Volume 10, Issue 3 (2022)                   Health Educ Health Promot 2022, 10(3): 509-515 | Back to browse issues page

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Mawarti S, Rohmansyah N, Hiruntrakul A. Continuous Moderate-Intensity Exercise: Effects on Diabetic Ulcers in Type 2 Diabetes Mellitus. Health Educ Health Promot 2022; 10 (3) :509-515
URL: http://hehp.modares.ac.ir/article-5-61740-en.html
1- Department of Physical Education, Universitas Negeri Yogyakarta, Yogyakarta, Indonesia
2- Department of Physical Education, Universitas PGRI Semarang, Semarang, Indonesia
3- Branch of Sport and Exercise Science, Faculty of Interdisciplinary Studies, Nong Khai Campus, Khon Kaen University, Thailand
Abstract:   (947 Views)
Aims: The purpose of this study is to look at the influence of continuous moderate-intensity exercise on the risk of diabetic ulcers in people with type 2 diabetes.
Material & Methods: This study employed a randomized control trial design, with 30 participants divided into 15 in the intervention group and 15 in the control group. Continuous moderate-intensity exercise was done three times per week for a total of twelve sessions each month. The covariance was performed to analyse the data using SPSS 22.
Findings: The intervention group had a much lower risk of diabetic ulcers than the control group, according to the findings. Furthermore, covariance revealed that Continuous Moderate-Intensity Exercise had a significant influence on the risk level of diabetic ulcers in individuals with type 2 diabetes mellitus.
Conclusion: Continuous Moderate-Intensity Exercise is predicted to be used as an intervention to reduce diabetic ulcer complications in people with diabetes mellitus.
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Article Type: Original Research | Subject: Health Care
Received: 2022/04/23 | Accepted: 2022/06/26 | Published: 2022/07/10
* Corresponding Author Address: Department of Physical Education, Universitas PGRI Semarang, Semarang, Indonesia (nurazisrohmansyah@kkumail.com)

