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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 12, Issue 3, October 2014 pp 478-482

Research Article

Effect of diet and exercise on improvement of  anthropometric variables and BSL in  prediabetic study subjects of urban slum area

Chandrashekhar M Gedam¹, Pravin N Yerpude², P B Sawant³, Keerti S Jogdand²

¹State Consultant, Maternal Health, UNFPA, Madhya Pradesh, INDIA.

^2,4Associate Professor, Department of Community Medicine, Gujarat Adani Institute of Medical Sciences, Bhuj-370001, Gujarat, INDIA.

Abstract

Introduction: Subjects with IGT and IFG have an increased risk of type-2 diabetes therefore form an important target group for interventions aimed at preventing diabetes. Approximately one third of the individuals with either IFG or IGT and two third of individuals with both will develop diabetes within six years. Present study was planned to focus attention on prediabetes and to see the effect of the intervention measures such as diet change and increasing level of physical activity to control the blood sugar level in prediabetics. Materials and Methods: The present hospital based interventional study was conducted in urban slum area. The outpatient department attendees of the Urban Health Centre, comprises the study population for the present study. If blood sugar levels fits in the definition of pre-diabetes (either IFG or IGT or both) then subjects were assigned to the groups, either in the intervention group or control group by randomization. Subjects in the intervention group were advised regarding diet change and exercise. All the subjects in both the groups were followed-up for 9 months. Results: Total 288 study subjects undergo investigation for pre-diabetes, out of which 104 (36.11%) found to have pre-diabetes. So prevalence of pre-diabetes was 36.11%. Majority of the participants i.e. 34 were in the age group of 40 to 49 yrs. Majority of the participants had completed their education up to graduation (39 %) and post-graduation (17 %). Anthropometric variables like BMI and waist hip ratio were not found significant before intervention but after intervention there is significant variation in anthropometric variables between control and intervention groups. Similarly fasting and post prandial blood sugar level among control and intervention groups were found to be significant after intervention. Conclusion: The study shows that intervention measures like diet change and exercise are effective to decrease and maintain the blood sugar levels among prediabetics by decreasing and maintaining their bodyweight.