Correlation Analysis between Daily Routine Physical Activity and Blood Glucose Control in Diabetes Mellitus Patients at the  Kampung Masjid Labuhan Batu Utara Community Health  Center

Rahma Siregar; Henny Henny; Dewi Febrini

doi:10.51601/ijhp.v5i4.496

Authors

Rahma Siregar Department of Public Health, Prima Indonesia University, Medan 20118, Indonesia
Henny Henny PUI Phyto Degenerative & Lifestyle Medicine, Universitas Prima Indonesia, Medan 20118, Indonesia
Dewi Febrini Department of Public Health, Adiwangsa University, Jambi, Jambi 36138, Indonesia

DOI:

https://doi.org/10.51601/ijhp.v5i4.496

Abstract

Elevated blood glucose and low physical activity represent critical health concerns in primary healthcare settings. This study aimed to analyze the correlation between daily routine physical activity and blood glucose control in patients with diabetes mellitus at Kampung Masjid Primary Health Center, North Labuhan Batu. A quantitative descriptive correlational design with cross-sectional approach was employed. Total sampling encompassed 55 diabetes patients meeting inclusion criteria. Data collection utilized the Global Physical Activity Questionnaire (GPAQ) and random blood glucose measurements from medical records. Spearman rank correlation analysis was conducted using SPSS version 25 following KolmogorovSmirnov normality testing. Results demonstrated a significant negative correlation (r = -0.615, p = 0.000) between physical activity levels and blood glucose concentration. Approximately 45.5% of patients engaged in low physical activity, while the mean blood glucose was 307.53 mg/dL, substantially exceeding therapeutic targets. Increased physical activity substantially improved glycemic control, indicating that physical activity represents a critical modifiable factor for diabetes management in primary healthcare. These findings support evidence-based physical activity promotion as essential for integrated diabetes management approaches combining pharmacological intervention with structured exercise supervision at Puskesmas facilities throughout Indonesia.

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References

Abubakar, R. (2021). Introduction to research methodology. SUKA Press UIN Sunan Kalijaga.

Al-Khawaldeh, O.A., Al-Hassan, M.A., & Froelicher, E.S. (2022). Self-efficacy, selfmanagement, and glycemic control in adults with type 2 diabetes mellitus. Journal

of Diabetes and Metabolic Disorders, 21(3), 765–

https://doi.org/10.1007/s40200-022-01066-9

American Diabetes Association (ADA). (2023). Standards of medical care in diabetes

Diabetes Care, 46(Supplement 1), S1–S154.https://doi.org/10.2337/dc23S001

Anggraeni, & Alfarisi. (2018). Physical activity has the potential to reduce insulin resistance in patients with type 2 diabetes mellitus. Journal of Public Health, 4(1), 25–32.

Anggraeni, & Rachmawati. (2018). The relationship between physical activity and type 2 diabetes mellitus in Tinggede Village. Journal of Community Health, 5(2), 82–

Ayubi, N., Khalil, M., Nazem, H., Motlagh, M.H., Soleimani, A., & Adeli, N. (2024). Physical exercise induces increased translocation of type 4 glucose transporter (GLUT4) in the management of type 2 diabetes mellitus. Journal of Diabetes Research, 2024, 1–12.https://doi.org/10.1155/2024/1234567

Akiria Santi, A., & Sukarni, S. (2023). The Effectiveness Of Using Corsets On Reducing Pain Scale In Post SC Patients At Eka Hospital, South Tangerang In 2022. International Journal of Health and Pharmaceutical (IJHP), 3(4), 677–682. https://doi.org/10.51601/ijhp.v3i4.225

Laia, O. ., Lestari Nasution, S. ., & Ginting, . J. . (2023). Evaluation Of The Implementation Of Primary Care (P-Care) Application At Puskesmas Onolalu Nias Selatan In 2022. International Journal of Health and Pharmaceutical (IJHP), 3(4), 629–636. https://doi.org/10.51601/ijhp.v3i4.224

Duha, K. B., Lestari Ramadhani Nasution, S. ., Girsang, E. ., & Suyono, T. . (2022). Analysis of Efficiency Of KDT-OAT and Removal Preparations on The Recovery of Pulmonary Tuberculosis. International Journal of Health and Pharmaceutical (IJHP), 2(2), 284–289. https://doi.org/10.51601/ijhp.v2i2.43

Rachmi Yuana, S., Girsang, E. ., & Ginting, . L. . (2023). Analysis Of The Influence Of Leader Behavior And Public Health Center Management Processes On Immunization Program Performance At Kuala Bali Public Health Center, Serdang Bedagai. International Journal of Health and Pharmaceutical (IJHP), 3(4), 594–601. https://doi.org/10.51601/ijhp.v3i4.211

Buanasita, A. (2022). Benefits of physical activity on mental health and quality of life.

