Cost-Effective Exercise Programs on Health-Status of Malaysian Diabetic Individuals - A Socio-Psychological Analysis
Lifestyle-related diseases like Type 2 Diabetes Mellitus (T2DM) induces humongous amount of global health and economic burden. This study purports to compare the efficacy of aerobic and combined exercise intervention programs evident amongst T2DM individuals in Kelantan, Malaysia to assess the co...
| Main Authors: | , , , , , |
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| Other Authors: | |
| Format: | Book Section |
| Language: | English |
| Published: |
School of Social Sciences, USM
2017
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| Subjects: | |
| Online Access: | http://eprints.usm.my/40580/ http://eprints.usm.my/40580/1/ART_37.pdf |
| Summary: | Lifestyle-related diseases like Type 2 Diabetes Mellitus (T2DM) induces humongous amount of
global health and economic burden. This study purports to compare the efficacy of aerobic and
combined exercise intervention programs evident amongst T2DM individuals in Kelantan,
Malaysia to assess the cost-effectiveness of those exercise interventions.
75 middle-aged T2DM individuals from middle-income population of Kelantan, Malaysia were
recruited as participants, and hence they were assessed with HbA1c for evaluation of stability in
regulation of blood-glucose level; EuroQol 5D-5L questionnaire for evaluation of perceived
health-status; Brunel Mood States (BRUMS) for assessment of changes in mood states and
Bender-Gestalt II (BG- II) for evaluation of cognitive competence. After the baseline assessment,
they were randomly categorized into 3 groups – control group, and two experimental groups,
such as - aerobic exercise training and combined introduction of aerobic and strength-training
exercises. Protocol for the exercise interventions was scheduled as 20-50 minutes/day; 3-4 days/
week; for 14 weeks. Thereafter to assess the effectiveness of the intervention programs, postintervention
analyses were carried out after 14 weeks. Finally, incremental cost effectiveness
ratio (ICER) was calculated to determine the most cost - effective exercise program for the
diabetic population.
Post-intervention analyses revealed significant improvement in the level of HbA1c; mobility and
in overall perceived health status. Further to that, participants of the combined intervention Group
had significant improvement in cognitive comprehension and working memory levels. Finally,
cost effectiveness analysis showed that combined exercise program has been observed to be
the most cost-effective program having the lowest ICER among aerobic and no exercise program
in Malaysia. |
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