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The physical activity and quality of life education in eldery patients with diabetes

Milenka Poljanec Bohnec (2016) The physical activity and quality of life education in eldery patients with diabetes. MSc thesis.

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    Abstract

    Physical activity plays an essential role in better management of diabetes and improves self-esteem and the quality of life. Nevertheless, existing educational programmes for diabetes patients currently pay very little attention to how to do physical activity and how to stay motivated for it. There is even less information available on how to encourage regular physical activity in elderly patients, who often suffer from comorbid motor issues and have a weaker social network, which can further impede their movement. To this end, this research aimed at analysing the impact of structured education of elderly type 2 diabetes patients about regular physical activity so as to improve their management of diabetes and the quality of life and reduce the risk of depression. Methods: The research in the Division of endocrinology, diabetes and metabolic diseases at the University Medical Centre Ljubljana was conducted in the period 2015–2016. The sample consisted of 42 diabetes 2 patients aged over 65 years. They were randomly divided into research and control group. The patients in the research group attended a 60-minute seminar on the importance of physical activity. They were informed about recommended amounts of aerobic and anaerobic physical activity. The main goal was to increase their anaerobic physical activity, which is why they took part in a practical exercise demonstration. They also received an exercise band to encourage them and a description of different anaerobic exercises with pictures (using the exercise band, weights, etc.). The participants were monitored for 8 weeks. Both groups were subject to the analysis of the metabolic treatment outcome (hemoglobin A1c, lipid profile, blood pressure), ITM calculation and body composition (skeletal muscles, visceral fat and body fat), subjective assessment of physical activity, smoking and drinking alcohol, assessment of the quality of life and the risk of depression using validated questionnaires. Results: There was no statistically significant increase in aerobic and anaerobic physical activity after 8 weeks in the research group (aged 65 ± 3.34 years). The control group (aged 67 ± 3.73 years) did not show any changes in the quantity of anaerobic or aerobic physical activity. Cardiovascular disease risk factors also failed to improve (body weight, body composition, blood pressure, HbA1c). There was no effect on the quality of life and the risk of depression in both groups (p>0.05 for everyone). The average variable value that reflects the general quality of life in the research group was 58.4 on the first visit with standard deviation of 14.2. As for the second visit, it was 57.8 with standard deviation of 16.1. The difference was statistically insignificant (p = 0.374). The average variable value that reflects the general quality of life in the control group was 59.4 with standard deviation of 12.0 on the first visit and 61.5 with standard deviation of 14.6 on the second visit. The difference was also statistically insignificant (p = 0.228). The risk assessment for depression prior to the research was similar in both groups (5.75 ± 5.01 vs. 5.14 ± 4.45, p = 0.591). There was no statistically significant difference detected after 8 weeks (6.00 ± 6.60 vs. 4.92 ± 5.95, p=0.646). Conclusion: The new programme of structured education developed in line with established international guidelines for elderly diabetes 2 patients failed to increase their physical activity. To this end, there were not improvements in terms of parameters of cardiovascular risk factors and the quality of life. The key question that remains to be answered in further scientific research is how to motivate elderly diabetes 2 patients to engage in regular physical activity.

    Item Type: Thesis (MSc thesis)
    Keywords: type 2 diabetes, social and educational model of treatment, education, physical activity, quality of life
    Number of Pages: 191
    Language of Content: Slovenian
    Mentor / Comentors:
    Mentor / ComentorsIDFunction
    red. prof. dr. Darja Zorc MaverMentor
    doc. dr. Draženka Pongrac BarlovičComentor
    Link to COBISS: http://www.cobiss.si/scripts/cobiss?command=search&base=50126&select=(ID=11195465)
    Institution: University of Ljubljana
    Department: Faculty of Education
    Item ID: 3828
    Date Deposited: 30 Sep 2016 11:26
    Last Modified: 30 Sep 2016 11:26
    URI: http://pefprints.pef.uni-lj.si/id/eprint/3828

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