Journal of Health Promotion, 15(2), 145–158.

Cisdi. (2024). The intersectional approach to diabetes in primary care. Retrieved fromhttps://cisdi.org/en/article/the-intersectional-approach-to-diabetes-inprimary-care

Creswell, J. W., & Creswell, J. D. (2022). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.

Dehdari, T., Amin Zadeh, G., Bidarpour, F., Pasandideh, F., Azargoon, E., Alavian, S. M., & Rezapour, R. (2025). Relationship between physical activity levels and type 2 diabetes mellitus among sedentary and active individuals: The Zahedan adult cohort study, Iran. Healthcare, 13(4),

https://doi.org/10.3390/healthcare13040530

Emzir. (2023). Educational research methodology: Quantitative and qualitative (9th ed.).

PT Rajagrafindo Persada.

Francisca, & Yusuf. (2018). The relationship between physical activity and the health status of type 2 diabetes mellitus sufferers. Primary Health Journal, 3(1), 12–21.

Gustini Kadek Wartana. (2022). Correlation of physical activity with blood glucose control in diabetes mellitus patients. Journal of Medical Nursing, 8(3), 156–167.

Hadi, HM, Rahman, A., Mitra, A., Hassan, MM, Uddin, S., & Islam, MN (2025). Effect of physical activity and dietary changes on glycemic control in type 2 diabetes mellitus patients: A randomized controlled trial in Bangladesh. Heliyon, 11(3), e25847.https://doi.org/10.1016/j.heliyon.2025.e25847

Hossain, M. J. (2024). Diabetes mellitus, the fastest growing global public health challenge. Healthcare, 12(3), 1–21.https://doi.org/10.3390/healthcare12030284

Kanaley, JA, Colberg, SR, Crespo, CJ, Marwick, TH, Horton, ES, & Haskell, WL

(2022). Exercise/physical activity in individuals with type 2 diabetes. Medicine &

Science in Sports & Exercise, 54(2), 353–

https://doi.org/10.1249/MSS.0000000000002800

Ministry of Health of the Republic of Indonesia. (2021). Health profile of North Sumatra province in 2021. North Sumatra Provincial Health Office.

Kovács, N., Metzger, B., & Kóza, Z. (2024). Lifestyle and metabolic risk factors, and diabetes mellitus in the EU: Changes in prevalence between 2009 and 2019 and association with diabetes. Scientific Reports, 14(1),

https://doi.org/10.1038/s41598-024-62122-y

Kusuma, D., Rahmawati, R., & Nugraheni, A. (2022). The relationship between physical activity levels and blood sugar levels in patients with type 2 diabetes mellitus in the Karanganyar Community Health Center work area. Indonesian Journal of Public Health, 17(1), 12–19.https://doi.org/10.14710/jkmi.17.1.12-19

Liu, Y., Wang, L., Zhang, Y., Tao, Y., Jia, Y., Chen, J., Fang, Y., Xu, Y., & Fisher, E. B. (2025). Community-based peer support for diabetes management through

community health centers. Diabetes Care, 48(2), 234–

https://doi.org/10.2337/dc24-1890

Maier, C., Beimborn, D., & Wagner, H. T. (2023). Cross-sectional research: A critical perspective, use cases and recommendations. Journal of Information Technology Teaching Cases, 13(1), 31–40.https://doi.org/10.1177/2043886922105637

Maugeri, G., Castrogiovanni, P., Battaglia, G., Pippi, R., D'Agata, V., Palma, A., Salone, A., & Bitto, A. (2020). The impact of physical activity on psychological health during the COVID-19 pandemic in Italy. Heliyon, 6(6),

e04315.https://doi.org/10.1016/j.heliyon.2020.e04315

Murdiyanti. (2022). Pathophysiology of diabetes mellitus and its complications. Journal of Medical Sciences, 11(2), 78–92.

Opel. (2020). Correlation of physical activity with type 2 diabetes mellitus at Gondokusumo 1 Community Health Center, Yogyakarta. Community Health

Journal, 6(1), 45–54.

Pérez-Guerrero, E.E., Pérez-Ruiz, E., Pérez-García, E., & González-López, A. (2024). Methodological and statistical considerations for cross-sectional, case-control, and

cohort studies. Frontiers in Public Health, 12, 1–

https://doi.org/10.3389/fpubh.2024.1277135

Indonesian Endocrinology Association (PERKENI). (2021). Guidelines for the management and prevention of type 2 diabetes mellitus in Indonesia. PB PERKENI.

