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Comparison of the effects of Korean mindfulness‐based stress reduction, walking, and patient education in diabetes mellitus

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  • Hee Young Jung
  • Haejung Lee
  • Jina Park

Abstract

The purpose of this study was to compare the effects of Korean mindfulness‐based stress reduction (K‐MBSR), walking, and patient education regarding diabetes mellitus (DM) on stress response, glycemic control, and vascular inflammation in patients with diabetes mellitus. A cluster randomized trial including 56 adults with diabetes mellitus (K‐MBSR group = 21, walking group = 18, patient education group = 17) was conducted between 13 July and 14 September 2012. The questionnaire included the Diabetes Distress Scale and Perceived Stress Response Inventory. Fasting blood samples were used to measure levels of cortisol, blood glucose, plasminogen activator inhibitor‐1 (PAI‐1), and tissue plasminogen activator (t‐PA). There were no statistically significant differences between the effects of K‐MBSR, walking, and patient education on stress, glycemic control, or vascular inflammation. However, in the K‐MBSR and walking groups, significant reductions in the levels of serum cortisol and PAI‐1 were observed. A significant reduction in psychological responses to stress was observed in the walking and patient education groups. Longitudinal studies could provide better insight into the impact of K‐MBSR, walking, and patient education on health outcomes in adults with diabetes mellitus.

Suggested Citation

  • Hee Young Jung & Haejung Lee & Jina Park, 2015. "Comparison of the effects of Korean mindfulness‐based stress reduction, walking, and patient education in diabetes mellitus," Nursing & Health Sciences, John Wiley & Sons, vol. 17(4), pages 516-525, December.
    • Handle: RePEc:wly:nuhsci:v:17:y:2015:i:4:p:516-525
    DOI: 10.1111/nhs.12229
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    1. Kiwol Sung & Sangkeun Bae, 2012. "Effects of a regular walking exercise program on behavioral and biochemical aspects in elderly people with type II diabetes," Nursing & Health Sciences, John Wiley & Sons, vol. 14(4), pages 438-445, December.
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