nurs J [Internet]. 2018 Feb. 19 [cited 2022 Oct. 1];23(3):358-70. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/80478
Author Biography

Supichaya Wangpitipanit

Community Health Nursing, Gerontological Nursing, environmeatal health, and primary medical care.


1. Guthrie DW, Guthrie RA. Nursing management of diabetes mellitus: a guide to the pattern approach. 6thed. New York: Springer, 2009.

2. Centers for Disease Control and Prevention. National diabetes statistics report: estimates of diabetes and its burden in the United States, 2014. Atlanta, GA: U.S. Department of Health and Human Services, 2014.

3. WHO. Global report on diabetes; 2016. [cited 2017 March 2]. Available from: http://apps.who.int/iris/bitstream/10665/204871/1/9789241 565257_eng.pdf

4. Aekplakorn W. National health examination survey in Thailand 5th B.C. 2557. Bangkok. Health Systems Research Institute (HSRI); 2016. (in Thai)

5. WHO. Diabetes program: country and regional data on diabetes; 2006 [cited 2017 March 2]. Available from: http://www.who.int/diabetes/facts/world_figures/en/index5.html

6. Arbsuwan N. The world diabetes day campaign of 2558; 2015. [cited 2016 November 10]. Available from: https://goo.gl/AHfh4R

7. Diabetes Association of Thailand under the Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn, the Endocrine Society of Thailand, Department of Medical Services, National Health Security Office. Clinical practice guideline for diabetes 2014. Bangkok: Aroonkarnpim Limitted Partnership; 2014. (in Thai)

8. Sompan A, Terathongkum S, Piaseu N, Sakunhongsophon S. Factors predicting diabetes preventive behavior in persons with pre-diabetes. Rama Nurs J. 2015;21(1):96-109. (in Thai)

9. International Diabetes Federation. IDF Diabetes Atlas. 7th ed.; 2015. [cited 2017 March 3]. Available from: http://www.idf.org/about-diabetes/facts-figures

10. Kessin J, Wiruchagool P, Lonil A. Self-management, knowledge, quality of life in new cases with Type II diabetes mellitus, pre-post type II diabetes patients self-management program in urban areas, Uthaithani province. Journal of Nursing Division. 2013;40(1):84-103.

11. Tripeud K, Malathum P, Hanprasitkam K, Kantaranakul V. A synthesis of research of exercise influencing glycemic control in persons with type 2 diabetes. Rama Nurs J. 2010;16(2): 112-126. (in Thai)

12. Napora J. Managing stress and diabetes; 2013. [cited 2017 March 3]. Available from: http://www.diabetes.org/living-with-diabetes/parents-and-kids/everyday-life/managing-stress-and-diabetes.html

13. Chongchareon W, Kahawong W, Apichato A, Sangchandr, O, Chukumneard P, Boonsin K et al. A self-care promotion model for controlling in type 2 diabetes.Songklanagarind Medical Journal. 2008;26(1):72-84. (in Thai)

14. Delahanty LM, Grant RW, Wittenberg E, Bosch JL, Wexler DJ, Cagliero E et al. Association of diabetes-related emotional distress with diabetes treatment in primary care patients with Type 2 diabetes. Diabetic Medicine. 2007;24(1): 48-54.

15. Moreau A, Aroles V, Souweine G, Flori M, Erpeldinger S, Figon S, et al. Patient versus general practitioner perception of problems with treatment adherence in type 2 diabetes: from adherence to concordance. European Journal of General Practice. 2009;15(3):147-53.

16. World Health Organization. Preventing diabete. In: Global report on diabetes; 2016 b [cited 2016 May 8]. Available from: http://apps.who.int/iris/bitstream/10665/ 204871/1/978924 1565257_eng.pdf?ua=1

17. American Diabetes Association. Blood glucose control and exercise; 2016. [cited 2016 March 4]. Available from: http://www.diabetes.org/food-and-fitness/fitness/get-started-safely/blood-glucose-control-and-exercise.html?referrer=https://www.google.co.th/

18. Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman and Company, 1997.

