Journal of Education and Health Promotion

Physical activity stage-matched intervention: Promoting metabolic control in type 2 diabetes

Document Type : Original Article

Authors

. Mohsen Jalilian
. Babak Moeini 1
. Seyed Mohammad Mehdi. Hazavehei 1
. Abbas M. Beigi 1
. Gholamreza Sharifirad 2
. Farhad Habibi Nodeh 3

1 Research Center for Health Sciences and Department of Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan

2 Department of Health Education and Promotion, Faculty of Health, Isfahan University of Medical Science

3 Department of Health Services, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran

Abstract
Background: Regular physical activity has an important role in reducing cardiovascular risk factors
and improving metabolic control in patients with type 2 diabetes. This study aims to investigate the
effect of physical activity stage-matched intervention on metabolic control in type 2 diabetes patients.
Materials and Methods: An 8-week physical activity program conducted with 50 type 2 diabetes
females who were physically inactive and in precontemplation, contemplation, and preparation
stages of change. Participants were divided into intervention and control groups (each group, n =
25). Data were collected by physical activity stage of change questionnaire and metabolic factors
were measured by laboratory tests before initiation program. Subsequently, stage-matched physical
activity program was conducted for the interventional group. Control group received routine education
from the diabetes center. After 8 weeks, physical activity questionnaire filled out by participants and
metabolic factors were evaluated by a laboratory test. Results: Findings showed patients in the
intervention group and compared with control group significantly moved through stages of change
after physical activity program (P-value < 0.05). Evaluation of physical activity after educational
program demonstrated that the intervention group adopted regular physical activity more than
the control group and also the difference between groups was significant (P-value < 0.05). Our
findings indicate a significant relationship between physical activity level and moving in stages of
change in the intervention group (P-value < 0.05). Comparison of metabolism factors after physical
activity program showed significant decrease in glycosilated hemoglobin in the intervention group
than the control group (P-value < 0.05). However, significant differences between groups were not
observed in other metabolism factors. Conclusion: Designing and implementing physical activity
stage-matched intervention can improve metabolic control and management of type 2 diabetes.

Keywords

Metabolic control
physical activity
stage of change
type 2 diabetes
1. Kirk AF, Mutrie N, Macintyre PD, Fisher MB. Promoting and
maintaining physical activity in people with type 2 diabetes. Am J
Prev Med 2004;27:289-96.
2. Kim Y, Cardinal BJ, Lee J. Undrestanding exercise behavior among
Korean adults: A test of transtheoretical model. Int J Behav Med
2006;13:295-303.
3. Maiorana A, O’Driscoll G, Goodman C, Taylor R, Green D. Combined
aerobic and resistance exercise improves glycemic control and
fitness in type 2 diabetes. Diabetes Res Clin Pract 2002;56:115-23.
4. Jeon CY, Lokken RP, Hu FB, van Dam RM. Physical activity of
moderate intensity and risk of type 2 diabetes. Diabetes Care
2007;30:744-52.
5. Zanuso S, Jimenez A, Pugliese G, Corigliano G, Balducci S. Exercise
for the management of type 2 diabetes: A review of the evidence.
Acta Diabetol 2010;47:15-22.
6. Kirk A, MacMillan F, Webster N. Application of the Transtheoretical
model to physical activity in older adults with type 2 diabetes and/
or cardiovascular disease. Psychol Sport Exerc 2010;11:320-4.
7. Prochaska JO, Redding CA, Evers KE. The trans theoretical model
and stages of change. Health behavior and health education: Theory,
research, and practice. San Francisco: Jossey–Bass; 2002. p. 99-120.
8. US National Cancer Institute (2005). Theory at a Glance: A Guide
for Health Promotion Practice (second edition). U.S. Department
of Health and Human Services, National Institutes of Health. www.
cancer.gov/theory/pdf 9. Pekmezi D, Barbera B, Marcus BH. Using
the transtheoretical model to promote physical activity. ACSM
Health Fit J 2010;14.
10. Shirazi KK, Wallace LM, Niknami S, Hidarnia A, Torkaman G,
Gilchrist M, et al. A home-based, transtheoretical change model
designed strength training intervention to increaseexercise to
prevent osteoporosis in Iranian women aged 40-65 years: A
randomized controlled trial. Health Educ Res 2007;22:305-17.
11. Sigal RJ, Kenny GP, Boulé NG, Wells GA, Prud’homme D, Fortier M,
et al. Effects of aerobic training, resistance training, or both on
glycemic control in type 2 diabetes. Ann Intern Med 2007;147:357-69.
12. Kevin A, Hughes M. Readiness to change and clinical success in a
diabetes educational program. J Am Board Fam Pract 2002;15:266-71.
13. Allen NA, Fain JA, Braun B, Chipkin SR. Continuous glucose
monitoring counseling improves physical activity behaviors of
individuals with type 2 diabetes: A randomized clinical trial. Diabetes
Res Clin Pract 2008;80:371-9.
14. Kim YH. Application of the transtheoretical model to identify
psychological constructs influencing exercise behavior:
A questionnaire survey. Int J Nurs Stud 2007;44:936-44.
15. Findorff MJ, Stock HH, Gross CR, Wyman JF. Does the
Transtheoretical Model (TTM) explain exercise behavior in a
community-based sample of older women? J Aging Health
2007;19:985-1003.
16. Molison EF, Yadric MK. Stages of change and fluid intake in dialysis
patients. Patient Edu Couns 2003;49:5-12.
Journal of Education and Health Promotion
Volume 3, Issue 4
April 2013
Pages 1-4

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us