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Objective: To examine effects of an arm swing exercise programme on the nutritional
status of female older adults at risks of metabolic syndrome.
Design: One-group, self-control experimental research.
Procedure: The sample included 55 female older adults with excessive waist
circumferences, all residing in an urban community in Bangkok. Data collection, which
was by means of a questionnaire and baseline nutritional assessment, took place in 2
periods: a 4-week control period (from the start of the study to programme administration)
and a 4-week experimental period. The data were analysed using descriptive statistics,
one-way ANOVA with repeated measures, and multiple comparisons.
Results: After the program, the sample’s mean BMI (27.0 + 3.2 kg./m2) was
lower than before the programme (27.4 + 3.3 kg./m2) and lower than the baseline
(27.3 + 3.2 kg./m2), at a statistically signifcant level (F = 31.296, p < .001). The
participants’ mean WC (93.6 + 8.9 cm) was lower than before the programme (94.7 +
9.2 cm.) and lower than the baseline (94.6 + 9.2 cm.), at a statistically signifcant
level (F = 18.645, p < .001).
Recommendations: The results indicated that the arm swing exercise programme
was effective in reducing BMI and WC in female older adults. The programme, therefore,
could be applied by community nurse practitioners and health teams to promote better
health in female older adults residing in the communities.
2. Center of Epidemiology, Ministry of Public Health. Chronic Diseases Surveillance Report, 2012. Retrieved
July 29, 2017, from https://www.boe.moph.go.th/ fles/report/20140109_40197220.pdf (in Thai)
3. Deerojwong, C. Metabolic Syndrome. Royal College of Physicians of Thailand 2008; 23(1): 5-7. (In Thai)
4. Ekpalakorn, V. The 5th National Health and Physical Examination Survey of Thailand 2014. Nonthaburi: Graphic and Design Printing. (In Thai)
5. Leelayuwat, N. Effects of arm swing exercise on metabolism in patients with type 2 diabetes 2006: Khon Khan University. (In Thai)
6. Saelao, K., Kanungsukkasem, V. Effects of arm swing exercise, walking, and walking exercise combined
with arm swing exercise on health-related physical ftness of the elderly women. Journal of Sports Science and Health 2012; 13(1): 92-102. (In Thai)
7. Health Department, Ministry of Health. (2013). Prevention and treatment of non-communicable
diseases with exercise. Bangkok: Agricultural Cooperation of Thailand.
8. Colberg, SR., Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Robin RR, et al. Exercise and type 2 diabetes. Diabetes care 2010; 12(33): 147-65.
9. Fenicchia, LM, Kanaley JA, Azevedo JL, Miller CS, Weinstock RS, Carhart RL, et al., Inﬂuence of resistance exercise training on glucose control on women with type 2 diabetes. Metabolism 2004; 53: 284-89.
10. Tripeud, K., Malathum, P., Hanprasitkam, K.,Kantaratanakul, V. A synthesis of research of exercise inﬂuencing glycemic control in persons with type 2 diabetes. Ramathibodi Nursing Journal 2010; 16(2): 259- 78. (In Thai)
11. House, JS. (1981). Work stress and social support. Reading, MA: Addison- Wesley.
12. Belza, B., Walwick, J., Shiu-Thornton, S., Schwartz,S., Taylor, M., & LoGerfo, J. Older adult perspectives on physical activity and exercise: Voices from multiple cultures. Preventing Chronic Disease 2004; 1(4): 4-28.
13. Petchroung, N., Homdesh, T. The effect of participatory promoting exercise program of exercise behavior in the elderly in rural area. Journal of the Royal Thai Army Nurses 2011; 12(2): 7-13. (In Thai)
14. Stevens, JP. (2002). Applied Multivariate Statistic for the Social Science. 4thed. New Jersey: Lawrence Erlbaum.
15. Thai Health Promotion Fund. Manual for reducing abdominal fat 2016. Retrieved July 29, 2017, from https://drs.oop.cmu.ac.th/nana/downloads/24.pdf
16. Center for Disease Control and Prevention 2017. Retrieved September 5, 2017, from https://www. cdc.gov/healthyweight/assessing/bmi/index.html
17. Ministry of Health. Measurement of waist circumference [updated 2008]. Available from: https://www.anamai.
moph.go.th/ewtadmin/ewt/advisor/main.php? flename=070304. (In Thai)
18. Tangtongjit, R. Obesity and epidemiology. In Obesity: Nutrition and biological change 2007; 1-65. Bangkok, Charurndee Monkong Printing. (In Thai)37
19. Pontzer, H., Holloway, JH., Raichlen, DA., Lieberman, DE. Control and function of arm swing in human walking and running. The Journal of Experimental Biology 2009; 212: 523-34.
20. Jewpattanakul, Y. Family supports for the elderly during the arm swing exercise. Journal of Nursing Science 2012; 13(2): 1-7. (In Thai)
21. Jaranai, J., Kraithaworn, P., Piaseu, N. Effects of a family participation Program by using the RAMA model on health behaviors, nutritional status and blood sugar level in diabetic risk group in community. Kuakarun Journal of Nursing 2016; 23(2): 1-9. (In Thai)