| The study reported on here was designed to address the situation of type 2 diabetes mellitus patients in the knowledge of exercise, the habit of doing exercise, the health situation and the relation of fasting blood glucose level and BMI with the above knowledge and situation. I hope to find some way to help the subjects and DM patients by let them get more useful knowledge about exercise and solve some social cultural and environment problems about misunderstanding of exercise and their great roles. And let DM patients change their wellbeing and have a good day. 431 Type 2 DM patients were studied as subjects from: Mansoura in Egypt, Paris in France, and in Morocco : Meknes(big city) new city area, Meknes( big city )old c area, Taza(small city) and Military hospital. In this research, we measured the fasting blood glucose, body mass index, heart rate and got some information from a questionnaire about health situation, exercise habit situation and exercise knowledge. Accoording to the result of questionnaire, we found that the years of DM in Paris group was significantly longer than that of any other city group(P<0.05), and Meknes Old City group was the shortest one(P<0.05), which was probably related with the ageing level of the city groups. There was no significant difference on rest heart rate of the subjects (P>0.05). The body mass index (BMI) in Taza small city was remarkably lower than the other cities (P<0.01), while Meknes Old city significantly higher than Meknes New city, Military Hospital and Taza small city group (P<0.05). In the questionnaire, which included general health situation, exercise knowledge and exercise condition, was designed to study the relationship among them in different city groups. The results showed that the score of the health condition of the subjects in Meknes Old City was the highest (P<0.001), while there were no significant differences between the other groups. The results of the exercise knowledge showed that the subjects in Mansoura group and Paris group had much more knowledge in exercise than Meknes Old city while there were no differences with other groups. By analyzing the correlation between age, health score, exercise knowledge score and BMI, it was found that there was significant nonlinear correlation between BMI and age, BMI and health score, health score and exercise knowledge score as well (P<0.01). The study in the relationship between the subjects'behavior and cognition about exercise mode showed that stroll, walking and running accounted for 88.69% as the most suitable exercise way, but stroll, walking and running accounted for only 80.00% as the most efficient modes. The study on real exercise time and the ideal time during a day showed most subjects in Mansura group were used to doing exercise before breakfast (accounting for 80%). Although 48% subjects thought the ideal time for exercise was after breakfast, 72% did exercise before breakfast in fact, and only 4% did exercise after breakfast. The ratio of before or after breakfast was also higher than other time in other groups (44.27% on average). The results of exercise duration for most subjects had a increasing tendency, but no significant differences (P>0.05). From this investigation, the results were not optimistic. On total average ratio of exercise times not more than once a week reached as high as 63.71%, and the ratio of no exercise at all was 27.90%. The percentage of the subjects who did exercise more than 3 times per week was also low. In another way, most subjects thought exercise was a kind of overwork for life, but not a big problem. The conclusion is :1. The Time for exercise is apparently insufficient .2. The DM patients need to learn more about exercise knowledge and do more physical activity.3. Strolling, walking and running are the most suitable exercises and most efficient exercises for DM patients.4. The DM patients think that the suitable time for exercise is before breakfast. But this is wrong idea.5. Some subjects thought that exercise on daily life could be a burden but not a big problem. They do not do exercise mainly because of many social ,cultural ,and environment problems ,also economic problems are very important factors.We should encourage DM patients to change their exercise habit and condition to spend more time doing exercise and learn more exercise knowledge.Suggestion:This study confirms the effectiveness of : giving more important to the DM patients about how much they know and received about exercise knowledge , and how much they practice exercise, and what kind of problems don't let them do and learn enough exercise knowledge, also let them understand that they are responsible for learning enough about exercise knowledge , for changing their habit of doing exercise by doing more physical activities, & solving some social cultural and environment problems & changing their misunderstanding of the great roles of exercise .not only patients are responsible for that but also all doctors, nurses, researchers , health care professionals, clinicians ,and diabetes organizations , governments, family and good friends are responsible for helping and encouraging and teaching DM patients to get this goal ,to feel great and to live full life. |
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