Department of Nursing, Catholic University of Daegu, Daegu, Korea.
Nurs Health Sci. 2012 Dec;14(4):438-45. doi: 10.1111/j.1442-2018.2012.00690.x. Epub 2012 Jun 8.
The present study examined the effects of a regular walking exercise program on behavioral (daily physical activity, physical strength, energy consumption) and biochemical (fasting blood glucose [FBG], glycated hemoglobin [HbA1c], total cholesterol, triglycerides [TG], low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol) aspects of elderly people with type II diabetes. A randomized and stratified experimental design was used with experimental and control groups. The experimental group was subjected to a 6 month walking exercise program, involving walking exercise three times per week for 50 min, and a 4 week education program on diet control and the prevention of complications, once per week for 20 min. Post-test was conducted after 3 and 6 months to examine short- and long-term behavioral and biochemical effects. The regular walking exercise program effectively increased daily physical activity, physical strength, and energy consumption (behavioral aspects), and decreased FBG, HbA1c, and TG levels (biochemical aspects) in elderly people with type II diabetes. The incidence of type II diabetes complications might be reduced by implementing a regular walking exercise program.
本研究旨在探讨规律步行运动方案对老年 2 型糖尿病患者行为（日常体力活动、体力、能量消耗）和生化（空腹血糖[FBG]、糖化血红蛋白[HbA1c]、总胆固醇、甘油三酯[TG]、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇）方面的影响。采用随机分层实验设计，设立实验组和对照组。实验组进行 6 个月的步行运动方案，每周 3 次，每次 50 分钟，每周 1 次，每次 20 分钟，进行 4 周的饮食控制和并发症预防教育。在 3 个月和 6 个月后进行后测，以检验短期和长期的行为和生化效果。规律步行运动方案可有效增加老年 2 型糖尿病患者的日常体力活动、体力和能量消耗（行为方面），降低 FBG、HbA1c 和 TG 水平（生化方面）。实施规律步行运动方案可能会降低 2 型糖尿病并发症的发生率。
