Hubungan Aktivitas Fisik dan Kekuatan Massa Otot dengan Kadar Gula Darah Sewaktu

Kathleen Nurman, Edri Indah Yuliza Nur, Tri Ardianti Khasanah

Abstract


Abstrak

Aktivitas fisik merupakan salah satu pilar pelaksanaan penanganan pasien diabetes mellitus. Pasien diabetes cenderung memiliki kekuatan massa otot dan fungsi tangan yang menurun yang dapat berakibat pada menurunnya kualitas hidup. Tujuan penelitian ini adalah mengetahui hubungan aktivitas fisik dan kekuatan massa otot terhadap kadar glukosa darah sewaktu pada pasien diabetes mellitus tipe 2. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan observasional dan desain cross-sectional melibatkan 77 responden terdiagnosa diabetes mellitus tipe 2 berusia 18-60 tahun diwawancara mengenai aktivitas fisik menggunakan International Physical Activity Questionnare serta pengukuran kekuatan massa otot menggunakan hand dynamometer dan kadar gula darah sewaktu (GDS) menggunakan alat pengukur glukosa darah. Kadar GDS responden didominasi oleh kategori GDS tinggi yaitu 55 orang (71,4%), kategori kekuatan massa otot lemah memiliki persentase terbanyak yaitu 40 orang (51,9%), dan aktivitas fisik sedang sebanyak 46 orang (59,7%). Terdapat hubungan antara aktivitas fisik dan kekuatan massa otot dengan kadar gula darah sewaktu pasien diabetes mellitus tipe 2.

 Kata kunci: aktivitas fisik, kekuatan massa otot, gula darah sewaktu, diabetes mellitus

Abstract

Physical activity is one of the most important interventions for patients with diabetes mellitus. Patients with this metabolic disease tend to have lower skeletal muscle strength that results in lower quality of life. This study aimed to examine the relation of physical activity and skeletal muscle strength on blood glucose level of type 2 diabetes mellitus patients. This study was an analytic observational study. The research subjects were 77 patients with type 2 diabetes mellitus aged 18-60 years old. Interviews were conducted on their physical activity habits using the International Physical Activity Questionnaire. Handgrip strength was measured using hand dynamometer, while the rapid blood glucose was measured using a blood glucose monitoring device. Most prevalent blood glucose level category in this study was “high” with 71.4% of respondents, 51.9% of respondents had low skeletal muscle strength, and 59.7% of respondents had moderate physical activity level. There is a significant relationship between physical activity and skeletal muscle strength of patients with type 2 diabetes mellitus blood glucose levels.

Keywords: physical activity, skeletal muscle strength, blood glucose level, diabetes mellitus


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References


Forouzanfar MH, Afshin A, Alexander LT, Biryukov S, Brauer M, Cercy K, et al. Global, Regional, and National Comparative Risk Assessment of 79 Behavioural, Environmental and Occupational, and Metabolic Risks or Clusters of Risks, 1990–2015: A Systematic Analysis for the Global Burden of Disease Study 2015. Lancet. 2016; 388 (10053): 1659–724.

Yanai H, Adachi H, Masui Y, Katsuyama H, Kawaguchi A, Hakoshima M, et al. Exercise Therapy for Patients With Type 2 Diabetes: A Narrative Review. J Clin Med Res. 2018; 10 (5): 365–9.

Figueira FR, Umpierre D, Casali KR, Tetelbom PS, Henn NT, Ribeiro JP, et al. Aerobic and Combined Exercise Sessions Reduce Glucose Variability in Type 2 Diabetes: Crossover Randomized Trial. PLoS One. 2013; 8 (3): 1–10.

Alzaheb RA, Altemani AH. The Prevalence and Determinants of Poor Glycemic Control Among Adults with Type 2 Diabetes Mellitus in Saudi Arabia. Diabetes, Metab Syndr Obes Targets Ther [Internet]. 2018; 11: 15–21. Available from: http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L620884196%0Ahttp://dx.doi.org/10.2147/DMSO.S156214.

De Carvalho E Silva F, Jakimiu FO, Skare TL. Diabetic Hands: A Study on Strength and Function. Diabetes Metab Syndr Clin Res Rev [Internet]. 2014; 8 (3): 162–5. Available from: http://dx.doi.org/10.1016/j.dsx.2014.04.020.

