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- The Effects of Planned Exercise Program on Metabolism, Cardiopulmonary Function and Exercise Compliance in Type 2 Diabetes Mellitus Patients
- Ae Ran Hwang, Ji Soo Yoo, Chun Ja Kim
- Journal of Korean Academy of Nursing 2001;31(1):20-30. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2001.31.1.20
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Abstract
PDF This study was conducted to identify the effects of a planned exercise program based on Bandura's self efficacy model on metabolism, and the exercise compliance in type 2 diabetes mellitus patients. The study design was a nonequivalent pre-test post-test control design. Thirty four type 2 diabetes mellitus patients, who received follow-up care regularly through the diabetic out-patient clinic, were randomly sampled for this study. Twenty patients were assigned to the experimental group and fourteen patients were assigned to the control group. In the experimental group, a planned exercise program is composed of an individualized exercise prescription for 12 weeks, an individual education, and even a telephone coach program. In the case of the control group, they were instructed to continue with their usual schedules. The data collection period was from March 1999 to February 2000 Data were analyzed using SPSS/WINDOW 10.0program. The results were as follows. 1. In the experimental group, the level of fasting blood sugar has significantly decreased from 188.20 mg/dl to 155.55 mg/dl after planned exercise program (F= 16.86, p=.000). For lipid metabolism, body fat per cutaneous decreased from 27.16% to 26.57% after planned exercise program. The score of self efficacy has increased from 64.20 to 66.65 after planned exercise program and it was statistically significant (F=4.850, p=.040) The functional vital capacity has increased from 3.28 liter to 3.37 liter and it was statistically significant(F=7.300, p=.020). 2. In an after effect of a planned exercise program, 35 percent of the subjects who participated in a planned exercise program continued to exercise for another six months. In conclusion, the planned exercise program can improve cardiopulmonary function, glucose, and lipid metabolism. This program was show a positive effect on the self efficacy and exercise compliance.
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Citations
Citations to this article as recorded by
- Effectiveness of Exercise Intervention in Reducing Body Weight and Glycosylated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus in Korea: A Systematic Review and Meta-Analysis
Ji-Eun Jang, Yongin Cho, Byung Wan Lee, Ein-Soon Shin, Sun Hee Lee
Diabetes & Metabolism Journal.2019; 43(3): 302. CrossRef - Analysis of Reported Study on Intervention Programs for Patients with Diabetes Mellitus
Gab-Sun Song, Ho-Jin Kim, Jum-Yi Jun
Journal of Digital Convergence.2015; 13(9): 541. CrossRef - Effect of Nutrition and Exercise Modification Therapy on Metabolism Efficiency of Middle-aged Women Through Convergence
Su-In Chea, Sang-Nam Nam, In-Dong Kim
Journal of Digital Convergence.2015; 13(5): 393. CrossRef - Effects of a Cardiovascular Risk Reduction Intervention With Psychobehavioral Strategies for Korean Adults With Type 2 Diabetes and Metabolic Syndrome
Chun-Ja Kim, Dae-Jung Kim, Hyung-Ran Park
Journal of Cardiovascular Nursing.2011; 26(2): 117. CrossRef - Effects of a problem‐solving counseling program to facilitate intensified walking on Koreans with type 2 diabetes
Haejung LEE, Myoung‐Soo KIM, Kyung‐Yeon PARK, Hyoung‐Sook PARK, In‐Joo KIM
Japan Journal of Nursing Science.2011; 8(2): 129. CrossRef - Application of the Transtheoretical Model
Chun-Ja Kim, Bom-Taeck Kim, Sun-Mi Chae
Journal of Cardiovascular Nursing.2010; 25(4): 323. CrossRef - Utility of a Web-based Intervention for Individuals With Type 2 Diabetes
CHUN-JA KIM, DUCK-HEE KANG
CIN: Computers, Informatics, Nursing.2006; 24(6): 337. CrossRef - The impact of a stage-matched intervention to promote exercise behavior in participants with type 2 diabetes
Chun-Ja Kim, Ae-Ran Hwang, Ji-Soo Yoo
International Journal of Nursing Studies.2004; 41(8): 833. CrossRef
- Effectiveness of Exercise Intervention in Reducing Body Weight and Glycosylated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus in Korea: A Systematic Review and Meta-Analysis
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- The Effects of Exercise Therapy Applied in an Efficacy Expectation Promoting Program on Self-Efficacy and Metabolism: in NIDDM(Non-Insulin Dependent Diabetes Mellitus) Patients
- Chun Ja Kim
- Journal of Korean Academy of Nursing 1998;28(1):132-142. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.1998.28.1.132
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Abstract
