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All Journal Jendela Nursing Journal (JNJ) Indonesian Journal of Global Health research
Budi Widiyanto
POLTEKKES KEMENKES SEMARANG
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Effectiveness of Different Physical Activities toward Glycemic Control in Prediabetes Mellitus Clients Arwani Arwani; Budi Widiyanto; Sri Widiyati
JENDELA NURSING JOURNAL Vol 7, No 1 (2023): JUNE 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v7i1.9876

Abstract

Background: the proportion of people with prediabetes is 2-4 times higher than the proportion of people with diabetes. One of the prevention efforts is through physical activity. Several studies have shown that physical activity has a significant effect on glycemic control.Purpose: this study aims to determine the effectiveness of different physical activities to glycemic control in prediabetic clients in Semarang municipality.Methods: a randomized control trial (RCT) with a pretest-posttest design was conducted on 60 prediabetic clients using different treatments (healthy / slow walking, brisk walking, combination of both slowly and brisk walking). An initial measurement (pretest) of glycemic control was carried out using an indicator of HbA1c levels and was remeasured (posttest) after 3 months.Results: the average level of glycemic control (HbA1c levels) before intervention in the healthy walking group was 5.57% and decreased to 5.46% after intervention; the combination group decreased from 5.93% to 5.78%, and in the slowly walking group decreased from 5.74% to 5.71%. However, there was no significant effect of slowly walking on glycemic control (HbA1c levels). Meanwhile, brisk walking and combination of slowly walking and brisk walking had a significant effect on glycemic control (HbA1c levels) (p0.05).Conclusion: the combination of physical activity group (brisk walking and slowly walking) has a better effect on glycemic control (HbA1c levels). 
The Effect of Leg Stretching Exercises with A Tennis Ball on Ankle Brachial Index as A Predictor of Diabetic Foot Ulcer Henny Yuliartini; Arwani Arwani; Budi Widiyanto
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3348

Abstract

Diabetic foot ulcers are caused by impaired peripheral circulation of the lower extremities due to peripheral arterial disease (PAD) that can be assessed by measuring the ankle brachial index. Leg stretching exercises with a tennis ball have an effect on increasing ABI values and predict the incidence of diabetic foot ulcers. Objective : This stydy aims to improve the effect of leg stretching exercises with a tennis ball on the ABI value as a predictor of the incidence of diabetic foot ulcers. Method: Quasi experimental quantitative research with a pretest-posttest with control group design. The total sample was 46 respondents using a purposive sampling technique to determine the Intervention group and Control group in 2 Puskesmas work areas that have plenary accreditation. After selecting each group, identification was carried out according to the inclusion criteria and exclusion criteria, resulting in 23 respondents in the Intervention group and 23 respondents in the Control group. The intervention group was given leg stretching exercises with a tennis ball for 15 minutes 14 times in 2 weeks and the control group received treatment from the Community Health Center, namely PROLANIS exercises. Data analysis uses univariate analysis and bivariate analysis, Paired Sample t-Test and Independent t-Test. Results: The ankle brachial index average increased to 0,300 mmHg and the prediction of the incidence of foot ulcers were decreased on the Intervention group (p=0,000) wheras the Control group ankle brachial index average decreased to 0,082 mmHg and the prediction of the incidence of foot ulcers were increased (p=0,008). Conclusion: Leg stretching exercises with a tennis ball have an effect on increasing ankle brachial index and can be used as a predictor of diabetic foot ulcers in type 2 diabetes mellitus.
Co-Authors Arwani Arwani Henny Yuliartini Sri Widiyati