19. Wongsricha W, Kongtaln O. Application of self-efficacy program for changing health behaviors in diabetes high risk group at Nakae community hospital, Nakhonpanom Province; 2012. Graduate Research Conference 2012. Khon Kaen University. (in Thai)

20. Ounprom S, Oba N, Vichitkaew N. Effects of health educational program on health promotion behaviors among pre-diabetes adults. Journal of Nursing Science Naresuan University. 2007;1(1):100-11. (in Thai)

21. Critchley CR, Hardie EA, Moore SM. Examining the psychological pathways to behavior change in a group-based lifestyle program to prevent type 2 diabetes. Diabetes Care. 2012;35:699-705.

22. Intarawichian S. Changing health behavior by participate to sustainable, in the diabetes mellitus risk group, Kasetwisai district: Roi-et Province. The office of disease prevention and control 6. 2012;19(2):65-75. (in Thai)

23. Kulzer B, Hermanns N, Gorges D, Schwarz P, Haak T. Prevention of diabetes self-management program (predias): effects on weight, metabolic risk factors, and behavioral outcomes. Diabetes Care. 2009;32(7): 1143–46.

24. Intarawichian S. Changing Health behavior by participate to sustainable, in the diabetes mellitus risk group, Kasetwisai district: Roi-et Province. Office of Disease Prevention and Control 6 Khon Kaen. 2012;19(2): 65-75.

25. Wangpitipanit S, Mayurapong M, Nukrew M, Suchatai, M, Wongsanga M, Suthisai M, et al. Community survey report Moo 11, Tumbol Bankrot, Amphoe Bang Pa-In, Ayutthaya Province B.C. 2557. Bachelor of Nursing Science Program, Ramathibodi School of Nursing; 2014. (in Thai)

26. Faul F, Erdfelder E, Lang AG, Buchuer A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Meth. 2007;39:175-91.

27. Phonyiam R, Terathongkum S, Thungsarn S, Vallipakorn S. Effect of lifestyle modification program with arm swing exercise in health behavior, nutritional status, and capillary blood sugar of persons with pre-diabetes in the community. The Bangkok Medical Journal. 2015;10:16-21.

28. Meesawan K, Kanogsunthornrat N, Nualnim N. Development of Khon-Style aerobic exercise: effect on ankle brachial index in persons with type 2 diabetes mellitus. Rama Nurse J. 2014;20(2):193-205. (in Thai)

29. Burn N, Grove SK. The Practice of nursing research conduct, critique, and utilization. 5th ed. Philadelphia: W. B. Saunders; 2005.

30. Aekplakorn W, Bunnag P, Woodward M, Sritara P, Cheepudomwit S, Yamwong S, et al. A risk score for predicting incident diabetes in the Thai population. Diabetes Care. 2006;29:1872-7.

31. Winvat S. Association of health belief perception and diabetic preventive behaviors in first degree relatives of patients with DM type 2 [thesis]. Nakhon Pathom: Mahidol University; 2008. (in Thai)

32. Jinakom S, Siripitayakunkit A, Punpakdee, O. The effect of an energy balance promoting program on self-care behavior and body composition in women in risk of metabolic syndrome. Rama Nurs J. 2014; 20(1): 112-26. (in Thai)

33. Tripeud K, Malathum P, Hanprasitkam K, Kantaratanakul V. A synthesis of research of exercise influencing glycemic control in persons with type 2 diabetes. Rama Nurse J. 2010;16(2):259-78. (in Thai)

34. Ratanapitak U, Krainuwat K, Sriwijitkamol A, Vipawattana C. The effects of a diabetic self-management program on knowledge, behavior, and health indexes among people with type 2 diabetes. J Nurs Sci. 2013;31(1):7-18. (in Thai)

35. Saelao K, Kanungsukkasem V. Effects of arm swing exercise, walking and walking exercise combined with arm swing exercise on health-related physical fitness of the elderly women. Journal of Sports Science and Health. 2012; 13(1): 92-103.