12주간의 타이치 운동이 신경병증을 가진 당뇨환자의 혈당, 말초감각신경전달도 및 건강상태에 미치는 효과
Effect of 12-Week Tai Chi Exercise on Glucose Control, Peripheral Nerve Modulation, and Perceived Health for Type 2 Diabetic Patients with Neuropathy
Purpose: The purpose of this study was to test the effect of 12-week Tai Chi exercise on glucose control, peripheral nerve modulation, and perceived health for Type 2 diabetic patients with neuropathy. Methods: A pretest posttest design with a nonequivalent control group, 44 diabetic patients with neuropathy were recruited from an outpatient clinic of a university hospital and assigned into Tai Chi or Control groups. The Tai Chi exercise was based on Tai Chi for Diabetes program developed by Lam (2006) and performed one hour for each session twice a week for 12 weeks. Outcome variables were HbA1c, Michigan Neuropathy Screening Instrument scores and perceived health. A total of 25 patients completed both measures of pretest and posttest. Results: The study participants were 67 years old in average, diagnosed by DM for more than 15 years. Those who participated in 12-week Tai Chi exercise (n=13) significantly improved in HbA1c (t=2.23, p=.035) and perceived health (t=-2.28, p=.032) than the control group (n=12). Conclusion: Tai Chi exercise may improve glucose control and health status in patients with Type II diabetes. Further study with larger sample size would be necessary to confirm the effect of Tai Chi on peripheral nerve modulation.
- Cho, S. J., Chun, A. J., Chang, J. Y., Ha, H. B., & Wo, J. I. (2004). Effects of qigong therapy in peripheral neuropathy with type II diabetic patients. Journal of Traditional Chinese Medicinal Literature, 4, 52-55.
- Choi, H. Y., Do, H. J., Oh, S. W., Lym, Y. L., Choi, J K., Joe, H. J., et al. (2007). The validity of Michigan Neuropathy Screening Instrument as a screening test and risk factors for diabetic peripheral neuropathy. The Korean Academy Family Medicine, 28(8), 610-615.
- Cohen J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed..). Philadelphia: Lawrence Erlbaum.
- Devlin, J. T., Hirshman, M., Horton, E. D., & Horton, E. S. (1987). Enhanced peripheral and splanchnic insulin sensitivity in NIDDM men after single bout of exercise. Diabetes, 36(4), 434-439.
- Hung, J. W., Liou, C. W., Wang, P. W., Yeh, S. H., Lin, L. W., Lo, S. K., et al. (2009). Effect of 12-week tai chi chuan exercise on peripheral nerve modulation in patients with type 2 diabetes mellitus. Journal of Rehabilitation Medicine, 41(11), 924-929.
- Im, G. J., & Choi, J. W. (2007). Analysis of the OECD health data 2006. Research Institute for Health Care Policy. Seoul: Korea Medical Association.
- 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 melfitus. Journal of Korean Academy of Fundamental Nursing, 14(1), 44-52.
- Korean Association of Internal Medicine. (2006). Harrison's Internal Medicine (16th ed.). Korean Association of Internal Medicine: Seoul.
- Lam, P. (2000). How does Tai Chi improve health and arthritis? Retrieved January, 1, 2007, from www.taichiproductions.com.
- Lam, P., Dennis, M. S., Diamond, H. T., & Zwar N. (2008). Improving glycaemic control in type 2 diabetes: The effectiveness of tai chi. Australian Family Physician, 37(10), 884-7.
- Lan, C., Chen, S. Y., Lai, J. S., & Wong, M. K. (1999). The effect of Tai Chi on cardiorespiratory function in patients with coronary artery bypass surgery. Medicine and Science in Sports Exercise, 31(5), 634-638.
- Liu, X., Miller, Y. D., Burton, N. W., & Brown, W. J. (2008). 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, Oct 16. [Epub ahead of print]
- Lloyd, C. E., & Orchard, T. J. (1999). Physical and psychological well-being in adults with Type 1 diabetes. Diabetes Research and Clinical Practice, 44(1), 9-19.
- Matsumoto, Y., Ohno, H., Noguchi, I., Kikuchi, Y., & Kurihara, T. (2006). Disturbance of microcirculation due to unhealthy lifestyle: Cause of type 2 diabetes. Medical Hypotheses, 66(3), 550-553.
- National Health Insurance Corporation (2007). Costeffectiveness analysis of health examination for type II diabetes. Retrieved August, I, 2008, from http://www.nhic.or.kr/portallsite/main/menuitem.f28tb65c6a0dcdle56f6efa7062310a0/
- Nielsen, P. J., Hafdahl, A. R., Conn, V. S., Lemaster, J. W., & Brown, S. A. (2006). Meta-analysis of the effect of exercise interventions on fitness outcomes among adults with type I and type 2 diabetes. Diabetes Research and Clinical Practice, 74(2), 111-120.
- Richardson, J. K. (2002). Factors associated with falls in older patients with diffuse polyneuropathy. Journal of American Geriatric Society, 50(11), 1767-1773.
- Richerson, S., & Rosendale, K. (2007). Does Tai Chi improve plantar sensory ability? A pilot study. Diabetes Technology & Therapeutics, 9(3), 276-286.
- 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 Joint Health. 14(1), 13-25.
- Song, R., Ahn, S., Roberts, B., Lee, E., & Ahn, Y. H. (2009). Adhering to a t'ai chi program to improve glucose control and quality of life for individuals with type 2 diabetes. Journal of Alternative and Complementary Medicine, 15(6), 627-632.
