Impact of Physical Exercise and Food Habit on Type II Diabetes Mellitus Medicated Patients-A Cross Sectional Study
Subject Areas : Journal of Chemical Health RisksTasfia Sharin 1 , Benojir Ahammed 2 , MD. Toufiqu Elahi 3 , Muhammad Shamim Al Mamun 4 , Dipak Paul 5
1 - Applied Nutrition and Food Technology, Islamic University, Kushtia-7003, Bangladesh
2 - Statistics Discipline, Khulna University, Khulna-9208, Bangladesh
3 - Applied Nutrition and Food Technology, Islamic University, Kushtia-7003, Bangladesh
4 - Chemistry Discipline, Khulna University, Khulna-9208, Bangladesh
5 - Applied Nutrition and Food Technology, Islamic University, Kushtia-7003, Bangladesh
Keywords: Logistic regression, dyslipidemia, Physical exercise, Diabetes mellitus (DM), Food habit,
Abstract :
The study attempts at examining the impact of controlled food habit and regular physical exercise on type II diabetic hypertensive patients who were on medications for hyperglycemia and hypertension. A cross-sectional study was demonstrated, and 244 participants were selected from Khulna city of Bangladesh to meet the objective of the study. All the biochemical parameters such as blood sugar, glycated hemoglobin (HbA1c), triglyceride (TG), total cholesterol (TC), low density lipoprotein (LDL) and high-density lipoprotein (HDL) were taken from the blood test reports tested by the hospital. Among all the participants 46.7% were male, 53.3% were female and 61.1% were from urban community whilst 38.9% were from rural community, 29.92% were on medications with regular physical exercise and restricted diet jointly (M+E+F), 45.90% were dependent only on medications (M) and rest 24.18% were on medications with either regular exercise or food habit (M+E/F) for controlling diabetes. Chi-square and logistic regression analysis were used to portray the necessary associations. Chi-square values show significant association for fasting blood sugar (FBS) (p <0.001), blood sugar 2hr after breakfast (p <0.001), HbA1c (p <0.001), TG (p <0.02), TC (p <0.01) but insignificant for diastolic blood pressure (p=0.522), systolic blood pressure (p=0.598), HDL (p=0.764) and LDL (p=0.213) in respect of regular physical exercise and controlled food habit of the respondents. Logistic regression shows physical exercise and food habit are important determinants to control diabetes. Females are more prone to uncontrolled diabetes. Obesity and with increase in age, diabetes is hard to control. However, uncontrolled diabetes indulges dyslipidemia. This may be concluded from the conducted study that beside medication, regular physical exercise and controlled food habit help to control diabetes.
1. Srilakshmi B., Dietetics, Revised Fifth ed., Chapter- Diet in Diabetes Mellitus. pp. 244-266.
2. World Health Organization (WHO). Diabetes definition. Geneva. at: http:// www. who.int/ topics/diabetes_ mellitus/en/; 2011. [Accessed on 29.12.2013].
3. World Health Organization. Report of a WHO Consultations, Definitions, Diagnosis and Classification of Diabetes Mellitus and its Complications, Part I. Geneva 1999; WHO/NCD/NCS/ 99.2.
4. Ramachandran A., Snehalatha C., Kapur A., Vijay V., Mohan V., Das A.K., Rao P.V., Yajnik C.S., Prasanna K.K.M., Jyotsna D.N., 2001. High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia. 44, 1094–1101.
5. Shera A.S., Jawad F., Maqsood A., 2007. Prevalence of diabetes in Pakistan. Diabetes Research and Clinical Practice. 76(2), 219-222.
6. Gu D., Reynolds K., Duan X., Xin X., Chen J., Wu X., Mo J., Whelton P.K., He J., 2003.. Prevalence of diabetes and impaired fasting glucose in the Chinese adult population: International Collaborative Study of Cardiovascular Disease in Asia (Inter ASIA). Diabetologia. 46(9), 1190-1198.
7. Sekikawa A., Tominaga M., Takahashi K., Eguchi H., Igarashi M., Ohnuma H., Sugiyama K., Manaka H., Sasaki H., Fukuyama H., Miyazawa K., 1993. Prevalence of diabetes and impaired glucose tolerance in Funagata area, Japan. Diabetes Care. 16(4), 570-574.
8. Mooradian A.D., 2003. Cardiovascular disease in type 2 diabetes mellitus: current management guidelines. Arch Intern Med. 163, 33–40.
9. International Diabetes Federation (IDF). Morbidity and mortality due to diabetes. Brussels. 2011. http://www.diabetesatlas.org/content/diabetes-mortality. [Accessed on 15.03.2013].
10. Sadikot S.M., Nigam A., Das S., Bajaj S., Zargar A.H., Prasannakumar K.M., Sosale A., Munichoodappa C., Seshiah V., Singh S.K., Jamal A., Sai K., Sadasivrao Y., Murthy S.S., Hazra D.K., Jain S., Mukherjee S., Bandyopadhay S., Sinha N.K., Mishra R., Dora M., Jena B., Patra P., Goenka K., 2004. The burden of diabetes and impaired glucose tolerance in India using the WHO 1999 criteria: prevalence of diabetes in India study (PODIS). Diabetes Res Clin Pract. 66(3), 301-307.
11. Magliano D.J., Shaw J.E., Shortreed S.M., Nusselder W.J., Liew D., Barr E.L., Zimmet P.Z., Peeters A., 2008. Lifetime risk and projected population prevalence of diabetes. Diabetologia. 51(12), 2179-86.