Savaş S, Köroǧlu BK, Koyuncuoǧlu HR, Uzar E, Çelik H, Tamer NM. The Effects of The Diabetes Related Soft Tissue Hand Lesions and The Reduced Hand Strength on Functional Disability of Hand in Type 2 Diabetic Patients. Diabetes Res Clin Pract. 2007; 77 (1): 77–83.

Kim TN, Park MS, Yang SJ, Yoo HJ, Kang HJ, Song W, et al. Prevalence and Determinant Factors of Sarcopenia in Patients With Type 2 Diabetes: The Korean Sarcopenic Obesity Study (KSOS). Diabetes Care. 2010; 33 (7): 1497–9.

Lee M-R, Jung SM, Bang H, Kim HS, Kim YB. Association between Muscle Strength and Type 2 Diabetes Mellitus in Adults in Korea. Medicine (Baltimore). 2018; 97 (23): e10984.

Siyoto S, Sodik MA. Dasar Metode Penelitian. Cetakan 1. Ayup, editor. Yogyakarta: Literasi Media Publishing; 2015. 124.

Mirahmadizadeh A, Khorshidsavar H, Seif M, Sharifi MH. Adherence to Medication, Diet, and Physical Activity and the Associated Factors Amongst Patients with Type 2 Diabetes. Diabetes Ther [Internet]. 2020; 11 (2): 479–94. Available from: https://doi.org/10.1007/s13300-019-00750-8.

Trevor TDPZMCR. Advances in Exercise, Physical Activity, and Diabetes Mellitus. ATTD 2011 Year B Adv Technol Treat Diabetes Third Ed. 2012; 21: 174–202.

Ahmad AM. Moderate-intensity Continuous Training: Is It as Good as High-Intensity Interval Training for Glycemic Control in Type 2 Diabetes? J Exerc Rehabil. 2019; 15 (2): 327–33.

Yang D, Yang Y, Li Y, Han R. Physical Exercise as Therapy for Type 2 Diabetes Mellitus: From Mechanism to Orientation. Ann Nutr Metab. 2019; 74 (4): 313–21.

Nakhanakhup C, Moungmee P, Appell HJ, Duarte JA. Regular Physical Exercise in Patients with Type II Diabetes Mellitus. Eur Rev Aging Phys Act. 2006; 3 (1): 10–9.

Leenders M, Verdijk LB, van der Hoeven L, Adam JJ, van Kranenburg J, Nilwik R, et al. Patients with Type 2 Diabetes Show A Greater Decline in Muscle Mass, Muscle Strength, and Functional Capacity with Aging. J Am Med Dir Assoc [Internet]. 2013; 14 (8): 585–92. Available from: http://dx.doi.org/10.1016/j.jamda.2013.02.006.

Trierweiler H, Kisielewicz G, Jonasson TH, Petterle RR, Moreira CA, Borba VZC. Sarcopenia: A Chronic Complication Of Type 2 Diabetes Mellitus. Diabetol Metab Syndr [Internet]. 2018; 10 (1): 1–9. Available from: https://doi.org/10.1186/s13098-018-0326-5.

Molino S, Dossena M, Buonocore D, Verri M. Sarcopenic Obesity: An Appraisal of The Current Status of Knowledge and Management in Elderly People. J Nutr Heal Aging. 2016; 20 (7): 780–8.

Giglio BM, Mota JF, Wall BT, Pimentel GD. Low Handgrip Strength Is Not Associated with Type 2 Diabetes Mellitus and Hyperglycemia: A Population-Based Study. Clin Nutr Res. 2018; 7 (2): 112.

Nomura T, Kawae T, Kataoka H, Ikeda Y. Aging, Physical Activity, and Diabetic Complications Related to Loss of Muscle Strength in Patients with Type 2 Diabetes. Phys Ther Res. 2018; 21 (2): 33–8.

Fukuoka Y, Narita T, Fujita H, Morii T, Sato T, Sassa MH, et al. Importance of Physical Evaluation Using Skeletal Muscle Mass Index and Body Fat Percentage to Prevent Sarcopenia in Elderly Japanese Diabetes Patients. J Diabetes Investig. 2019; 10 (2): 322–30.




DOI: http://dx.doi.org/10.21776/ub.ijhn.2020.007.01.2

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