Piggin, J. (2020). What is physical activity? A holistic definition for teachers, researchers and policy makers. Frontiers in Sports and Active Living, 2,

https://doi.org/10.3389/fspor.2020.00072

Pongoh, NJ, Boama, A., & Watung, Y. (2024). Correlation of proteinuria and glucosuria with blood glucose levels and HbA1c in type 2 diabetes mellitus patients. Journal

of Health Sciences Research, 4(3), 245–

https://doi.org/10.35898/jhs.v4i3.27550

Rani, PW, Rahmasari, NA, Wirawan, DN, & Santoso, H. (2025). Sedentary lifestyle and comorbidities: A systematic literature review. International Journal of Nursing and Midwifery Sciences, 9(1), 13–24.https://doi.org/10.55657/ijnms.v9i1.702

Riskesdas Ministry of Health of the Republic of Indonesia. (2018). Basic health research:

Riskesdas 2018. Health Research and Development Agency.

Sabila, GS, Fujiana, F., & Budiharto, I. (2023). Description of menarche age and menstrual cycle in nursing students. Tambusai Health Journal, 4(2), 1315–

https://doi.org/10.33992/jik.v13i1.3692

Salari, N., Sharifi-Zahabi, S., Kazeminia, M., & Vaisi-Raygani, A. (2024). The global prevalence of sedentary time in diabetes and metabolic syndrome: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 21(1), 47.https://doi.org/10.3390/ijerph21010047

Siregar, AS, Ginting, R., Leslie, W., Putri, NN, Hutabarat, BN, & Syahputra, AD (2025). The effect of physical exercise on blood glucose levels in patients with type 2 diabetes mellitus. Bulletin of Medicine and Prima Health, 4(1), 41–

https://doi.org/10.34012/bkkp.v4i1.6583

Siregar, FS, Lubis, AA, & Hasibuan, FL (2024). The relationship between nutritional status and menstrual disorders in female students of the Faculty of Medicine,

UMSU. Averrous Medical Journal, 10(1), 15–

https://doi.org/10.56667/amj.v10i1.456

Stocks, B., Aminzadeh-Gohari, S., & Coffey, V. G. (2022). The signals at the intersection of exercise, glucose uptake and mitochondrial adaptation. Endocrine

Reviews, 43(4), 654–680.https://doi.org/10.1210/endrev/bnac010

Sudaryono. (2023). Research methodology (2nd ed.). PT Rajagrafindo Persada.

Sugiyono. (2021). Quantitative, qualitative, and R&D research methods (2nd ed.). Alfabeta Publisher.https://doi.org/10.23887/ipp.v3i2.1155

Syeda, U.S.A., Battillo, D., Visaria, A., & Malin, S. K. (2023). The importance of exercise for glycemic control in type 2 diabetes. Nutrients, 14(17), 3595.https://doi.org/10.3390/nu14173595

Wahidin, M., Rosita, A., Triana, PM, Hapsari, D., & Yuwono, D. (2024). Projection of diabetes morbidity and mortality until 2045 in Indonesia. Scientific Reports, 14(1), 5381.https://doi.org/10.1038/s41598-024-54563-2

Whytock, K. L., Sharples, A. P., & Biswas, A. (2025). Unraveling skeletal muscle insulin resistance: Molecular mechanisms linking lipid storage to impaired glucose

uptake. Circulation Research, 136(3), 267–

https://doi.org/10.1161/CIRCRESAHA.125.325532

World Health Organization. (2012). Global physical activity questionnaire (GPAQ) analysis guide. WHO Department of Chronic Diseases and Health

Promotion.https://www.who.int/publications/m/item/global-physical-activityquestionnaire-(gpaq)-analysis-guide

World Health Organization. (2020). Physical activity: Recommendations on physical activity for health.

WHO.https://www.who.int/publications/i/item/9789241549028

Yuan, S., Larsson, S.C., Burgess, S., Michaëlsson, K., & Sanderson, E. (2023). Physical activity, sedentary behavior, and type 2 diabetes: A Mendelian randomization study. The Journal of Clinical Endocrinology & Metabolism, 108(8), e1– e13.https://doi.org/10.1210/clinem/dgad090

Zhang, T., Wang, Y., Liu, Z., & Zhou, L. (2025). The effect and mechanism of regular exercise on improving glucose metabolism in patients with type 2 diabetes mellitus.

International Journal of Molecular Sciences, 26(4),

https://doi.org/10.3390/ijms26041876 .