The effects of the community-based lifestyle intervention program on the prevention of Type 2 Diabetes Mellitus among pre-diabetic elderly people at Khlong Lat Phrao community

อะเคื้อ กุลประสูติดิลก; ปุณณัตถ์ กุลประสูติดิลก

ผู้แต่ง

อะเคื้อ กุลประสูติดิลก สาขาวิชาเทคโนโลยีการจัดการสุขภาพ คณะวิทยาศาสตร์และเทคโนโลยี มหาวิทยาลัยราชภัฏพระนคร
ปุณณัตถ์ กุลประสูติดิลก โรงพยาบาลปทุมเวช

คำสำคัญ:

โปรแกรมปรับเปลี่ยนวิถีชีวิตโดยชุมชนเป็นฐาน, โรคเบาหวานชนิดที่ 2, ผู้สูงอายุกลุ่มเสี่ยงเบาหวาน, ชุมชนริมคลองลาดพร้าวในกรุงเทพมหานคร

บทคัดย่อ

This quasi-experimental research aimed to study the effects of community-based lifestyle intervention program on the prevention of Type 2 Diabetes Mellitus among the pre-diabetic elderly people in Khlong Lat Phrao community, an urban poverty area in Bangkok. A total of 32 participants with pre - diabetes aged over 60 years were purposively assigned to the community-based lifestyle intervention or the experimental group (n = 18), and the usual care or the control group (n = 14). The program was implemented in partnership with the current community volunteers to combine diet, physical activity, and behavior revision strategies. Clinical and metabolic factors, dietary behaviors and physical activity were measured. Percentage, means, and standard deviation were utilized for data analysis by means of the SPSS, Version 24. Analyses of between-group differences at baseline for 12 weeks revealed that the participants in the intervention group achieved greater decreases as compared to the usual care group in fasting plasma glucose (-18.67±1.9 versus 6±3.8 mg/dl), body weight (-1.62±1.35 versus 0.46±0.68 kg), body mass index (-0.63±0.53 versus 0.18±0.36 kg/m2), dietary intake (-295.61±184.22 versus 115.85±149.58 kcal/day ), total cholesterol (-32.66±35.35 versus -24.27±23.50 mg/dl), triglycerides level (-78±39.44 versus -38.90±37.73 mg/dl) and LDL cholesterol (-32.26±45.96 versus -13.27±22.94 mg/dl). Moreover,the physical activities of participants in the intervention group were increased significantly as compared to the normal group (+646.66±422.93 versus -35.71±85.27 MET.min.wk-1), including HDL cholesterol (+15.13±11.01 versus +4.36±11.48 mg/dl). It can be concluded that the implementation of the community-based lifestyle intervention program was effective and practical for the prevention of T2DM in the elderly people in Khlong Lat Phrao community, and this also can facilitate satisfactory effects on clinical and metabolic parameters.

เอกสารอ้างอิง

Aekplakorn, W., Tantayotai, V., Numsangkul, S., Tatsato, N., Luckanajantachote, P., & Himathongkam, T. (2019). Evaluation of a community-based diabetes prevention program in Thailand: a cluster randomized controlled trial. Journal of primary care & community health, 10, 2150132719847374.

Bhatkal, T., & Lucci, P. (2015). Community-driven development in the slums: Thailand’s experience. London: Overseas Development Institute.

Castaneda, C., Layne, J. E., Munoz-Orians, L., Gordon, P. L., Walsmith, J., Foldvari, M., ... & Nelson, M. E. (2002). A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes. Diabetes care, 25(12), 2335-2341.

Chang, M., Ramel, A., Jonsson, P. V., Thorsdottir, I., & Geirsdottir, O. G. (2020). The effect of cognitive function on mobility improvement among community-living older adults: A 12-week resistance exercise intervention study. Aging, Neuropsychology, and Cognition, 27(3), 385-396.

Deerochanawong, C., & Ferrario, A. (2013). Diabetes management in Thailand: a literature review of the burden, costs, and outcomes. Globalization and Health, 9(1), 1-18.

Eknithiset, R., & Somrongthong, R. (2017). Effectiveness of a diabetes mellitus pictorial diary handbook program for middle-aged and elderly type 2 diabetes mellitus patients: a quasi-experimental study at Taladnoi Primary Care Unit, Saraburi, Thailand. Journal of multidisciplinary healthcare, 10, 327.

Hill, J., Peer, N., Oldenburg, B., & Kengne, A. P. (2017). Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: a systematic review. PLoS One, 12(12), e0189069.

Ibrahim, N., Ming Moy, F., Awalludin, I. A. N., Mohd Ali, Z., & Ismail, I. S. (2016). Effects of a community-based healthy lifestyle intervention program (Co-HELP) among adults with prediabetes in a developing country: a quasi-experimental study. PloS one, 11(12), e0167123.

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and psychological measurement, 30(3), 607-610.