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This study was conducted to investigate whether exercise therapy applied in an efficacy expectation promoting program based on the self-efficacy theory of Bandura(1977) would increase self-efficacy and metabolism in NIDDM patients. The study design was a nonequivalent control group pre-test post-test quasi-experimental design. The exercise therapy applied in the efficacy expectation promoting program was composed of a staged exercise program, a small booklet relating personal experience with diabetes mellitus and a telephone coaching program on performance accomplishment, vicarious experience and verbal persuasion, which are all induction modes of efficacy expectation. The subjects of the study were twenty eight NIDDM patients who received follow-up care regularly through the out-patient department of endocrine medicine in one general hospital which had a diabetic clinic. Fourteen were assigned to the experimental group and fourteen to the control group. The experimental group participated in the exercise therapy applied in the efficacy expectation promoting program from three to five times per week for four weeks and the control group did not have the program. The collected data were analyzed using the x2-test, t-test, paired t-test, and Cronbach's Alpha using SPSS/PC+. The results are summarized as follows : 1. Experimental group had higher efficacy score than control group(t=5.98, p=.00). And, There was a significant different in the efficacy score before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(t=-6.42, p=.00). 2. Experimental group did not have lower level of glucose metabolism than control group(FBS : t=.32, p=.75, HbA1C : t=.60, p=.55, pc 2hrs. glucose : t=-.29, p=.78). But, There was a significant different in the amount of glucose metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(FBS : t=3.63, p=.003, HbA1C : t=4.20, p=.00 2hrs . glucose : t=1.93, p=.001). 3. Levels of lipid metabolism were partly a significant different between Experimental group and control group(triglyceride : t=-1.87, p=.07, HDL cholesterol : t=-.29, p=.77, body weight : t=1.78, p=.09, Total cholesterol : t=-2.17, p=.04). And, There was partly a significant different in the amount of lipid metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(triglyceride : t=2.50, p=.03, HDL cholesterol : t=-.43, p=.67, body weight : t=5.34, p=.00, Total cholesterol : t=2.26, p=.04). In conclusion, it was found that exercise therapy applied in an efficacy expectation promoting program was an effective nursing intervention for increasing self-efficacy and metabolism.
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Citations
Citations to this article as recorded by- Effects of a community‐based intervention on cardio‐metabolic risk and self‐care behaviour in older adults with metabolic syndrome
Chun‐Ja Kim, Jee‐Won Park, Hyung‐Ran Park
International Journal of Nursing Practice.2014; 20(2): 212. CrossRef - Utility of a Web-based Intervention for Individuals With Type 2 Diabetes
CHUN-JA KIM, DUCK-HEE KANG
CIN: Computers, Informatics, Nursing.2006; 24(6): 337. CrossRef - The impact of a stage-matched intervention to promote exercise behavior in participants with type 2 diabetes
Chun-Ja Kim, Ae-Ran Hwang, Ji-Soo Yoo
International Journal of Nursing Studies.2004; 41(8): 833. CrossRef
- Effects of a community‐based intervention on cardio‐metabolic risk and self‐care behaviour in older adults with metabolic syndrome
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- 3 Crossref
- Effects of a Exercise Program on Body Composition, Physical Fitness and Lipid Metabolism for Middle-Aged Obese Women
- Kun Ja Lee
- Journal of Korean Academy of Nursing 2005;35(7):1248-1257. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2005.35.7.1248
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Abstract
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Purpose This study was to examine the effects of an exercise program for middle-aged obese women.
Methods The exercise program combined folk dance and resistance training. The subjects group consisted of 85 middle-aged obese women between 40 and 60 years of age. Three 8 week sessions consisted of a 55-80% maximum heart rate (MHR) exercise for 60-90 minutes a day and 3 times a week from March to November, 2004. Data was collected through a pre- and post-exercise test before and after each session. Data was collected with Inbody, dynamometer and blood. This data was analyzed by descriptive statistics, and a paired t-test with an SPSS/PC(10.0 version) program.
Results There were significant positive changes in body weight, body fat mass, body mass index, percent body fat, muscle strength, muscle endurance, flexibility, and balance quality, but no significant positive changes in skeletal mass, fat free mass, percent abdominal fat(waist-hip ratio), visceral fat area, agility, total cholesterol, high density lipoprotein cholesterol, or triglycerides.
