The Effect of Physical Activity on Blood Glucose Levels in Patients with Type 2 Diabetes Mellitus in Masbagek District, East Lombok
DOI:
https://doi.org/10.70716/mohr.v3i3.313Keywords:
physical activity, type 2 diabetes mellitus, blood glucose, rural health, IndonesiaAbstract
Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by hyperglycemia due to impaired insulin secretion or resistance. Physical activity has been widely recognized as a non-pharmacological strategy to control blood glucose. However, limited evidence exists regarding its effectiveness in rural Indonesian populations. This study aims to evaluate the effect of physical activity on blood glucose levels in patients with T2DM in Masbagek District, East Lombok. A quasi-experimental study with a pre–post test design was conducted from January to April 2024. A total of 80 participants diagnosed with T2DM were recruited using purposive sampling. The intervention group (n=40) performed moderate-intensity physical activity (30 minutes of brisk walking, 5 days/week) for 12 weeks, while the control group (n=40) continued routine care. Fasting blood glucose levels were measured before and after the intervention. Data were analyzed using paired and independent t-tests. The intervention group showed a significant reduction in mean fasting blood glucose from 178.5 ± 22.4 mg/dL to 142.3 ± 18.9 mg/dL (p < 0.001), whereas the control group showed no significant change (176.8 ± 20.1 mg/dL to 173.2 ± 21.4 mg/dL, p = 0.214). Regular moderate-intensity physical activity significantly reduced blood glucose levels in T2DM patients in Masbagek District. These findings emphasize the importance of integrating structured physical activity into community-based diabetes management programs in rural areas.
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Bellini, A., Rossi, G., & Conti, F. (2024). Exercise prescription for postprandial glycemic management. Nutrients, 16(4), 1–15. https://doi.org/10.3390/nu16081170
Church, T. S., Blair, S. N., Cocreham, S., Johannsen, N., Johnson, W., Kramer, K., ... & Earnest, C. P. (2010). Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes: A randomized controlled trial. JAMA, 304(20), 2253–2262. https://jamanetwork.com/journals/jama/fullarticle/186960
Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R., ... & Braun, B. (2016). Physical activity/exercise and diabetes: A position statement of the American Diabetes Association. Diabetes Care, 39(11), 2065–2079. https://doi.org/10.2337/dc16-1728
DiPietro, L., Gribok, A., Stevens, M. S., Hamm, L. F., Rumpler, W., & Ducharme, S. W. (2013). Three 15-min bouts of moderate postmeal walking improve 24-h glycemic control in older people. Diabetes Care, 36(10), 3262–3268. https://doi.org/10.2337/dc13-0084
Vincent, G. E., Jay, S. M., Vandelanotte, C., & Ferguson, S. A. (2017). Breaking up sitting with Light-intensity physical activity: implications for Shift-Workers. International Journal of Environmental Research and Public Health, 14(10), 1233.. https://doi.org/10.3390/ijerph14101233
Gale, J. T. G., Smith, L., & Horton, J. (2023). Breaking up evening sitting with resistance activity improves postprandial glycemic response: A randomized crossover trial. Medicine & Science in Sports & Exercise, 55(6), 1234–1245. https://doi.org/10.1249/MSS.0000000000003166
Snowling, N. J., & Hopkins, W. G. (2006). Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes care, 29(11), 2518-2527. https://doi.org/10.2337/dc06-1317
Jansson, A. K., Lundqvist, O., & Karlsson, M. (2022). Effect of resistance training on HbA1c in adults with type 2 diabetes mellitus: A systematic review and meta-analysis. BMJ Open Diabetes Research & Care, 10(1), 1–12. https://doi.org/10.1136/bmjdrc-2021-002595
Lee, J. H., Kim, S., & Park, Y. (2017). Resistance training for glycemic control, muscular strength and insulin sensitivity in type 2 diabetes: A review. Journal of Diabetes Investigation, 8(3), 1–10. https://doi.org/10.1007/s13300-017-0258-3
Johnston, C. A., Moreno, J. P., & Foreyt, J. P. (2014). Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. Current atherosclerosis reports, 16(12), 457. https://doi.org/10.1007/s11883-014-0457-6
