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

doi:10.12799/jkachn.2010.21.4.409

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Sung and Lee: The Effects of Regular Walking Exercise on Metabolic Syndrome, Cardiovascular Risk Factors, and Depressive Symptoms in the Elderly with Diabetic Mellitus

Original Article

Journal of Korean Academy of Community Health Nursing 2010; 21(4): 409-418.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2010.21.4.409

The Effects of Regular Walking Exercise on Metabolic Syndrome, Cardiovascular Risk Factors, and Depressive Symptoms in the Elderly with Diabetic Mellitus

Ki-Wol Sung¹, Ji-Hyun Lee²

¹Associate Professor, Department of Nursing, Catholic University of Daegu, Korea.

²Associate 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

Received 4 September 2010 Revised 27 November 2010 Accepted 29 November 2010

(open-access):

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.

Abstract

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.

Keywords: Walking, Metabolic syndrome X, Cardiovascular deconditioning, Depressive symptom, Diabetes mellitus

Figures and Tables

Table 1

12-week Walking Program

Table 2

General Characteristics & Health Condition of the Experimental and Control Group

^†Fisher's exact test.

Table 3

Homogeneity Tests for Dependent Variables between the Experimental and Control Group

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

Table 4

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.

Notes

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

References

1. American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 7th ed. Philadelphia: Lippincott Williams & Wilkins;2006.

2. American Diabetes Association. Check up America. 2002. 01. 19. Retrieved January 20, 2009. from http://www.diabetes.org/diabetes-basics/prevention/checkup-america/.htm#National.

3. Ajzen I. The theory of learned behavior. Organ Behav Hum Decis Process. 1991; 50:179–211.

4. Arcury TA, Snively BM, Bell RA, Smith SL, Stafford JM, Wetmore-Arkader LK, et al. Physical activity among rural older adults with diabetes. J Rural Health. 2006; 22(2):164–168.

5. Aronson RE, Oman RF. Views on exercise and physical activity among rural-dwelling senior citizens. J Rural Health. 2004; 20:76–79.

6. Chang KS, Lee K, Lim HS. Glycemic control and health behaviors through Diabetes Mellitus education in a clinic. J Korean Diabetes Assoc. 2006; 30(1):73–81.

7. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbaum Associates;1988.

8. Han DW, Cho MS, Kim YG. The effects of self-phased walking exercises on elderly women with hypertension, hyperglycemia, and hypercholesterolemia. J Korean Acad Univ Trained Phys Ther. 2008; 15(1):54–60.

9. Han IS, Son WI. Effects of aerobic walking training on serum lipids and lipoprotein in older females. J Korea Sport Res. 2004; 15(3):1683–1696.

10. Hong MH, Yoo HW, Gu MO, Kim SA, Lee JR, Gu MJ, et al. A study on effects and their continuity of the self regulation education program in patients with type 2 diabetes. Korean Clin Diabetes. 2009; 10(3):187–195.

11. Hooker SP, Seavey W, Weidmer CE, Harvey DJ, Stewart AL, Gillis DE, et al. The California active aging community grant program: Translating science into practice to promote physical activity in older adults. Ann Behav Med. 2005; 29(3):155–165.

12. Isomaa B, Almgren P, Tuomi T, Forsen B, Lahti K, Nissen M, et al. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care. 2001; 24(4):683–689.

13. Jang JS, Hong CB, Lee JE, Kim HS, Park JS, Kim KJ. Effects of 12 weeks combined exercise program on body composition and atherosclerosis indices in middle-aged diabetic and obese women. Exerc Sci. 2006; 15(1):105–116.

14. Jang SY, Oh JE, Hong SH, Jo JY. Cardiovascular risk factor and cognitive function in older patients. J Soonchunhyang Med Coll. 2007; 13(2):529–538.

15. Jung HS. Effect of 24 weeks waking exercise on obesity indices and cardiovascular risk factors in middleaged women. Seoul: Sungkyunkwan University;2008. Unpublished master's thesis.

16. Jee YS, Lee JH, Lee JC, Kim JH, Lee HH, Kim SS. The effects of regular exercise on glucose, lipid profiles level & body composition of elderly women patients with type-II diabetes mellitus. Korean J Phys Educ. 2001; 40(2):433–747.

17. Jeon JY, Kim TU. The effect of 12 week combined exercise on cardiovascular risk factors and inflammation markers in obese middle school girls. Exerc Sci. 2008; 17(2):173–179.

18. Kee BS, Lee CW. A preliminary study for the standardization of geriatric depression scale in Korea. J Korean Neuropsychiatr Assoc. 1995; 34(6):1875–1885.

19. Kim YT, Oh KW, Lee JM, Jo CS, Shin BM, Jang MJ, et al. 4th Korean national health and nutrition examination survey (No. 11702). Seoul: Ministry for Health, Welfare and Family Affairs;2008.

20. Krus DJ, Diethrich EB. Validity of the Arizona heart institute cardiovascular risk factor questionnaire. Educ Psychol Meas. 1982; 42(4):1189–1196.

21. Lee HJ, Park KY, Park HS. Self care activity, metabolic control, and cardiovascular risk factors in accordance with the levels of depression of clients with type 2 diabetes mellitus. J Korean Acad Nurs. 2005; 35(2):283–291.

22. Lee S, Park HS, Kim SM, Kwon HS, Kim DY, Kim DJ, et al. Cut-off points of waist circumference for defining abdominal obesity in the Korean population. Korean J Obes. 2006; 15(1):1–9.

23. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA. 2001; 285(19):2486–2497.

24. Park JM, Han SH. The effect of exercise program on health and depression in the elderly. J Korean Acad Nurs. 2003; 33(2):220–227.

25. Park M, Kim BR, Kang SJ, Lee DK. Effects of regular exercise on health-related fitness, cardiovascular disease risk factor and vascular inflammation factors in the male. Korean Assoc Certif Exerc Prof. 2007; 9(1):69–75.

26. Park TG. Effects of 12 week walking exercise on metabolic syndrome makers in obese middle school girls. Korean J Phys Educ. 2005; 44(6):507–518.

27. Ramsbottom R, Ambler A, Potter J, Jordan B, Nevill A, Williams C. The effect of 6 months training on leg power, balance, and functional mobility of independently living adults over 70 years old. J Aging Phys Act. 2004; 12(4):497–510.

28. Son JU. The effect of the walking exercise on physiological index, physical fitness, self esteem, depression and life satisfaction in the institutionalized elderly women. Busan: Kosin University;2006. Unpublished master's thesis.

29. Yesavage JA, Brink TL, Rose TL. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1982; 17(1):37–49.

30. Youn HK. The impact of a working exercise program on perceived health condition and emotional state in elderly. Suwon: Ajou University;2005. Unpublished master's thesis.

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