Conclusion This study showed that an exercise program has partially positive effects for middle-aged obese women. The results of this study show that exercise at community health centers should continue for middle-aged obese women's health.
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Citations
Citations to this article as recorded by- The effect of different types of exercise on blood lipid profiles: A meta-analysis of randomized controlled studies
Y. Buzdagli, A. Tekin, C.D. Eyipinar, F. Öget, E. Siktar
Science & Sports.2022; 37(8): 675. CrossRef - Effects of physical training on anthropometrics, physical and physiological capacities in individuals with obesity: A systematic review
Hassane Zouhal, Abderraouf Ben Abderrahman, Arash Khodamoradi, Ayoub Saeidi, Ayyappan Jayavel, Anthony C. Hackney, Ismail Laher, Amit M. Algotar, Georges Jabbour
Obesity Reviews.2020;[Epub] CrossRef - Resistance exercise plus to aerobic activities is associated with better lipids' profile among healthy individuals: the ATTICA study
C. Pitsavos, D.B. Panagiotakos, K.D. Tambalis, C. Chrysohoou, L.S. Sidossis, J. Skoumas, C. Stefanadis
QJM.2009; 102(9): 609. CrossRef - Development and Application of a Multidimensional Suicide Prevention Program for Korean Elders by utilizing a Community Network
Kae-Hwa Jo, Yeong-Kyeong Kim
Journal of Korean Academy of Nursing.2008; 38(3): 372. CrossRef
- The effect of different types of exercise on blood lipid profiles: A meta-analysis of randomized controlled studies
- 106 View
- 2 Download
- 4 Crossref
- Self Care Activity, Metabolic Control, and Cardiovascular Risk Factors in accordance with the Levels of Depression of Clients with Type 2 Diabetes Mellitus
- Hae Jung Lee, Kyung Yeon Park, Hyeong Sook Park
- Journal of Korean Academy of Nursing 2005;35(2):283-291. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2005.35.2.283
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Abstract
Purpose The purpose of this study was to explore the levels of depression experienced by clients (N=152) with Type 2 Diabetes Mellitus(DM), and to compare the levels of self care activity, metabolic control and cardiovascular risk factors between depressed and non-depressed clients.
Method Participants aged 50 and above were conveniently recruited in B city. The levels of depression, self-care activity, metabolic control of glucose and lipids, and cardiovascular risk factors of the participants were measured by using questionnaires and blood tests from November, 2003 to June, 2004. Data was analyzed with descriptive statistics, Pearson correlation, Spearman rho and t-test using the SPSS WIN 10.0 program.
Result The prevalence of depression(CES-D=16) among the participants was 44.1%. The levels of self-care activities(p=.012), glucose(p=.019), total cholesterol(p=.022), LDL(.007) and cardiovascular risk factors(p=.012) were significantly higher in the depressed group than those in the non-depressed group.
Conclusion Based on the findings, we concluded that many DM patients experience depression and the depression of type 2 DM clients is significantly related with self care activities, diabetic control, and cardiovascular complications. However, this study did not address causality among these variables. Therefore, further research, such as a longitudinal cohort study, is needed to identify causality among these variables.
