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Effects of an Intensive Management Program for Diabetic Patients on a Blood Biochemical Profile and Diabetes Knowledge


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Effects of an Intensive Management Program for Diabetic Patients on a Blood Biochemical Profile and Diabetes Knowledge

Article information

Korean J Community Nutr. 2018;23(2):148-161
Publication date (electronic) : 2018 April 30
doi : https://doi.org/10.5720/kjcn.2018.23.2.148
Su-Jeong Yeo1, Bok-Hee Kim2orcid_icon
1Department of Nutrition Services, Chosun University Hospital, Gwangju, Korea.
2Department of Food & Nutrition, Chosun University, Gwangju, Korea.
Corresponding author: Bok-Hee Kim. Department of Food and Nutrition, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju 61452, Korea. Tel: (062) 230-7721, Fax: (062) 225-7726, kimbh@chosun.ac.kr
Received 2018 February 13; Revised 2018 March 14; Accepted 2018 March 26.

Abstract

Objectives

This study examined the effects of nutrition education and exercise therapies on the hematological status and diabetes knowledge of diabetic patients. For this purpose, a 12-week intensive management program was provided to diabetic patients participating in an exercise program in S health subcenter in Kwangju city and the effects were analyzed.

Methods

The subjects were 26 diabetic patients, who provided written informed consent. As a preliminary survey, this study examined the general characteristics, physical status, obesity, blood pressure, hematological status, daily activity level, diabetes knowledge, diet performance, and barriers to diet therapy. After the 12-week intensive management program was completed, a post-test was conducted in the same way as the preliminary test. The data were analyzed with using SPSS 18.0. The data from this study are presented as the mean ± standard deviation. A paired t-test was conducted to compare differences in the means before and after the program. Statistical significance was set to p<0.05.

Results

The results of the program are presented as follows. The HDL-cholesterol levels changed from 39.8 ± 10.5 mg/dL to 48.3 ± 13.1 mg/dL, showing a significant increase (p<0.001). The blood sugar 2 hours after a meal changed from 175.2 ± 67.1 mg/dL to 140.5 ± 42.5 mg/dL, showing a significant decrease (p=0.014). The glycosylated hemoglobin levels decreased significantly from 6.7 ± 1.1% to 6.3 ± 1.0% (p=0.010). The total scores of the daily activity levels increased significantly from 3.8 ± 2.4 to 4.8 ± 2.5 (p=0.040). The scores of knowledge on diabetes increased from 11.5 ± 3.6 to 14.0 ± 3.8 (p=0.001). The scores of knowledge on diet therapy changed from 6.7 ± 2.2 to 7.9 ± 1.7, showing a significant increase (p=0.027).

Conclusions

The 12-week intensive management program intervened by nutrition education and exercise therapies induced positive changes to the HDL-cholesterol, blood sugar 2 hours after a meal, glycosylated hemoglobin, daily activity levels, and knowledge on diabetes.

Keywords: nutrition education and exercise therapy; diabetic patients; blood biochemical profile; diabetes knowledge

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Copyright © 2018 The Korean Society of Community Nutrition
The Korean Society of Community Nutrition

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Table 1

Contents of intensive management program

Table 1

Table 2

General characteristics of subjects

Table 2

1) N (%)

Table 3

Changes in anthropometric characteristics by intensive management program

Table 3

†: Tested by paired t-test

1) Mean ± SD

Table 4

Changes in blood pressure and biochemical characteristics by intensive management program

Table 4

†: Tested by paired t-test

1) Mean ± SD

2) Sample size: 18

Table 5

Effect of intensive management program on daily activity

Table 5

†: Tested by paired t-test

1) Mean ± SD

2) Total(Maximum) score was 8 score

Table 6

Effect of intensive management program on knowledge of diabetes and diet therapy

Table 6

†: Tested by paired t-test

1) Mean ± SD

Table 7

Effect of intensive management program on meal behavior

Table 7

†: Tested by paired t-test

1) Mean ± SD

Table 8

Effect of intensive management program on barriers of meals

Table 8

†: Tested by paired t-test

1) Mean ± SD