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.
Subject(s)
Humans , Blood Glucose , Blood Pressure , Diet , Diet Therapy , Education , Exercise Therapy , Glycated Hemoglobin , Informed Consent , Meals , ObesityABSTRACT
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.
Subject(s)
Humans , Blood Glucose , Blood Pressure , Diet , Diet Therapy , Education , Exercise Therapy , Glycated Hemoglobin , Informed Consent , Meals , ObesityABSTRACT
O objetivo deste trabalho foi avaliar o efeito de duas dietas: baixo e alto nível de suplementação, fornecidas a vacas em estádio avançado de lactação sobre os aspectos produtivos, as características físico-químicas do leite e o perfil bioquímico sanguíneo. Foram utilizadas 12 vacas da raça Holandês, com média de 514kg de peso corporal, escore de condição corporal 3,5, produção de leite de 13 litros vaca-1 dia-1, com média de 349 dias de lactação. Os tratamentos foram: baixo e alto nível de suplementação para vacas mantidas em campo natural. Foram avaliados o peso vivo, o escore de condição corporal, a produção leiteira individual, as características físico-químicas e a contagem de células somáticas do leite (CCS), além do perfil bioquímico do sangue. As vacas, mesmo em estádio lactacional avançado, responderam ao aumento do aporte nutricional, com incrementos de ganho de peso, ganho de condição corporal e de produção de leite e produção leiteira corrigida para gordura, além de maiores teores de gordura e de sólidos totais. As demais características do leite e do sangue não foram alteradas. O aumento do aporte nutricional de vacas lactantes com estádio de lactação avançado pode ser uma opção viável para alcançar maior nível de produção leiteira e melhores condições físicas das vacas em sistemas de produção baseadas na utilização de pastagem, sem afetar adversamente a concentração dos componentes lácteos.
The trial aimed to verify the effects of two feeding supplements: low and high level supplementation given to cows at an extended lactation stage upon productive aspects, physical-chemical composition of milk and blood biochemical profile. Twelve lactating Holstein cows, with 514kg of body weight, body condition score of 3.5, yielding 13L milk cow-1 day-1 and approximately 349 days of lactation were used. Treatments were low or high level of supplementation for lactating cows grazing natural range pasture. Cow's body weight and body condition score, individual milk yield, physical and chemical characteristics and somatic cells count, besides biochemical blood profile were evaluated. Increased nutrient supply augmented body weight gain, body condition score, fat corrected milk, milk fat and total solids contents, but did not change the others milk components nor blood biochemical profile. Increasing nutrient supply for cows at an extended lactation might be a valuable option to match milk productivity and improved physical aspects of dairy cows kept on grazing systems, without adverse effects upon milk components yield.