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Citations
Citations to this article as recorded by- The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus
Gaeun Park, Haejung Lee, Ah Reum Khang
Journal of Korean Academy of Nursing.2022; 52(5): 535. CrossRef - Self-care and related factors in patients with type II diabetes in Iran
Nazi Nejat, Ali Khan Mohamadi Hezave, Seyed Mohammad Aghae Pour, Korosh Rezaei, Azam Moslemi, Fatemeh Mehrabi
Journal of Diabetes & Metabolic Disorders.2021; 20(1): 635. CrossRef - The role of psychological insulin resistance in diabetes self‐care management
Ancho Lim, Youngshin Song
Nursing Open.2020; 7(3): 887. CrossRef - The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses
Hee Kyoung Hyoung, Hyo-Soon Jang
Journal of Korean Academy of Community Health Nursing.2011; 22(1): 11. CrossRef - Effects of a Cardiovascular Risk Reduction Intervention With Psychobehavioral Strategies for Korean Adults With Type 2 Diabetes and Metabolic Syndrome
Chun-Ja Kim, Dae-Jung Kim, Hyung-Ran Park
Journal of Cardiovascular Nursing.2011; 26(2): 117. CrossRef - The Effects of Regular Walking Exercise on Metabolic Syndrome, Cardiovascular Risk Factors, and Depressive Symptoms in the Elderly with Diabetic Mellitus
Ki-Wol Sung, Ji-Hyun Lee
Journal of Korean Academy of Community Health Nursing.2010; 21(4): 409. CrossRef - The Mediating Effect of Depression in the Relationship between Muscle Strength of Extremities and Falls among Community-Dwelling Elderly
Hyoung-Sook Park, Kyung-Yeon Park
Journal of Korean Academy of Nursing.2008; 38(5): 730. CrossRef
- The Development of Automated Personalized Self-Care (APSC) Program for Patients with Type 2 Diabetes Mellitus
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- 7 Crossref
- The Effects of Short Term Comprehensive Life Style Modification Program on Glycemic Metabolism, Lipid Metabolism and Body Composition in Type 2 Diabetes Mellitus
- Ji Soo Yoo, Suk Jeong Lee, Hyun Chul Lee, So Hun Kim, Eun Seok Kang, Eun Jeong Park
- Journal of Korean Academy of Nursing 2004;34(7):1277-1287. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2004.34.7.1277
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Abstract
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Purpose This study was to evaluate the effects of a short term comprehensive life style modification program on glycemic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus patients.
Method A nonequivalent control group with a pre post test was designed. Data collection was done from October 2003 to June, 2004 at a hospital. Glycemic metabolism was measured by a.c., p.c. and HbA1c, and lipid metabolism was measured by cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. Body Composition was measured by body weight, body mass index, waist, measurement waist per hip ratio, body fat, muscle weight and abdominal fat tissue(intra abdominal distance). The Experimental group, which was composed of 29 participants, was educated based on a life style modification protocol at a weekly meeting for 12 weeks and carried out exercise, diet along individual parameters and self monitoring, while 24 participants in the control group received only diet education.
Result 1.The experimental group showed a significant lower a.c.(t=2.11, p=.04) and HbA1c(t=2.65, p=.01) compared to those of the control group. 2. The experimental group showed a significant lower LDL than the results of the control group(t=2.42, p=.02). 3. The experimental group showed a significant lower weight(t=3.09, p=.00), BMI(t=3.01, p=.00), body fat(t=2.94, p=.01) and abdominal fat tissue(t=3.05, p=.01) than those of the control group.
Conclusion The results provided evidence for the effectiveness of a short term comprehensive life style modification program composed of exercise, diet, support, self efficacy elevation and self monitoring in type 2 diabetes mellitus.
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Citations
Citations to this article as recorded by- Literature Review on Lifestyle Intervention Program for Adults in Korea
Keun-Young Yang
Journal of Digital Contents Society.2023; 24(8): 1815. CrossRef - Blood Biochemical Characteristics, Dietary Intake, and Risk Factors Related to Poor HbA1c Control in Elderly Korean Diabetes Patients: Comparison between the 4th(2007-2009) and the 7th(2016-2018) Korea National Health and Nutrition Examination Surveys
Sung-Won Oh, Sook-Bae Kim
Korean Journal of Community Nutrition.2022; 27(5): 406. CrossRef - Effect of Nutrition Counseling by Nutrition Care Process on Diet Therapy Practice and Glycemic Control in Type 2 Diabetic Patients
Tae-Jeong Bae, Na-Eun Jeon, Soo-Kyong Choi, Jung-Sook Seo
Korean Journal of Community Nutrition.2020; 25(3): 214. CrossRef - Current Status and Effects of Nutrition Education Programs for Diabetic Patients in Korea
Hae Jin Kang
The Journal of Korean Diabetes.2018; 19(2): 106. CrossRef - Analysis of Reported Study on Intervention Programs for Patients with Diabetes Mellitus
Gab-Sun Song, Ho-Jin Kim, Jum-Yi Jun