References
1. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019;157:107843. [Link] [DOI:10.1016/j.diabres.2019.107843]
2. Sehat Negeriku. Potret sehat indonesia dari riskesdas 2018 [Internet]. Sehat Negeriku; 2019 [Cited 2021 Jun 1]. Available from: https://sehatnegeriku.kemkes.go.id/baca/umum/20181102/0328464/potret-sehat-indonesia-riskesdas-2018/ [Indonesia] [Link]
3. Alavi A, Sibbald RG, Mayer D, Goodman L, Botros M, Armstrong DG, et al. Diabetic foot ulcers: part I. pathophysiology and prevention. J Am Acad Dermatol. 2014;70(1):1-e1-8. [Link] [DOI:10.1016/j.jaad.2013.06.055]
4. Novice T, Vemuri C, Gilbert C, Fici A, VanWieren E, Schmidt BM. Do patients with diabetes mellitus want wearable technology to prevent diabetic foot ulcers?. J Diabetes Sci Technol. 2019;13(4):799-800. [Link] [DOI:10.1177/1932296819851776]
5. Miranda C, da Ros R, Marfella R. Update on prevention of diabetic foot ulcer. Arch Med Sci Atheroscler Dis. 2021;6(1):123-31. [Link] [DOI:10.5114/amsad.2021.107817]
6. Jeong EG, Cho SS, Lee SH, Lee KM, Woo SK, Kang Y, et al. Depth and combined infection is important predictor of lower extremity amputations in hospitalized diabetic foot ulcer patients. Korean J Intern Med. 2018;33(5):952. [Link] [DOI:10.3904/kjim.2016.165]
7. Refiani E, Maliza R, Fitri H, Lestari P. Therapeutic effects of medicinal plants on diabetic foot ulcers: a systematic review. J Agromedicine and Medical Sciences. 2021;7:3. [Link] [DOI:10.19184/ams.v7i3.24244]
8. Ren M, Yang C, Lin DZ, Xiao HS, Mai LF, Guo YC, Yan L. Effect of intensive nursing education on the prevention of diabetic foot ulceration among patients with high-risk diabetic foot: a follow-up analysis. Diabetes Technol Ther. 2014;16(9):576-81. [Link] [DOI:10.1089/dia.2014.0004]
9. Schmidt BM. Emerging diabetic foot ulcer microbiome analysis using cutting edge technologies. J Diabetes Sci Technol. 2022;16(2):353-63. [Link] [DOI:10.1177/1932296821990097]
10. Feldkamp J, Jungheim K, Schott M, Jacobs B, Roden M. Severe vitamin D3 deficiency in the majority of patients with diabetic foot ulcers. Horm Metab Res. 2018;50(08):615-9. [Link] [DOI:10.1055/a-0648-8178]
11. Strauss MB, Moon H, La S, Craig A, Ponce J, Miller S. The incidence of confounding factors in patients with diabetes mellitus hospitalized for diabetic foot ulcers. Wounds. 2016;28(8):287-94. [Link]
12. Akkus G, Evran M, Gungor D, Karakas M, Sert M, Tetiker T. Tinea pedis and onychomycosis frequency in diabetes mellitus patients and diabetic foot ulcers. A cross sectional-observational study. Pak J Med Sci. 2016;32(4):891. [Link] [DOI:10.12669/pjms.324.10027]
13. Tresierra-Ayala MÁ, García Rojas A. Association between peripheral arterial disease and diabetic foot ulcers in patients with diabetes mellitus type 2. Medicina Universitaria. 2017;19(76): 123-6. [Link] [DOI:10.1016/j.rmu.2017.07.002]
14. Parasuraman M, Giridharan B, Vijayalakshmi G. Reliability and credibility analysis of Inlow's 60 second diabetic foot screening tool for diabetic foot risk stratification and its feasibility in India: a systematic review. Int Sur J. 2017;4:9. [Link] [DOI:10.18203/2349-2902.isj20173867]
15. Kalyani RR, Corriere M, Ferrucci L. Age-related and disease-related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014;2(10):819-29. [Link] [DOI:10.1016/S2213-8587(14)70034-8]
16. American Diabetes Association. 8. Obesity management for the treatment of type 2 diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S89-97. [Link] [DOI:10.2337/dc20-S008]
17. Tahrani AA, Bailey CJ, Del Prato S, Barnett AH. Management of type 2 diabetes: new and future developments in treatment. Lancet. 2011;378(9786):182-97. [Link] [DOI:10.1016/S0140-6736(11)60207-9]
18. Umpierre D, Ribeiro PA, Kramer CK, LeitŃo CB, Zucatti AT, Azevedo MJ, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790-9. [Link] [DOI:10.1001/jama.2011.576]
19. Al-Mohaithef M, Abdelmohsen SA, Algameel M, Abdelwahed AY. Screening for identification of patients at high risk for diabetes-related foot ulcers: a cross-sectional study. J Int Med Res. 2022;50(3). [Link] [DOI:10.1177/03000605221087815]
20. AlSadrah SA. Impaired quality of life and diabetic foot disease in Saudi patients with type 2 diabetes: A cross-sectional analysis. SAGE Open Med. 2019;7. [Link] [DOI:10.1177/2050312119832092]
21. Church T. Exercise in obesity, metabolic syndrome, and diabetes. Prog Cardiovasc Dis. 2011;53(6):412-8. [Link] [DOI:10.1016/j.pcad.2011.03.013]
22. Manders RJ, Van Dijk JW, Van Loon LJ. Low-intensity exercise reduces the prevalence of hyperglycemia in type 2 diabetes. Med Sci Sports Exerc. 2010;42(2):219-25. [Link] [DOI:10.1249/MSS.0b013e3181b3b16d]
23. Pahor M. Consideration of insurance reimbursement for physical activity and exercise programs for patients with diabetes. JAMA. 2011;305(17):1808-9. [Link] [DOI:10.1001/jama.2011.572]
24. Kirwan JP, Solomon TPJ, Wojta DM, Staten MA, Holloszy JO. Effects of 7 days of exercise training on insulin sensitivity and responsiveness in type 2 diabetes mellitus. Am J Physiol Endocrinol Metab. 2009;297:1. [Link] [DOI:10.1152/ajpendo.00210.2009]
25. Mikus CR, Fairfax ST, Libla JL, Boyle LJ, Vianna LC, Oberlin DJ, et al. Seven days of aerobic exercise training improves conduit artery blood flow following glucose ingestion in patients with type 2 diabetes. J Appl Physiol. 2011;111(3):657-64. [Link] [DOI:10.1152/japplphysiol.00489.2011]
26. Little JP, Gillen JB, Percival ME, Safdar A, Tarnopolsky MA, Punthakee Z, et al. Low-volume high-intensity interval training reduces hyperglycemia and increases muscle mitochondrial capacity in patients with type 2 diabetes. J Appl Physiol. 2011;111(6):1554-60. [Link] [DOI:10.1152/japplphysiol.00921.2011]
27. Hawley JA. Exercise as a therapeutic intervention for the prevention and treatment of insulin resistance. Diabetes Metab Res Rev. 2004;20(5):383-93. [Link] [DOI:10.1002/dmrr.505]
28. Devlin JT, Horton ES. Effects of prior high-intensity exercise on glucose metabolism in normal and insulin-resistant men. Diabetes. 1985;34(10):973-9. [Link] [DOI:10.2337/diab.34.10.973]
29. Malin SK, Gerber R, Chipkin SR, Braun B. Independent and combined effects of exercise training and metformin on insulin sensitivity in individuals with prediabetes. Diabetes Care. 2012;35(1):131-6. [Link] [DOI:10.2337/dc11-0925]
30. Jialal I, Vikram N. Nutrition therapy for diabetes: Implications for decreasing cardiovascular complications. J Diabetes Complications. 2017;31(10):1477-80. [Link] [DOI:10.1016/j.jdiacomp.2017.07.008]
31. Schmidt M, Johannesdottir SA, Lemeshow S, Lash TL, Ulrichsen SP, Botker HE, et al. Obesity in young men, and individual and combined risks of type 2 diabetes, cardiovascular morbidity and death before 55 years of age: A danish 33-year follow-up study. BMJ Open. 2013;3:e002698 [Link] [DOI:10.1136/bmjopen-2013-002698]
32. Titah NA, MNS M, Choiroel SKM AM, Ari S, Irma HY S. Effectiveness combination of foot care with active range of motion (rom) and plantar exercise for reducing diabetic foot ulcer risk in diabetes mellitus type II. J Endocrinol Diabetes. 2019;6(2). [Link] [DOI:10.15226/2374-6890/6/2/001131]

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