Summary: | 碩士 === 國立體育大學 === 運動保健學系碩士班 === 100 === PURPOSE: The purposes of this study were to determine the effects of an 8-week intergrated exercise program (IEP) followed by a 12-week stop-training phase (ST) on fasting blood glucose (FG) and depressive symptoms (DS) in a community diabetic patient group (DPG). Furthermore, the study sought to examine the relationship between changes of FG and DS from each different time periods. METHODS: Eighteen subjects average aged 60.3±11.5 (Mean±SD) recruited from a DPG were divided into high participation group (HPG, attendanc≧3 times/ past year, n = 9) and low participation group (LPG, attendanc≦2 times/ past year, n = 9). The subjects were obtained FG and DS before (T1) and after (T2) 8 weeks of IEP and again following 12 weeks (T3) of ST. The IEP consisted of exercise sessions with 4 exercise and diet education sessions included in this 8 weeks intervention. Descriptive statistics, two-way ANOVA, mixed design and partial correlation were used for analysis. Fisher least significance difference test (LSD) was used for post hoc comparisons when ANOVAs yielded statistically significant main effects or interactions. RESULTS: There was no interaction between the group and time effects in FG and DS. There was a time but no group main effect in FG but not in DS. LSD analysis revealed that FG at T3 was significantly less than at T1 and T2. Although no statistically signicant time effect on DS, it continuously decreased in HPG while a DS rebound was found in LPG from T2 to T3. There was no relationship between changes of FG and DS from each different time periods. CONCLUSION: A longer term intervention of IEP may benefit FG lessening in DPG. However, advantange from IEP to the reduction of DS is not yet to be determined but it is still promising in a group-interactive setting such as in a community DPG. More studies is needed to clarify the relationship between changes of FG and DS in a population at higher risk of diabetes mellitus.
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