Journal of Digital Convergence.2015; 13(9): 541. CrossRef - Effects of 12 Weeks Tai Chi Exercise and Education Intervention Program on Glucose Control, Sexual Function and Immune Function for Women with Type 2 Diabetes
Hyoung Sook Park, Kyoungnam Kim
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(4): 389. CrossRef - Effects of Visiting Nurses' Individually Tailored Education for Low‐Income Adult Diabetic Patients in Korea
Il Sun Ko, Tae Hwa Lee, Gwang Suk Kim, Se Won Kang, Mi Ja Kim
Public Health Nursing.2011; 28(5): 429. CrossRef - The Effect of Metabolic Syndrome Management Program in a Public Health Center
Jae-Ryoung Seo, Sang-Soo Bae
Journal of agricultural medicine and community health.2011; 36(4): 264. CrossRef - Effects of 6 Weeks of Lifestyle Modification Including Combined Exercise Program on the Risk of Metabolic Parameters and Macrovascular Complications in Type 2 Diabetic Patients
Dong Hoon Lee, Seung Hwan Lee, Kiyong An, Jin Young Moon, So Hun Kim, Yoon Jin Choi, Moonsuk Nam, Justin Y. Jeon
The Korean Journal of Obesity.2011; 20(3): 147. CrossRef - The Effect of a Comprehensive Lifestyle Modification Program on Glycemic Control and Body Composition in Patients with Type 2 Diabetes
Ji-Soo Yoo, Suk-Jeong Lee, Hyun-Chul Lee, Mi-Ja Kim
Asian Nursing Research.2007; 1(2): 106. CrossRef
- Literature Review on Lifestyle Intervention Program for Adults in Korea
- 164 View
- 0 Download
- 10 Crossref
- The Effects of a Diabetic Educational Program for Coping with Problem Situation on Self-efficacy, Self care behaviors, Coping and Glycemic Control in Type 2 Diabetic Patients
- Choun Hee Ko, Mee Ock Gu
- Journal of Korean Academy of Nursing 2004;34(7):1205-1214. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2004.34.7.1205
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Abstract
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Purpose This study was conducted to develop and to test the effects of an educational program for coping with problem situations as a nursing intervention in the diabetic patient.
Method A non-equivalent control group pretest-posttest design was used in this study. Data were collected from January to March, 2002. The subjects of the study consisted of 31 diabetic patients(experimental group : 17 patients, control group : 14 patients). The intervention of an educational program for coping with problem situations was applied to the experimental group for 4weeks(total 8 hours). Data were collected before the educational program, immediately after and 1 months later and were analyzed with repeated measures ANOVA, t-test, and paired t-test.
Result 1. There was a significant difference in self efficacy between the experimental and control groups (F=13.793, p=0.001). 2. There was a significant difference in self care behavior between the experimental and control groups (F=4.583, p=0.041). 3. There was a significant difference in coping behavior of the problem situation between the experimental and control groups (F=62.018, p=0.000). There was a significant difference according to experimental stages(F=4.546, p=0.015) and interaction between education and experimental stages(F=12.039, p=0.000). 4. There was a significant difference in glycemic control between the experimental and control groups (t=-3.112, p=0.004).
Conclusion These results support that a diabetic educational program for coping with problem situations is effective in promoting and maintaining self efficacy, self care behavior, problem coping behaviors and in improving glycemic control. Thus this program can be recommended as an effective nursing intervention of in-depth education for diabetic patient.
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Citations
Citations to this article as recorded by- Expanding the purview of wellness indicators: validating a new measure that includes attitudes, behaviors, and perspectives
Carolyn E. Schwartz, Brian D. Stucky, Roland B. Stark
Health Psychology and Behavioral Medicine.2021; 9(1): 1031. CrossRef - Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus
Hye-Yeon Kang, Mee Ock Gu
Journal of Korean Academy of Nursing.2015; 45(4): 533. CrossRef - Analysis of Reported Study on Intervention Programs for Patients with Diabetes Mellitus
Gab-Sun Song, Ho-Jin Kim, Jum-Yi Jun
Journal of Digital Convergence.2015; 13(9): 541. CrossRef - Development of a Comprehensive Self-Management Program Promoting Self Efficacy for Type 2 Diabetic Patients
Ju-Young Park, Il-Sun Ko
Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 74. CrossRef - A Predictive Model on Self Care Behavior for Patients with Type 2 Diabetes: Based on Self-Determination Theory
Yeong Mi Seo, Won Hee Choi
Journal of Korean Academy of Nursing.2011; 41(4): 491. CrossRef - The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care
Kyung Sun Hyun, Kwang Mi Kim, Sook Hee Jang
Journal of Korean Academy of Nursing.2009; 39(5): 720. CrossRef
- Expanding the purview of wellness indicators: validating a new measure that includes attitudes, behaviors, and perspectives
- 141 View
- 4 Download
- 6 Crossref
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