- Taylor-Piliae, R. E. (2003). Tai Chi as an adjunct to cardiac rehabilitation exercise training. Journal of Cardiopulmonary Rehabilitation, 23(2), 90-96.
- Taylor-Piliae, R. E., Haskell, W. L., & Froelicher, E. S. (2006). Hemodynamic responses to a communitybased Tai Chi exercise intervention in ethnic Chinese adults with cardiovascular disease risk factors. European Journal of Cardiovascular Nursing, 5(2), 165-174.
- Taylor-Piliae, R. E., Haskell, W. L., Waters, C. M., & Froelicher, E. S. (2006). Change in perceived psychosocial status following a 12-week Tai Chi exercise programme. Journal of Advanced Nursing, 54(3), 313-329.
- Tesfaye, S., Chaturvedi, N., Eaton, E. M. S., Ward, D. J., Manes, CD., Ionescu-Tirgoviste, C., et al. (2005). Vascular risk factors and diabetic neuropathy. The New England Journal of Medicine, 352(4), 341-350.
- Tsujiuchi, T., Kumano, H., Yoshiuchi, K., He, D., Tsujiuchi, Y., Kuboki, T., et al. (2002). The effect of Qi-gong relaxation exercise on the control of type 2 diabetes mellitus: a randomized controlled trial. Diabetes Care, 25(1), 241-242.
- Tsang, W.W., Wong V. S., Fu S. N., & Hui-Chan C. W. (2004). Tai Chi improves standing balance control under reduced or conflicting sensory conditions. Archives of Physical Medicine and Rehabilitation, 85(1), 129-37.
- Wang, C., Collet, J. P., & Lau, J. (2004). The effect of Tai Chi on health outcomes in patients with chronic conditions: A systematic review. Archives Internal Medicine, 164(5), 493-501.
- Wu, G., Zhao F., Zhou X., & Wei L. (2002). Improvement of isokinetic knee extensor strength and reduction of postural sway in the elderly from long-term Tai Chi exercise. Archives of Physical Medicine and Rehabilitation, 83(10), 1364-1369.
- Xu, D., Hong, Y., Li, J., & Chan, K. (2004). Effect of tai chi exercise on proprioception of ankle and knee joints in old people. British Journal of Sports Medicine, 38, 50-54
- Yeh, S. H., Chuang, H., Lin, L. W., Hsiao, C. Y., Wang, P-W., & Yang, K. D. (2007). Tai Chi Chuan exercise decreases AIC levels along with increase of regulatory T-cells and decrease of cytotoxic T-cell population in type 2 diabetic patients. Diabetes Care, 30(3), 716-718.
이 논문을 인용한 문헌 (3)
- Chang, Sun-Ju ; Kang, Kyung-Ja 2010. "The Validity and Reliability of a Korean Version of the Diabetes Self-Care Barriers Assessment Scale for Older Adults with Type 2 Diabetes" 근관절건강학회지 = Journal of muscle and joint health, 17(2): 183~191
- Bang, Yo-Soon ; Kim, Hee-Young 2011. "Development and Evaluation of Functional Group Activity Program on Institutionalized Aged" 근관절건강학회지 = Journal of muscle and joint health, 18(1): 83~92
- Park, Yong Ju ; Kim, Ja Ok 2014. "The Effects of Tai Chi Exercise on Hope, Dependency, and Perceived Health Status of Elderly Women" 근관절건강학회지 = Journal of muscle and joint health, 21(2): 106~113
저자의 다른 논문
- 2006 "복부비만여성에게 적용한 복부비만관리 프로그램이 신체구성과 생리적 지수에 미치는 효과" 여성건강간호학회지 = Korean journal of women health nursing 12 (4): 348~354
- 2006 "기태교(氣胎敎) 프로그램이 임신부의 불안, 우울 및 신체 증상에 미치는 효과" 여성건강간호학회지 = Korean journal of women health nursing 12 (3): 240~248
- 2006 "중학생에서 휴대폰의 중독적 사용 정도와 사회.심리적 특성" 지역사회간호학회지 = Journal of korean academy of community health nursing 17 (4): 552~562
- 2007 "여성 성기능장애의 예측 모형" 대한간호학회지= Journal of Korean academy of nursing 37 (7): 1080~1090
- 2007 "여성건강간호학회지의 최근 3년간의 논문분석(2004-2006년)" 여성건강간호학회지 = Korean journal of women health nursing 13 (1): 51~59
- 2007 "중학생의 휴대폰 중독적 사용에 대한 인구사회적.심리적 변인들의 판별예측력" 대한간호학회지= Journal of Korean academy of nursing 37 (6): 957~965
- 2007 "여성 관절염 환자에게 적용한 수중운동과정이 통증과 피로, 신체조성, 체력 및 심리적 변수에 미치는 효과" 여성건강간호학회지 = Korean journal of women health nursing 13 (3): 165~173
- 2007 "차이검정을 이용한 논문의 통계활용 분석" 여성건강간호학회지 = Korean journal of women health nursing 13 (3): 211~218
- 2008 "관상동맥질환자의 삶의 질에 영향을 미치는 요소" Journal of Korean academy of nursing = 대한간호학회지 38 (6): 866~873
- 2008 "요부 안정화 운동이 만성요통을 가진 중년여성의 요통, 체력, 수면 및 우울에 미치는 효과" 성인간호학회지 = Korean Journal of Adult Nursing 20 (2): 269~279
유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.
원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.
NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.
- 이 논문과 함께 출판된 논문 + 더보기