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단기간의 포괄적인 생활습관개선 프로그램이 제2형 당뇨병환자의 당대사 및 지질대사와 체구성에 미치는 효과The Effects of Short Term Comprehensive Life Style Modification Program on Glycemic Metabolism, Lipid Metabolismand Body Composition in Type 2 Diabetes Mellitus

Authors
유지수이숙정이현철강은석김소헌박은정
Issue Date
Nov-2004
Publisher
한국간호과학회
Keywords
Life style modification; Type 2 diabetes mellitus; Glycemic metabolism; Lipid metabolism; Body composition; 생활습관개선; 제2형 당뇨병; 당대사; 지질대사; 체구성
Citation
Journal of Korean Academy of Nursing, v.34, no.7, pp 1277 - 1287
Pages
11
Journal Title
Journal of Korean Academy of Nursing
Volume
34
Number
7
Start Page
1277
End Page
1287
URI
https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/56760
ISSN
2005-3673
2093-758X
Abstract
Purpose: This study was to evaluate the effects of a short term comprehensive life style modification program on glycemic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus patients. Method: A nonequivalent control group with a pre‐post test was designed. Data collection was done from October 2003 to June, 2004 at a hospital. Glycemic metabolism was measured by a.c., p.c. and HbA₁c, and lipid metabolism was measured by cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. Body Composition was measured by body weight, body mass index, waist, measurement waist per hip ratio, body fat, muscle weight and abdominal fat tissue(intra abdominal distance). The Experimental group, which was composed of 29 participants, was educated based on a life style modification protocol at a weekly meeting for 12 weeks and carried out exercise, diet along individual parameters and self monitoring, while 24 participants in the control group received only diet education. Result: 1.The experimental group showed a significant lower a.c.(t=2.11, p=.04) and HbA₁c(t=2.65, p=.01) compared to those of the control group. 2. The experimental group showed a significant lower LDL than the results of the control group(t=2.42, p=.02). 3. The experimental group showed a significant lower weight(t=3.09, p=.00), BMI(t=3.01, p=.00), body fat(t=2.94, p=.01) and abdominal fat tissue(t=3.05, p=.01) than those of the control group. Conclusion: The results provided evidence for the effectiveness of a short term comprehensive life style modification program composed of exercise, diet, support, self efficacy elevation and self monitoring in type 2 diabetes mellitus.
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