| Objective:The aim of this project was to investigate the effects of a community comprehensive intervention program which combined exercise intervention with health education on middle aged and the elderly diabetes patients. It includes improvement of diabetes knowledge, blood glucose, blood lipids, blood pressure and diabetes-related risk factors.Methods:A randomized controlled community trial was conducted.130 diabetes patients were selected and randomly assigned to intervention group and control group. There were 65 diabetes patients each group. The intervention group was given exercise intervention with health education interventions for 6 months. The control group was not given any intervention. The changes of two groups'physical activity, blood glucose, blood pressure, diabetes-related risk factors and diabetes knowledge, attitude, behavior before and after intervention were analyzed using SSPS 13.0 software package carry out covariance and multivariate analysis of variance.Result:1 The results showed that intervention group's total physical activity MET on average increased by 446.01±801.74MET/week and total walking MET on average increased by 375.90±199.72MET/week after integrated intervention. Both of them had significant statistically difference when compared before and after intervention.2 After 6 months, the intervention group's diabetes knowledge, attitude, behavior score increased by 6.16±3.57, and the control group's score increased by 2.74±3.36. Both of them had significant statistically difference when compared before and after intervention. The covariance analysis showed that intervention group's diabetes knowledge, attitude, behavior score increased more than control group.3 The intervention group's average fasting serum glucose level reduced by1.40±2.16mmol/L over an 6-month integrated intervention. And the two-hour post pran-dial blood glucose fell by an average 1.39±2.99 mmol/L. Both of them had signify-cant statistically difference when compared before and after the intervention.4 High-density lipoprotein cholesterol was increased and low-density lipoprotein cholesterol was decreased in intervention group. Also waist to hip ratio reduced and body mass index reduced by an average 0.47±0.63 kg/m2, systolic blood pressure decreased by 9.64±14.01mmHg. They all had significant statistically difference when compared before and after intervention.Conclusion:Results of the study indicates that integrated intervention model in which exercise intervention combined with health education intervention can be active and effective in control of diabetes and its related risk factors in elderly diabetes patients. It can be prevent or delay diabetes from complications. Walking is appropriate for middle-aged and elderly diabetes patients as an exercise intervention, because it has good feasibility and safety.
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