Physical activity stage-matched intervention: Promoting metabolic control in type 2 diabetes
نویسندگان
1 Research Center for Health Sciences and Department of Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan
2
3 Research Center for Health Sciences and Department of Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan
4 Research Center for Health Sciences and Department of Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan
5 Department of Health Education and Promotion, Faculty of Health, Isfahan University of Medical Science
6 Department of Health Services, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran
doi
چکیده
Background: Regular physical activity has an important role in reducing cardiovascular risk factorsand improving metabolic control in patients with type 2 diabetes. This study aims to investigate theeffect of physical activity stage-matched intervention on metabolic control in type 2 diabetes patients.Materials and Methods: An 8-week physical activity program conducted with 50 type 2 diabetesfemales who were physically inactive and in precontemplation, contemplation, and preparationstages of change. Participants were divided into intervention and control groups (each group, n =25). Data were collected by physical activity stage of change questionnaire and metabolic factorswere measured by laboratory tests before initiation program. Subsequently, stage-matched physicalactivity program was conducted for the interventional group. Control group received routine educationfrom the diabetes center. After 8 weeks, physical activity questionnaire filled out by participants andmetabolic factors were evaluated by a laboratory test. Results: Findings showed patients in theintervention group and compared with control group significantly moved through stages of changeafter physical activity program (P-value < 0.05). Evaluation of physical activity after educationalprogram demonstrated that the intervention group adopted regular physical activity more thanthe control group and also the difference between groups was significant (P-value < 0.05). Ourfindings indicate a significant relationship between physical activity level and moving in stages ofchange in the intervention group (P-value < 0.05). Comparison of metabolism factors after physicalactivity program showed significant decrease in glycosilated hemoglobin in the intervention groupthan the control group (P-value < 0.05). However, significant differences between groups were notobserved in other metabolism factors. Conclusion: Designing and implementing physical activitystage-matched intervention can improve metabolic control and management of type 2 diabetes.