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

Authors

  • Fajar Alam Putra Masters Program in Public Health, Universitas Sebelas Maret
  • Dono Indarto Faculty of Medicine, Universitas Sebelas Maret
  • Ruben Dharmawan Faculty of Medicine, Universitas Sebelas Maret

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

References

Anxiety Care UK (2014). The biological effects and consequences of anxiety. Retrieved from www.anxietycare.org.uk/the-biological-effects-and-consequences-of-anxiety.

Askes (Persero) (2012). Annual Report.

Astuti CM, Setiarini A (2013). Faktor-faktor yang berhubungan dengan pengendalian kadar glukosa darah pasien diabetes melitus tipe 2 rawat jalan di poliklinik penyakit dalam RSJ Prof. Dr. Soerojo Magelang Tahun 2013. Jakarta.

Barnes E, Darryl (2012). Panduan untuk mengendalikan glukosa darah. Klaten: Insan Sejati.

Dinkes Jateng (2014). Penyakit tidak menular. Buletin jendela data dan informasi kesehatan Semester II.

Eliana F (2015). Penatalaksanaan DM sesuai konsensus perkeni 2015”. http://www.pdui-pusat.com/wp-content/uploads/2015/12/SATELITSIMPOSIUM-6.1-DM-UPDATE-DAN-Hb1C-OLEH-DR.-Dr.-FatimahEliana-SpPD-KEMD.pdf. (Akses 14 Juni 2019).

Hessler D, Fisher L, Glasgow R, Strycker L, Dickinson L, Arean P, Masharani U (2014). Reductions in regimen distress are associated with improved management and glycemic control over time. Diabetes Care. 37: 617-624.

IDF (2017). Global Guideline for Type 2 Diabetes

Ilyas EI (2011). Olahraga bagi Diabetesi. dalam: Soegondo, S., Soewondo, P., Subekti, I., Editor. Penatalaksanaan diabetes melitus terpadu bagi dokter maupun edukator diabetes. Jakarta: Fakultas Kedokteran Universitas Indonesia.

InfoAskes (2010). Pelayanan kesehatan berbasis dokter keluarga. Buletin; edisi Juni: 6-9

Kronenberg (2008). Williams Texbook of Endocrinology. Philadelphia: Saunder Elsevier Publishing.

Luyckx K, Krenke I, Hampson S (2010). Glycemic control, coping, and internalizing and externalizing symptoms in adolescent with type 1 diabetes. Diabetes Care. 33(7): 1424-1429.

Mudjaddid E (2009). Dispepsia Fungsional. In: Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S, ed. Buku Ajar Ilmu Penyakit Dalam. Jilid III. Jakarta: Fakultas Kedokteran Universitas Indonesia.

Semiardji G (2013). Stres emosional pada penyandang diabetes. Dalam: Soegondo S, Soewondo P, Subekti I. PenatalaksanaanDiabetes Melitus Terpadu. Jakarta: FKUI.

Setiawan et al. (2014). Terhadap tekanan darah dan nadi pada lansia hipertensi, Prosiding Konferensi Nasional II PPNI Jawa Tengah, Semarang

Shaqina (2016). Hubungan keikutsertaan program jaminan kesehatan nasional (Jkn) dengan kepatuhan berobat penderita diabetes melitus tipe 2 di Puskesmas Simpur Bandar Lampung. Fakultas Kedokteran, Universitas Lampung.

Tsenkova V, Albert M, Georgiades A, Ryff C (2013). Trait anxiety and glucose metabolism in people without dia-betes: Vulnerabilites among black women. Diabet Med. 24(6): 803-806.

WHO (2017). Noncommunicable diseases, Media Centre.

Zahtamal et al. (2007). Faktor resiko pasien diabetes melitus di RSUD Arifin Achmad Provinsi Riau. Journal of medicine science.1(1): 4.

Downloads

Published

2019-04-16

How to Cite

Putra, F. A., Indarto, D., & Dharmawan, R. (2019). Effects of Chronic Disease Control Club on Physical Activity, Anxiety, and Blood Sugar Level: A Path Analysis Evidence. Journal of Health Promotion and Behavior, 4(2), 137–144. Retrieved from https://thejhpb.com/index.php/thejhpb/article/view/206

Issue

Section

Articles