Effects of Chronic Disease Control Club on Physical Activity, Anxiety, and Blood Sugar Level: A Path Analysis Evidence

Fajar Alam Putra, Dono Indarto, Ruben Dharmawan

Abstract

Background: Diabetes mellitus (DM) is a serious chronic disease with a tendency to worsen. The number of DM cases worldwide in 2015 was 415 million people and is expected to increase by 642 million cases in 2040. Indonesia ranks 7th in the world with 10 million DM cases in 2015, around 90% of which are Diabetes Mellitus Type 2. This study aimed to determine the effects of chronic disease control club on physical activity, anxiety, and blood sugar level.

Subjects and Method: This was a cross sectional study conducted at Sukoharjo health center, Sukoharjo, Central Java, from August to September 2018. A sample of 245 type 2 DM patients was selected for this study. The independent variables were physical activity, anxiety, chronic disease control club, and complications. Data were collected using HARS, physical activity, complication and club activitiesquestionnaires. Data were analyzed by using path analysis.

Results: Anxiety directly increased with com­plication (b= 12.55; 95% CI= 111.98 to 13.90; p<0.001). Anxiety directly de­cre­ased with chronic disease control club (b= -3.29; 95% CI= -4.72 to -1.85; p<0.001). Fasting blood sugar directly incre­ased with anxiety (b= 2.78; 95% CI= 1.32 to 4.24; p<0.001) and complication (b= 33.14; 95% CI= 8.40 to 57.87; p= 0.009). Fasting blood sugar directly decre­ased with physical activity (b= -15.12; 95% CI= -19.89 to -10.35; p<0.001) and chro­nic disease control club (b= -30.14; 95% CI= -48.80 to -11.48; p= 0.002).

Conclusion: Anxiety directly increases with com­plication. Anxiety directly de­cre­ases with chronic disease control club. Fasting blood sugar directly incre­ases with anxiety and compli­cation. Fasting blood sugar directly decre­ases with physical activity and chro­nic disease control club.

Keywords: blood sugar level, physical activity, anxiety, chronic disease control club

Correspondence: Fajar Alam Putra. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: bolodewe88@gmail.com

Journal of Health Promotion and Behavior (2019), 4(3): 137-144
https://doi.org/10.26911/thejhpb.2019.04.02.06

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