Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Effects of 12 Weeks Tai Chi Exercise and Education Intervention Program on Glucose Control, Sexual Function and Immune Function for Women with Type 2 Diabetes

타이치 운동과 교육 중재 프로그램이 제 2형 여성당뇨환자의 당대사, 성기능 장애 및 면역기능에 미치는 효과

  • Received : 2013.06.08
  • Accepted : 2013.10.19
  • Published : 2013.11.30
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Abstract

Purpose: This study was done to identify effects of a 12 weeks Tai Chi exercise and education intervention program on HbA1C, sexual function and IL-12 (Interleukin 12), IL-4 (Interleukin 4), TNF-${\alpha}$ (Tumor Necrosis Factor) for women with type 2 diabetes. Methods: The study had a nonequivalent control group pretest posttest design. The participants were 64 women with diabetes recruited from an outpatient clinic of a university hospital. The Tai Chi exercise and education intervention program was provided twice a week for 12 weeks for the 32 women in the experimental group. The 32 women in the control group were maintained on basic outpatient treatment. Outcome variables were HbA1C, sexual dysfunction scores, IL-4, IL-12 and TNF-${\alpha}$. Results: The experimental group showed significantly improved HbA1C (F=3.10, p=.004), and sexual function (F=3.78, p=.001) compared to the control group. Also for the experimental group TNF-${\alpha}$ (F=-2.69, p=.004) significantly increased compared to the control group. Conclusion: Results indicate that a Tai Chi exercise and education intervention program can be utilized effectively for women with type 2 diabetes.