Khunkaew, S., Fernandez, R., & Sim, J. (2019). Demographic and clinical predictors of health-related quality of life among people with type 2 diabetes mellitus living in northern Thailand: A cross-sectional study. Health and quality of life outcomes, 17(1), 1-9.

Kimura, N., Aso, Y., Yabuuchi, K., Ishibashi, M., Hori, D., Sasaki, Y., ... & Matsubara, E. (2019). Modifiable lifestyle factors and cognitive function in older people: a cross-sectional observational study. Frontiers in neurology, 10, 401.

Kramer, M. K., Vanderwood, K. K., Arena, V. C., Miller, R. G., Meehan, R., Eaglehouse, Y. L., ... & Kriska, A. M. (2018). Evaluation of a diabetes prevention program lifestyle intervention in older adults: a randomized controlled study in three senior/community centers of varying socioeconomic status. The Diabetes Educator, 44(2), 118-129.

Khunti, K., Gray, L. J., Skinner, T., Carey, M. E., Realf, K., Dallosso, H., ... & Davies, M. J. (2012). Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care. BMJ, 344, e2333.

Lindström, J., Louheranta, A., Mannelin, M., Rastas, M., Salminen, V., Eriksson, J., ... & Tuomilehto, J. (2003). The Finnish Diabetes Prevention Study (DPS): Lifestyle intervention and 3-year results on diet and physical activity. Diabetes care, 26(12), 3230-3236.

Magill, N., Graves, H., De Zoysa, N., Winkley, K., Amiel, S., Shuttlewood, E., ... & Ismail, K. (2018). Assessing treatment fidelity and contamination in a cluster randomised controlled trial of motivational interviewing and cognitive behavioural therapy skills in type 2 diabetes. BMC family practice, 19(1), 1-9.

Mäntyselkä, P., Kautiainen, H., & Miettola, J. (2019). Beliefs and attitudes towards lifestyle change and risks in primary care–a community -based study. BMC public health, 19(1), 1-9.

Matte, M., Makrilakis, K., Polychronopoulos, E., Sakellaropoulos, G., Braoudakis, P., Fokas, S., ... & Velonakis, E. (2016). Community based diabetes prevention programme in older adults in a Greek rural area. International Journal of Community Medicine and Public Health, 3(5), 1326-1333.

Papier, K., Jordan, S., Catherine, D. E., Bain, C., Peungson, J., Banwell, C., ... & Sleigh, A. (2016). Incidence and risk factors for type 2 diabetes mellitus in transitional Thailand: results from the Thai cohort study. BMJ open, 6(12), e014102.

Pattanaik, R., Samantaray, N. N., & Mohapatra, J. (2019). Application of transtheoretical model in management of individual with alcohol dependence: A case study. Industrial psychiatry journal, 28(1), 148-151.

Pengpid, S., Peltzer, K., Jayasvasti, I., Aekplakorn, W., Puckpinyo, A., Nanthananate, P., & Mansin, A. (2019). Two-year results of a community -based randomized controlled lifestyle intervention trial to control prehypertension and/or prediabetes in Thailand: a brief report. International journal of general medicine, 12, 131-135.

Roberts, S., Barry, E., Craig, D., Airoldi, M., Bevan, G., & Greenhalgh, T. (2017). Preventing type 2 diabetes: systematic review of studies of cost-effectiveness of lifestyle programmes and metformin, with and without screening, for pre-diabetes. BMJ open, 7(11), e017184.

Shirinzadeh, M., Afshin-Pour, B., Angeles, R., Gaber, J., & Agarwal, G. (2019). The effect of community-based programs on diabetes prevention in low-and middle-income countries: a systematic review and meta -analysis. Globalization and health, 15(1), 1-13.

Thakur, A., Ray, T. K., & Goel, M. K. (2017). Expenditure pattern on diabetes care: A Community based longitudinal study in resettlement colony of East Delhi. Indian Journal of Community Health, 29(2), 209-212.

Thankappan, K. R., Sathish, T., Tapp, R. J., Shaw, J. E., Lotfaliany, M., Wolfe, R., ... & Oldenburg, B. (2018). A peer-support lifestyle intervention for preventing type 2 diabetes in India: A cluster-randomized controlled trial of the Kerala Diabetes Prevention Program. PLoS medicine, 15(6), e1002575.

Thewjitcharoen, Y., Chotwanvirat, P., Jantawan, A., Siwasaranond, N., Saetung, S., Nimitphong, H., ... & Reutrakul, S. (2018). Evaluation of dietary intakes and nutritional knowledge in Thai patients with type 2 diabetes mellitus. Journal of diabetes research, ,2018,9152910.

Saengtipbovorn, S., & Taneepanichskul, S. (2014). Effectiveness of lifestyle change plus dental care (LCDC) program on improving glycemic and periodontal status in the elderly with type 2 diabetes. BMC oral health, 14(1), 1-10.