J Korean Acad Community Health Nurs JKACHN Journal of Korean Academy of Community Health Nursing 1225-9594 2288-4203 Korean Academy of Community Health Nursing 10.12799/jkachn.2010.21.4.409 Original Article The Effects of Regular Walking Exercise on Metabolic Syndrome, Cardiovascular Risk Factors, and Depressive Symptoms in the Elderly with Diabetic Mellitus Sung Ki-Wol 1 Lee Ji-Hyun 2 Associate Professor, Department of Nursing, Catholic University of Daegu, Korea. Associate Professor, Department of Endocrine Medicine, Catholic University of Daegu, Korea. Address reprint requests to: Sung, Ki-Wol, College of Nursing, Catholic University of Daegu, 3056-6 Daemyeong 4-dong, Nam-gu, Daegu, 705-718, Korea. Tel: 82-53-650-4826, Fax: 82-53-650-4392, kwseng@cu.ac.kr 12 2010 04 04 2014 21 4 409 418 04 09 2010 27 11 2010 29 11 2010 © 2010 Korean Academy of Community Health Nursing 2010 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose

This study aimed to estimate the effects of a regular walking exercise program on metabolic syndrome, cardiovascular risk factors, and depressive symptoms among the elderly with diabetic mellitus (DM) based on the Theory of Reasoned Action (TRA).

 Methods

This study has randomized and stratified experimental design with experimental and control groups. We developed a regular walking exercise program suitable for the elderly with DM based on the guidance of AAHPERD. The experimental group participated in the regular walking exercise program, which contains walking exercise 3 times a week and 50 minutes each time for 3 months and education on controlling diet and preventing complications once a week and 20 minutes each time for 4 weeks. Post-test was conducted after 3 months to estimate metabolic syndrome, cardiovascular risk factors, and depressive symptoms.

 Results

The regular walking exercise program was effective for decreasing the waist size, the level of fasting blood glucose (FBG) and triglyceride (TG), cardiovascular risk factors and the severity of depressive symptoms among the elderly with DM.

 Conclusion

The incidence of complications would be decreased by applying a regular walking exercise program.

 Walking Metabolic syndrome X Cardiovascular deconditioning Depressive symptom Diabetes mellitus Korea Research Foundation Grant funded by the Korean Government NRF-2009-0075470

This study was a part of the work which supported by the Korea Research Foundation Grant funded by the Korean Government (NRF-2009-0075470).

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12-week Walking Program

General Characteristics & Health Condition of the Experimental and Control Group

†Fisher's exact test.

Homogeneity Tests for Dependent Variables between the Experimental and Control Group

FBG=fasting blood glucose; TG=triglycerides; HDL-C=high density lipoprotein cholesterol.

Changes of Research Variables before and after Experiment

Exp.=experiment group; Cont.=control group; FBG=fasting blood glucose; TG=triglycerides; HDL-C=high density lipoprotein cholesterol.