12. Sue R.W., Essentials of Nutrition and Diet Therapy, Fifth ed., Chapter-21. pp. 504-528.
13. José L., Palma G., Antonio H.M., Vicente B.M., José R. González J., Víctor L.G.A., Alberto C.M., Eduardo A.E., Moisés C.C., 2004. Diabetes mellitus in clinical cardiology in Spain. Survey by the working group on the heart and diabetes regarding the importance of diabetes mellitus in relation with other cardiovascular diseases. Rev Esp Cardiol. 57(7), 661-6.
14. Hashemi M., Gholampour A.I., Rezai Z., Rouhi S., 2012. Mycological Survey and Total Aflatoxin Analyze in Silage from Qaemshahr City (Northern Iran). Journal of Chemical Health Risks. 2(2), 51-56.
15. Lorestani B., Kolahchi N., Ghasemi M., Cheraghi M., Yousefi N., 2012. Survey the Effect of Oil Pollution on Morphological Characteristics in Faba Vulgaris and Vicia Ervilia. Journal of Chemical Health Risks. 2(3), 5- 8.
16. Javad F., Hamed R. B., Zeynab E., Mahnaz Z., 2014. Survey of Mycotoxins in Wheat from Iran by HPLC Using Immunoaffinity Column Cleanup. Journal of Chemical Health Risks. 4(1), 23-28.
17. Naresh K.P, Ragavendrasamy B., Vibhas K., 2020. A pilot cross-sectional survey on awareness and practice regarding Type 2 Diabetes mellitus and its management with Yoga. Journal of Ayurveda and Integrative Medicine. 11, 106-109.
18. Kyung H.L., Hea S.L., 2020. Hypertension and diabetes mellitus as risk factors for asthma in Korean adults: The Sixth Korea National Health and Nutrition Examination Survey. International Health. 12, 246–252.
19. Isabel P.T., Magaly F.F., Marlon Y.A., Claudia G.O., Paolo Z.L., Claudio I.E., Cristian M.M., Carlos A.D., Kevin P.B., 2020. Prevalence of Diabetes Mellitus and Its Associated Unfavorable Outcomes in Patients with Acute Respiratory Syndromes Due to Coronaviruses Infection: A Systematic Review and Meta-Analysis. Clinical Medicine Insights: Endocrinology and Diabetes. 13, 1–16.
20. Purwo S.N., Niken A.T., Sri S., Ainur R., Denny S.F., Ridwan A., 2020. Predictor Risk of Diabetes Mellitus in Indonesia based on National Health Survey. Mal J Med Health Sci. 16(1), 126-130.
21. Ahmed O.A., Safaa B., Wadie M.E., Hanan T., Mohamed H.A., 2020. The prevalence and risk factors of stroke among Sudanese individuals with diabetes: Cross-sectional survey. Brain Circ. 6, 26-30.
22. Talukder A., Hossain M.Z., 2019. Prevalence of Diabetes Mellitus and Its Associated Factors in Bangladesh: Application of Two-level Logistic Regression Model. Scientific Reports. 10(1), 10237.
23. Jessica Y.I., Mohammad M.Z., Mahfuz R.B., Syed A.H., Shamim A., Ahmad Z.A.Q., 2019. Prevalence and determinants of hyperglycaemia among adults in Bangladesh: results from a population based national survey. BMJ Open. 9, 029674.
24. Carlton J., Elliott J., Rowen D., Stevens K., Basarir H., Meadows K., Brazier J., 2017. Developing a questionnaire to determine the impact of self-management in diabetes: giving people with diabetes a voice. Carlton et al. Health and Quality of Life Outcomes. 15, 146.
25. World Health Organization. Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia. Report of a WHO/IDF Consultation, Geneva, Switzerland, 2006, 3.
26. Pan X.R., Li G.W., Hu Y.H., Wang J.X., Yang W.Y., An Z.X., Hu Z.X., Lin J., Xiao J.Z., Cao H.B., Liu P.A., Jiang X.G., Jiang Y.Y., Wang J.P., Zheng H., Zhang H., Bennett P.H., Howard B.V., 1997. Effects of Diet and Exercise in Preventing NIDDM in People with Impaired Glucose Tolerance, Epidemiology/Health Services/ Psychosocial Research. Diabetes Care. 20(4), 537-44.
27. Tasneem I., 2012. Diabetic Prevalence in Bangladesh: The Role of Some Associated Demographic and Socio-economic Characteristics. International Journal of Advancements in Research & Technology. 1(7), 95-105.
28. Sayeed M.A., Mahtab H., Khanam P.A., Latif Z.A., Ali S.M.K., Banu A., 2003. Diabetes and Impaired Fasting Glycemia in a rural population of Bangladesh. Diabetes Care. 26, 1034 -1039.
29. Ahasan H., Islam M., Alam M., Miah M., Nur Z., Mohammed F., Imran Khan M., Hossain H., Mahbub M., 2011. Prevalence and Risk Factors of Type 2 Diabetes Mellitus among Secretariat Employees of Bangladesh. J Medicine. 12, 125-130.
30. Agrawal Y., Goyal V., Chugh K., Shanker V., Singh A.A., 2014. Types of Dyslipidemia in Type 2 Diabetic Patients of Haryana Region. Sch J App Med Sci. 4, 1385-1392.
31. Karin M.N., Md M., Gayle R., Phd M., Edward J.B., Md M., 2002. Diet and Exercise Among Adults with Type 2 Diabetes. Diabetes Care. 25,10, 1722-1728.