Effects of Modified Arm Swing Exercise Program on Capillary Plasma Glucose and Body Composition in People with Uncontrolled Type 2 Diabetes

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Sangthong Terathongkum, RN, PhD
Ratchanok Phonyiam, RN, MNS
Jiraporn Lininger, RN, PhD

Abstract

OBJECTIVES: A quasi-experimental research aimed at examining effects of Modified Arm Swing Exercise (MASE) Program on capillary plasma glucose (CPG) and body composition in people with uncontrolled type 2 diabetes (T2DM). MATERIAL AND


METHODS: Twenty-four people with uncontrolled T2DM from a Ban Phai Rong Wua Sub-district Health Promoting Hospital, Suphanburi province, Thailand who met the inclusion criteria were selected into the study and received the MASE Program for 12-week. Data were collected using a demographic questionnaire and measurements of CPG, body mass index (BMI), visceral fat and skeletal muscle at baseline, 8th, and 12th week after MASE program, analyzed by descriptive statistics and repeated measure ANOVA.


RESULT: After the MASE Program, mean CPG, BMI and visceral fat tended to be decrease, and skeletal muscle was likely to have increased; however, all variables were not statistically significant different at the least interval (F (2, 46) = 1.80, p > 0.05; F (2, 46) = 0.31, p > 0.05; F (2, 46) = 0.32, p > 0.05; F (2, 46) = 3.12, p > 0.05, respectively).


CONCLUSION: The MASE Program should be recommended to people with uncontrolled T2DM for more than12 weeks for better outcomes.

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1.
Terathongkum S, Phonyiam R, Lininger J. Effects of Modified Arm Swing Exercise Program on Capillary Plasma Glucose and Body Composition in People with Uncontrolled Type 2 Diabetes. BKK Med J [Internet]. 2019Sep.20 [cited 2020Jul.15];15(2):193. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/222850
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Original Article

References

1. International Diabetes Federation. IDF diabetes atlas eighthedition. 2017. (Accessed March 10, 2019 at https://diabetesatlas.org/resources/2017-atlas.html).
2. Aekplakorn W, Chariyalertsak S, Kessomboon P, et al.Prevalence of diabetes and relationship with socioeconomicstatus in the Thai population: National Health ExaminationSurvey, 2004-2014. J Diabetes Res 2018:1-8.
3. American Diabetes Association. Standards of medical care indiabetes. Diabetes Care 2019;42(1):S1-S193.
4. Nanditha A, Ma RCW, Ramachandran A, et al. Diabetes inAsia and the Pacific: implications for the global epidemic.Diabetes Care 2016;39: 472-85.
5. Lambadiari V, Triantafyllou K, Dimitriadis GD. Insulin actionin muscle and adipose tissue in type 2 diabetes: Thesignificance of blood flow. World J Diabetes 2015;6(4):626-33.
6. Roberts CK, Hevener AL, Barnard RJ. Metabolic syndromeand insulin resistance: underlying causes and modification byexercise training. Compr Physiol 2013;3(1):1-58.
7. Yanai H, Adachi H, Masui Y, et al. Exercise therapy for patientswith type 2 diabetes: a narrative review. J Clin Med Res2018;10(5):365-369.
8. Ethisan P, Somrongthong R, Ahmed J, et al. Factors relatedto physical activity among the elderly population in ruralThailand. J Prim Care Community Health 2017;8(2):71-6.
9. Advika TS, Idiculla J, Kumari SJ. Exercise in patients withtype 2 diabetes: facilitators and barriers - a qualitative study.J Family Med Prim Care 2017;6(2):288-92.
10. Thai Health Promotion Foundation. Manual for reducingabdominal fat. (Accessed March 15, 2019 at http://drs.oop.cmu.ac.th/nana/downloads/24.pdf).
11. Terathongkum S. Arm swing exercise for diabetes control.Thai J Nurs Midwifery Pract 2017;4(1):36-44.
12. Tunkamnerdthai O, Auvichayapat P, Donsom M, et al.Improvement of pulmonary function with arm swing exercisein patients with type 2 diabetes. J Phys Ther Sci 2015;27(3):649-54.
13. Wanna J, Terathongkum S, Thipsuwannakool V. Effects ofarm swing exercise program on HbA1c and nutritional statusin adults with type 2 diabetes in community. BKK Med J2018;14(1):23-8.
14. Khamsom S, Terathongkum S, Kittipimpanon K. Effects ofarm swing exercise program on HbA1C and nutritional statusin community dwelling older adults with type 2 diabetes.J Nurs Midwifery Pract (Thai) 2017;4(2):46-60.
15. Phonyiam R, Terathongkum S, Thungsarn S, et al. Effect oflifestyle modification program with arm swing exercise onhealth behavior, nutritional status and capillary blood sugarof persons with pre-diabetes in the community. BKK Med J2015;10:16-21
16. Songsaengrit B, Benjapornlert P, Pisprasert V, et al. Effectsof traditional and modified arm swing exercise on abdominalobesity, hemodynamics and quality of life in patients withmetabolic syndrome. J Exerc Physiol Online 2017;20(6):83-93.
17. Bandura A. Self-efficacy: the exercise of control. New York:W.H. Freeman and Company, 1997.
18. Saelao K, Kanungsukkasem V. Effects of arm swing exercise,walking and walking exercise combined with arm swingexercise on health-related physical fitness of the elderlywomen. J Sport Health Sci 2012;13(1):92-103.
19. Hurrle S, Hsu WH. The etiology of oxidative stress in insulinresistance. Biomedical J 2017;40(5):257-62.
20. Perry BD, Caldow MK, Brennan-Speranza TC, Muscleatrophy in patients with Type Diabetes Mellitus: roles ofinflammatory pathways, physical activity and exercise. ExercImmunol Rev 2016;22:94-109.
21. Mizgier ML, Casas M, Contreras-Ferrat A, et al. Potential roleof skeletal muscle glucose metabolism on the regulation ofinsulin secretion. Obes Rev 2014;15:587-97.
22. Mordarska K, Godziejewska-Zawada M. Diabetes in theelderly. Prz Menopauzalny 2017;16(2):38–43.
23. Patel P, Abate N. Body fat distribution and insulin resistance.Nutrients 2013;5(6):2019-27.
24. Perry RJ, Samuel VT, Petersen KF, et al. The role of hepaticlipids in hepatic insulin resistance and type 2 diabetes. Nature2014;510(7503):84-91.
25. World Health Organization. Physical activity and adults. 2019.(Accessed July 10, 2019 at https://www.who.int/dietphysicalactivity/factsheet_adults/en/).
26. Prior SJ, Goldberg AP, Ortmeyer HK, et al. Increased skeletalmuscle capillarization independently enhances insulinsensitivity in older adults after exercise training anddetraining. Diabetes 2015;64:3386.