Maiorana, A., O’Driscoll, G., Goodman, C., Taylor, R., & Green, D. (2002). Combined aerobic and resistance exercise improves glycemic control in type 2 diabetes. Diabetes Research and Clinical Practice, 56(2), 115–123. https://doi.org/10.1016/S0168-8227(01)00368-0
Moore, J. M., Salmons, H., Vinoskey, C., Hooshmand, S., & Kressler, J. (2024). One minute of stair climbing and descending reduces postprandial insulin and glucose with 3-min improving insulin resistance following a mixed meal in young adults: A randomized controlled crossover trial. Journal of Exercise Science & Fitness, 22(3), 266-270. https://doi.org/10.1016/j.jesf.2024.03.004
Nurvita, R., & Nuswantoro, D. (2022). Correlation between physical activity and fasting blood glucose in patients with type 2 diabetes mellitus. Current Internal Medicine Research and Practice Journal, 1(2), 45–52. https://doi.org/10.20473/cimrj.v3i2.38067
Al-Mhanna, S. B., Batrakoulis, A., Ghazali, W. S. W., Mohamed, M., Aldayel, A., Alhussain, M. H., ... & Rojas-Valverde, D. (2024). Effects of combined aerobic and resistance training on glycemic control, blood pressure, inflammation, cardiorespiratory fitness and quality of life in patients with type 2 diabetes and overweight/obesity: a systematic review and meta-analysis. PeerJ, 12, e17525. https://doi.org/10.7717/peerj.17525
Putri, M., Tiara, R., Persariningrat, I., Surialaga, S., & Syamsunarno, M. R. A. A. (2019). Physical activities decrease fasting blood glucose level in diabetes mellitus type 2 patients: Use of international physical activity questionnaire (IPAQ) in rural area aktivitas fisik menurunkan kadar glukosa darah puasa pada pasien diabetes mellitus. Majalah Kedokteran Bandung, 51(22), 201-205. https://doi.org/10.15395/mkb.v51n4.1765
Salim, S. E., Wikananda, I. M. F., Wulandari, D. C., & Widiana, I. G. R. (2023). The Effects of high intensity training on glycated hemoglobin type A1C reduction and insulin resistance changes compared to moderate intensity training in patients with type 2 diabetes: a systematic review and meta analysis: Effects of HIT on glycated hemoglobin A1C and IR. Surabaya Medical Journal, 1(2), 62-71. https://doi.org/10.59747/smjidisurabaya.v1i2.33
Bariyyah, Y. K., Sawitri, E., & Bakhtiar, R. (2021). The Effect of Aerobic Exercise on Blood Glucose Level among Patients with Type-2 Diabetes Mellitus: Systematic Review. Jurnal Ilmu Kesehatan, 9(2), 142-150.
Su, W., Tao, M., Ma, L., Tang, K., Xiong, F., Dai, X., & Qin, Y. (2023). Dose-response relationships of resistance training in Type 2 diabetes mellitus: a meta-analysis of randomized controlled trials. Frontiers in Endocrinology, 14, 1224161. https://doi.org/10.3389/fendo.2023.1224161
Terauchi, Y., Takada, T., & Yoshida, S. (2022). A randomized controlled trial of a structured program combining aerobic and resistance exercise for adults with type 2 diabetes in Japan. Diabetology international, 13(1), 75-84. https://doi.org/10.1007/s13340-021-00506-5
Widyawardani, T. N., & Safitri, D. (2022). Meta-Analysis of the Effect of Physical Exercise on Decrease Blood Sugar Levels in Type-2 Diabetes Mellitus Patients. Journal of Health Promotion and Behavior, 7(2), 119-131. https://doi.org/10.26911/thejhpb.2021.07.02.04
WHO. (2020). WHO guidelines on physical activity and sedentary behaviour. World Health Organization.
Amare, F., Kiflu, A., & Taddese, A. (2025). Effects of concurrent continuous aerobic and short rest resistance exercise training on metabolic biomarkers in type 2 diabetes patients: a systematic review and meta-analysis. Diabetology & Metabolic Syndrome, 17(1), 290. https://doi.org/10.1186/s13098-025-01838-x
Garcia, S. P., Cureau, F. V., de Quadros Iorra, F., Bottino, L. G., Monteiro, L. E., Leivas, G., ... & Schaan, B. D. (2025). Effects of exercise training and physical activity advice on HbA1c in people with type 2 diabetes: A network meta-analysis of randomized controlled trials. Diabetes Research and Clinical Practice, 221, 112027. https://doi.org/10.1016/j.diabres.2025.112027
Wang, Z., Qian, L., Shen, J. T., Wang, B., Shen, X. H., & Shi, G. P. (2025). Short-term structured dietary and exercise interventions delay diabetes onset in prediabetic patients: a prospective quasi-experimental study. Frontiers in endocrinology, 16, 1413206. https://doi.org/10.3389/fendo.2025.1413206
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