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References

  1. Ade, F. A., Jokotade, O. A., & Celia, Y. A. (2010). Diabetes, sexual dysfunction and therapeutic exercise: A 20 year review. Current Diabetes Reviews, 6, 201-206. http://dx.doi.org/10.2174/157339910791658907
  2. Choi, C. S., Savage, D. B., Abu-Elheiga, L., Liu, Z. X., Kim, S., Kulkarni, A., et al. (2007). Continuous fat oxidation in acetyl-CoA carboxylase 2 knockout mice increases total energy expenditure, reduces fat mass, and improves insulin sensitivity. Proceedings of the National Academy of Sciences of the United States of America, 104, 16480-16485. https://doi.org/10.1073/pnas.0706794104
  3. Conraads, V. M., Beckers, P., Bosmans, J., De Clerck, L. S., Stevens, W. J., Vrints, C. J., et al. (2002). Combined endurance/resistance training reduces plasma TNF-alpha receptor levels in patients with chronic heart failure and coronary artery disease. European Heart Journal, 23, 1854-1860. https://doi.org/10.1053/euhj.2002.3239
  4. DeLamater, J. D. & Sill, M. (2005). Sexual desire in later life. Journal of Sex Research, 42, 138-149. https://doi.org/10.1080/00224490509552267
  5. Drenth, J. P., Krebbers, R. J., Bijzet, J., & van der Meer, J. W. (1998). Increased circulating cytokine receptors and ex vivo interleukin-1 receptor antagonist and interleukin-1beta production but decreased tumour necrosis factor-alpha production after a 5-km run. European Journal of clinical Investigation, 28, 866-872. https://doi.org/10.1046/j.1365-2362.1998.00366.x
  6. Eom, A. (2012). The effects of the Tai Chi exercise on metabolic syndrome and health-related quality of life in middle-aged women. Journal of Muscle and Joint Health, 19, 152-160. https://doi.org/10.5953/JMJH.2012.19.2.152
  7. Fantuzzi, G. (2005). Adipose tissue, adipokines, and inflammation. Journal of Allergy and Clinical Immunology, 115, 911-919. https://doi.org/10.1016/j.jaci.2005.02.023
  8. Hwang, I., Ahn, S., & Song, R. (2010). Effects of 12-week Tai exercise on glucose control, peripheral nerve modulation, and perceived health for type 2 diabetic patients with neuropathy. Journal of Muscle and Joint Health, 17, 35-46. https://doi.org/10.5953/JMJH.2010.17.1.035
  9. Jeong, I. S., Lee, H. J., & Kim, M. H. (2007). The effect of the Taeguk Gi-Gong exercise on insulin resistance and blood glucose in patients with type II diabetes mellitus. Journal of Korean Academy of Fundamentals of Nursing, 14, 44-52.
  10. Jin, D. S., & Park, J. W. (2007). A study on the sexual dysfunction for diabetic women. The Korean Journal of Rehabilitation Nursing, 10, 37-44.
  11. Kang, H. S., Oh, B. S., Jee, Y. S., Cho, K. C., & Yoon, J. H. (2010). Effects of treadmill exercise on skeletal muscle TNF-$\alpha$ mRNA, brown adipose tissue UCP-3 mRNA and liver MDA in diabetic rats. Journal The Korean Society of Living Environmental system, 17, 595-605.
  12. Kim, C. S. (1999). A study on sexual function of women with coronary artery disease. Unpublished master's thesis, Chonnam National University, Kwang-ju.
  13. Kim, S. J. (2011). Complications of diabetes: more than half of people with diabetes suffer from peripheral neuropathy. A Monthly Diabetes Magazine, 258, 40-41.
  14. Korea Centers for Disease Control and Prevention. (2008, December). 2007 Korea national health statistics: The fourth Korea national health and nutrition examination survey(Issue Brief No. 11702). Seoul: Author.
  15. Lam, P., Dennis, S. M., Diamond, T. H., & Zwar, N. (2008). Improving glycaemic and BP control in type 2 diabetes. The effectiveness of Tai Chi. Australian Family Physician, 37, 884-887.
  16. Lee, W. J., & Kim, O. S. (2011). The effects of a sex education program in middle aged men with diabetes and their spouses. Korean Journal of Adult Nursing, 23, 267-277.
  17. Liu, X., Miller, Y. D., Burton, N. W., & Brown, W. J. (2010). A preliminary study of the effects of Tai Chi and Qigong medical exercise on indicators of metabolic syndrome, glycaemic control, health-related quality of life, and psychological health in adults with elevated blood glucose. British Journal of Sports Medicine, 44, 704-709. https://doi.org/10.1136/bjsm.2008.051144
  18. Min, K. S. (2007). Female sexual dysfunction in patients with diabetes. A Monthly Diabetes Magazine, 209, 10-15.
  19. Ogbera, A. O., Chinenye, S., Akinlade, A., Eregie, A., & Awobusuyi, J. (2009). Frequency and correlates of sexual dysfunction in women with diabetes mellitus. Journal of Sexual Medicine, 6, 3401-3406. http://dx.doi.org/10.1111/j.1743-6109.2009.01396.x
  20. Petersen, A. M. W., & Pedersen, B. K. (2005). The anti-inflammatory effect of exercise. Journal of Applied Physiology, 98, 1154-1162. http://dx.doi.org/10.1152/japplphysiol.00164.2004
  21. Rosemary, B., Jennifer, B., Arthur, B., Leonard, D., David, F., Jean, F., et al. (2000). Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. Journal of Urology, 163, 888-893. https://doi.org/10.1016/S0022-5347(05)67828-7
  22. Song, R., Lee, E. O., Bae, S. C., Ahn, Y. H., Lam, P., & Lee, I. (2007). Effects of Tai Chi self-help program on glucose control, cardiovascular risks, and quality of life in type II diabetic patients. Journal of Muscle and Joint Health, 14, 13-25.
  23. Steven, E. S., Jongsoon, L., & Allison, B. G. (2006). Inflammation and insulin resistance. The Journal of Clinical Investigation, 116, 1793-1801. https://doi.org/10.1172/JCI29069
  24. Taylor, J. F., Rosen, R. C., & Leiblum, S. R. (1994). Self-report assessment of female sexual function: Psychometric evaluation of the brief index of sexual functioning for women. Archives of Sexual Behavior, 23, 627-643. https://doi.org/10.1007/BF01541816
  25. Tsang, T., Orr, R., Lam, P., Comino, E., & Singh, M. F. (2008). Effects of Tai Chi on Glucose homeostasis and insulin sensitivity in older adults with type 2 diabetes: A randomised doubled-blind sham-exercise-controlled trial. Age and Ageing, 37, 64-71. https://doi.org/10.1093/ageing/afm127
  26. Victor, H.-H., Goh, & Terry, Y. Y. Tong. (2009). The association of exercise with sleep, sex steroids, sexual activities and aging in Asian men. Journal of Men's Health, 6, 317-324. https://doi.org/10.1016/j.jomh.2009.07.007
  27. Yeh, S. H., Chuang, H., Lin, L. W., Hsiao, C. Y., Wang, P. W., Liu, R. T., et al. (2009). Regular Tai Chi Chuan exercise improves T cell helper function of patients with type 2 diabetes mellitus with an increase in T-bet transcription factor and IL-12 production. British Journal of Sports Medicine, 43, 845-850. https://doi.org/10.1136/bjsm.2007.043562
  28. Yoo, J. S., Lee, S. J., Lee, H. C., Kim, S. H., Kang, E. S., & Park, E. J. (2004). The effects of short term comprehensive life style modification program on glycemic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus. Journal of Korean Academy of Nursing, 34, 1277-1287. https://doi.org/10.4040/jkan.2004.34.7.1277

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