A School-Based Aerobic Exercise Program to Improve Blood Sugar Levels Among Adolescents at Risk of Type 2 Diabetes
DOI:
https://doi.org/10.33755/jkk.v11i4.926Keywords:
Aerobic exercise, adolescents, blood sugar, diabetes risk, school-based intervention, preventionAbstract
Background: The prevalence of type 2 diabetes mellitus (T2DM) continues to increase among adolescents due to sedentary lifestyles and poor health behaviors. Early preventive interventions, particularly physical activity integrated into school settings, are essential to minimize the risk of future metabolic disorders. This study aimed to determine the effect of a school-based aerobic exercise program on blood sugar levels among adolescents at risk of T2DM.
Methods: A quasi-experimental pre-test and post-test control group design was conducted among 60 adolescents aged 13–15 years in Bandung City who were identified as having moderate to high diabetes risk using the FRIDEM application. Participants were assigned into an intervention group (n = 30) and control group (n = 30). The intervention group performed structured aerobic exercise for 30 minutes, three times per week over four weeks, while the control group followed their usual school routine. Fasting blood glucose was measured before and after the intervention. Data were analyzed using paired t-test and ANCOVA.
Results: There was a significant decrease in fasting blood glucose in the intervention group from 123.00 ± 15.70 mg/dL to 100.97 ± 10.80 mg/dL (p < 0.001). In contrast, the control group showed a slight increase from 110.77 ± 14.12 mg/dL to 115.70 ± 17.55 mg/dL (p = 0.077). ANCOVA indicated a significant difference in post-test blood glucose values between groups after controlling for baseline levels (p < 0.001).
Conclusion: A structured school-based aerobic exercise program effectively reduced blood sugar levels among adolescents at risk for type 2 diabetes mellitus. Incorporating regular aerobic exercise into school curricula may serve as an important preventive strategy to improve metabolic health and reduce diabetes risk in youth.
References
1. Rahmala GU, Marfuah D, Noviyanti RD. Hubungan Aktivitas Fisik dan Kepatuhan Diet dengan Kadar Gula Darah Pasien Diabetes Mellitus Tipe II di RSUD Ibu Fatmawati Soekarno Surakarta. Pros Univ Res Colloqium. 2023;684–92.
2. Pardede JA, Simanjuntak G V, Simamora M, Parapat M. Self-Efficacy, Self-Compassion, and Dietary Compliance of Diabetes Mellitus Patients. Tour Heal J. 2022;1(1):14–24.
3. World Health Organization. Diabetes [Internet]. 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes
4. International Diabetes Federation. IDF Diabetes Atlas, 10th Edition [Internet]. International Diabetes Federation; 2021. Available from: https://diabetesatlas.org/resources/previous-editions/
5. Kementerian Kesehatan Republik Indonesia. Survei Kesehatan Indonesia 2023 [Internet]. 2024. Available from: https://www.badankebijakan.kemkes.go.id/hasil-ski-2023
6. Bandung DKK. Profil Kesehatan Kota Bandung Tahun 2022 [Internet]. Bandung: Dinas Kesehatan Kota Bandung; 2022. Available from: https://dinkes.bandung.go.id/download/profil-kesehatan-2022/
7. Kabosu RAS, Adu AA, Hinga IAT. Faktor Risiko Kejadian Diabetes Melitus Tipe Dua di RS Bhayangkara Kota Kupang. Timorese J Public Heal. 2019;1(1):11–20.
8. Puspasari S, Nambiar N, Said FBM, Hayati SN, Supriatin E, Putri TARK. E-FRIDEM Learnability as Type 2 Diabetes Mellitus Screening Tools In Indonesia. Malaysian J Med Heal Sci. 2022;18(4):1–6.
