Effect of Lifestyle Modification Program with Arm Swing Exercise on Health Behavior, Nutritional Status and Capillary Blood Sugar of Persons with Pre-diabetes in the Community

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Ratchanok Phonyiam, RN, BNS
Sangthong Terathongkum, RN, PhD
Somyong Thungsarn, RN, BNS
SakdaArj-ong Vallipakorn, MD


OBJECTIVES: This quasi-experimental research was conducted to assess the effect oflifestyle modifi cation program with arm swing exercise on health behavior, nutritionalstatus and capillary blood sugar of pre-diabetes in the community.

MATERIAL AND METHODS: The participants selected according to the inclusioncriteria, were 28 pre-diabetes participants who received lifestyle modifi cation programswith arm swing exercise for 8 weeks. Data were collected twice, before and immediatelyafter the intervention, using the health behavior questionnaire (HBQ), nutritionalstatus, including waist circumference, and body mass index, and capillary blood sugar.Data were analyzed using descriptive statistics and paired t-tests.

RESULTS: After receiving the lifestyle modifi cation program with arm swing exercise,the participants showed signifi cant improvement of health behavior specially foodconsumption and stress management aspect as compared to before the program(p < 0.05), but waist circumference, body mass index, and capillary blood sugar werenot signifi cantly different.

CONCLUSION: The lifestyle modifi cation program with arm swing exercise helps indeveloping better health behaviors and nutritional status. Therefore, this programshould be applied to persons with pre-diabetes to prevent diabetes and there sh


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Phonyiam R, Terathongkum S, Thungsarn S, Vallipakorn S- ong. Effect of Lifestyle Modification Program with Arm Swing Exercise on Health Behavior, Nutritional Status and Capillary Blood Sugar of Persons with Pre-diabetes in the Community. BKK Med J [Internet]. 2019 Oct. 14 [cited 2023 May 30];10(1):16. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221124
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1. International Diabetes Federation. IDF Diabetes Atlas (5th). (Accessed 4, 2013 at https://www.idf.org/sites/default /files/5E_IDFAtlasPoster_2012_EN.pdf).
2. Bureau of Non Communicable Disease. Number and admission rate of diabetes in 2011-2012. (Accessed July 22, 2013, at https://www.thaincd.com/information-statistic/links.php).
3. Apasuwannakul N, Himmun-ngan R, Khiawkhoaw N. Prevalence of diabetes mellitus and impaired glucose tolerance among relatives of DM cases in Chor-Hor Community Medical Center, Nakhonratchasima Province in 2004. Disease Control J 2005;31:164-74.
4. Chaipornsupaisan W, Aekplakorn W, Premgamone A, et al. Diabetes mellitus and its risk factors in the Thai population: The third National Health Examination Survey 2004. HSRI J 2007;1;299-312.
5. Bock G, Man CD, Campoini M, et al. Original article pathogenesis of pre-diabetes: Mechanisms of fasting and postprandial hyperglycemia in people with impaired fasting glucose and/ or impaired glucose tolerance. Diabetes 2006;55:3536-49.
6. Smith R. Targeting people with pre-diabetes: Lifestyle interventions should also be aimed at people with pre-diabetes. BMJ 2002;3:403-4.
7. Wibulpolprasert S, Sirilak S, Ekachampaka P, et al. Thailand Health Profile 2005-2007. Bureau of Policy and Strategy, Ministry of Public Health 2007. Bangkok, Thailand.
8. Porapakkham Y. Thais Diabetes: Health statistics in Thailand 2006;2:1-6.
9. Vongterapak S. Complication of diabetes. In Ratchata Ratchatanawin R. Ningsanon T. (editors), Diabetes information. Bangkok: Witayapun, 2552:43-8.
10. Guthrie DW, Guthrie RA. Management of diabetes mellitus: A guide to the pattern approach (6th ed.). New York: Springer, 2008.
11. American Diabetes Association. Stress. (Accessed July 25, 2013, at https://www.diabetes.org/living-with diabetes/ complications/stress.html).
12. Garber AJ, Handelsman Y, Einhorn D, et al. Diagnosis and management of prediabetes in the continuum of hyperglycemia: when do the risks of diabetes begin? A consensus statement from the American College of Endocrinology and the American Association of Clinical Endocrinologists. Endocr Pract 2008;14:933-46.
13. Bureau of Non Communicable Disease. Developing communication for risk prevention and diabetes control. Bangkok: No printing company, 2552.
14. American Diabetes Association. Standards of Medical Care In Diabetes--2012. Diabetes Care 2012; 35 Suppl 1:S11-63.
15. Diabetes Association of Thailand under the Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn; The Endocrine Society of Thailand; Department of Medical Services, Ministry of Public Health & National Health Security Offi ce. Clinical practice guideline for diabetes 2011. Bangkok:Srimuang, 2011.
16. Ruangtrakool S. Stress and mental disorders. Bangkok: Ruen-kaew Kanpim, 2004.
17. Wongsricha W, Kongtaln O. Application of self-efficacy program for changing health behaviors in diabetes high risk group at Nakae Community Hospital, Nakhonpanom Province. Graduate Research Conference 2012. Kaokeaw University
18. 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;1:100-11.
19. 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.
20. Intarawichian S. Participatory sustainable changing health behavior in pre-diabetes group, Kasetwisai District:Roi-et Province. Office of Disease Prevention and Control 6, Khon Kaen.2012:19: 65-75
21. Kulzer B, Hermanns N, Gorges D, et al. Prevention of diabetes self-management program (predias): Effects on weight, metabolic risk factors, and behavioral outcomes. Diabetes Care 2009;32:1143-6.
22. Bandura A. Self-efficacy: The exercise of control. New York: W.H. Freeman and Company, 1997.
23. Faul F, Erdfelder E, Lang AG, et al. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Meth 2007;39:175-91.
24. Aekplakorn W, Cheepudomwit S, Bunnag P, et al. A risk score for predicting incident diabetes in the Thai population. Diabetes Care 2006;29:1872-7.
25. Leelayuwat N. Effects of arm exercise on metabolic parameters in type 2 diabetic patients: Office of the Higher Education Commission & Thailand Research Fund, 2006
26. Winvat S. Association of health belief perception and diabetes prevention behavior in first degree relatives of patients with DM type 2. Master of Nursing Science in Community Health Nurse Practitioner, Faculty of Graduate Studies, Mahidol University, 2008.
27. Rueangsiriwat N. An effectiveness of program applying the transtheoretical model in dietary consumption among population at risk of diabetes mellitus type 2. Master of Science in Public Health Nursing, Faculty of Graduate Studies, Mahidol University, 2013.