9. Al-Shudifat AE, Al-Shdaifat A, Al-Abdouh AA, Aburoman MI, Otoum SM, Sweedan AG, et al. Diabetes Risk Score in a Young Student Population in Jordan: A Cross-Sectional Study. J Diabetes Res [Internet]. 2017;2017(1):1–5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429959/
10. Opara BC, Ijeh II, Ejike CECC, Nnamudi AC. Diabetes risk score assessment and some adiposity indices in a young adult population in Umudike, Nigeria. African J Diabetes Med [Internet]. 2020;28(1):7–13. Available from: https://www.embase.com/search/results?subaction=viewrecord&id=L2017763423&from=export
11. Organization WH. WHO recommendations on adolescent sexual and reproductive health and rights [Internet]. Geneva: World Health Organization; 2018. Available from: https://www.who.int/publications/i/item/9789241514606
12. Fund UNC. Adolescents statistics – Overview. 2019.
13. Yuningrum H, Trisnowati H, Rosdewi NN. Faktor Risiko Penyakit Tidak Menular (PTM) pada Remaja: Studi Kasus pada SMA Negeri dan Swasta di Kota Yogyakarta. J Formil (Forum Ilmiah) Kesmas Respati. 2021;6(1):41.
14. Qifti F, Malini H, Yetti H. Karakteristik Remaja SMA dengan Faktor Risiko Diabetes Melitus di Kota Padang. J Ilm Univ Batanghari Jambi. 2020;20(2):560.
15. Indonesia KKR. Profil Kesehatan Indonesia Tahun 2018 [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018. Available from: https://kemkes.go.id/app_asset/file_content_download/profil-kesehatan-indonesia-2018.pdf
16. dan Pengembangan Kesehatan KKRI. Laporan Nasional Riskesdas 2018 [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2019. Available from: https://dinkesjatengprov.go.id/v2018/storage/2019/09/Hasil-Riskesdas-2018.pdf
17. Romadhoni WN, Nasuka N, Candra ARD, Priambodo EN. Aktivitas Fisik Mahasiswa Pendidikan Kepelatihan Olahraga selama Pandemi COVID-19. Gelangg Olahraga J Pendidik Jasm dan Olahraga. 2022;5(2):200–7.
18. Lubis RF, Kanzanabilla R. Latihan Senam Dapat Menurunkan Kadar Glukosa Darah pada Penderita Diabetes Melitus Tipe II. J Biostat Kependudukan, dan Inform Kesehat. 2021;1(3):177.
19. Safitri YE, Rachmawati D, Martiningsih W. Pengaruh Aktivitas Fisik Dalam Menurunkan Kadar Glukosa Darah Pada Pasien Diabetes Melitus Tipe 2. J Keperawatan Malang [Internet]. 2022;7(2):94–105. Available from: https://jurnal.stikespantiwaluya.ac.id/index.php/JPW
20. Mustofa EE, Purwono J, Ludiana. Penerapan Senam Kaki Terhadap Kadar Glukosa Darah Pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Purwosari Kec. Metro Utara. J Cendikia Muda. 2022;2(1):78–86.
21. Sari IP, Effendi M. Efektifitas Senam Diabetes Terhadap Kadar Gula Darah Pada Pasien Diabetes Mellitus di Lamongan. Indones J Heal Sci. 2020;4(1):45.
22. Nababan NC, Nababan D. Pengaruh Senam Aerobik Terhadap Penurunan Kadar Glukosa Darah Sewaktu Pada Penderita Diabetes Mellitus Tipe 2 di Puskesmas Poriaha. J Innov Res Knowl. 2022;20(1):105–23.
23. Purnama A, Sari N. Aktivitas Fisik dan Hubungannya dengan Kejadian Diabetes Mellitus. Wind Heal J Kesehat. 2019;2(4):368–81.
24. Dewi R, Susilawaty SA. Efektivitas Senam Aerobik Terhadap Kontrol Glukosa Darah Pasien DM Tipe 2. J Ilm Keperawatan Imelda [Internet]. 2019;5(2):91–5. Available from: http://jurnal.uimedan.ac.id/index.php/JURNALKEPERAWATAN
25. Fitriani F, Fadilla R. Pengaruh Senam Diabetes Terhadap Penurunan Kadar Gula Darah Pada Pasien Diabetes Mellitus. J Kesehat dan Pengemb. 2020;10(19):114–22.
