MASSAGE EFFECT ON PSYCHOEMOTIONAL STATE AND BLOOD GLUCOSE IN TYPE 1 DIABETES ADOLESCENTS
DOI:
https://doi.org/10.17770/sie2023vol2.7131Keywords:
adolescents, blood glucose level, classical massage, heart rate, psycho-emotional state, type 1 diabetesAbstract
In 2021, there were approximately 1.5 million people under age 20 with type 1 diabetes mellitus (T1D) worldwide. Massage affects both physiological processes and also improves the psycho-emotional state. There have been studies on diabetes and the effects of massage on blood glucose levels, but the topic is under-researched. The purpose of the study: to find out the effect of classical massage on the psycho-emotional state and blood glucose level (BGL) in adolescents with T1D. Fifteen adolescents aged 12 to 16, diagnosed with T1D for at least six months, participated in the study. During the study, teenagers were given five classic back massages (once a week, 30 minutes). BGL was measured with glucometer before and after each massage. Participants completed the Positive and Negative Affect Schedule before each massage and the Depression Anxiety Stress Scales at the beginning and end of all massage sessions. Oscillometric method was used to determine the heart rate. The study results show that classical massage positively affects BGL and emotional states in adolescents with T1D. The overall results show a reduced BGL as well as heart rate. Although the differences are not statistically significant, and the effect is not large due to the sample size, the change direction is clinically relevant. When evaluating the results, it is necessary to consider the adolescents' specific age.
References
Caprio, S., Plewe, G., Diamond, M. P., Simonson, D. C., Boulware, S. D., Sherwin, R. S., & Tamborlane, W. V. (1989). Increased insulin secretion in puberty: A compensatory response to reductions in insulin sensitivity. The Journal of Pediatrics, 114(6), 963–967. DOI: https://doi.org/10.1016/s0022-3476(89)80438-x
Bisgaard Bengtsen, M., & Møller, N. (2021). Mini‐review: Glucagon responses in type 1 diabetes – a matter of complexity. Physiological Reports, 9(16). DOI: https://doi.org/10.14814/phy2.15009
Richter, E. A., & Hargreaves, M. (2013). Exercise, GLUT4, and Skeletal Muscle Glucose Uptake. Physiological Reviews, 93(3), 993–1017. DOI: https://doi.org/10.1152/physrev.00038.2012
Chen, S. C., Yu, B. Y. M., Suen, L. K. P., Yu, J., Ho, F. Y. Y., Yang, J. J., & Yeung, W. F. (2019). Massage therapy for the treatment of attention deficit/hyperactivity disorder (ADHD) in children and adolescents: A systematic review and meta-analysis. Complementary Therapies in Medicine, 42, 389–399. DOI: https://doi.org/10.1016/j.ctim.2018.12.011
Fatati, G. (2014). Diabete, disagio psicosociale e qualità delle cure | Recenti Progressi in Medicina. Diabete, Disagio Psicosociale E Qualità Delle Cure | Recenti Progressi in Medicina, 105(10). DOI: https://doi.org/10.1701/1626.17668
Field, T. (2016). Massage therapy research review. Complementary Therapies in Clinical Practice, 24, 19–31. DOI: https://doi.org/10.1016/j.ctcp.2016.04.005
Field, T. (2019). Pediatric Massage Therapy Research: A Narrative Review. Children, 6(6), 78. DOI: https://doi.org/10.3390/children6060078
Gregory, G. A., Robinson, T. I. G., Linklater, S. E., Wang, F., Colagiuri, S., de Beaufort, C., Donaghue, K. C., Magliano, D. J., Maniam, J., Orchard, T. J., Rai, P., Ogle, G. D., Harding, J. L., Wander, P. L., Zhang, X., Li, X., Karuranga, S., Chen, H., Sun, H., . . . Ma, R. C. (2022). Global incidence, prevalence, and mortality of type 1 diabetes in 2021 with projection to 2040: a modelling study. The Lancet Diabetes & Endocrinology, 10(10), 741–760. DOI: https://doi.org/10.1016/s2213-8587(22)00218-2
Ghazavi, Z., Talakoob, S., Attari, A., & Joazi, M. (2008). Effects of Massage Therapy and Muscle Relaxation on Glycosylated Hemoglobin in Diabetic Children. shiraz e medical journal, 9, 11-16.
Henríquez-Tejo, R., & Cartes-Velásquez, R. (2018). Impacto psicosocial de la diabetes mellitus tipo 1 en niños, adolescentes y sus familias. Revisión de la literatura. Revista Chilena De Pediatría, ahead, 0–0. DOI: https://doi.org/10.4067/s0370-41062018005000507
Hohl, R., Deslandes, A. C., & Mármora, C. H. C. (2019). The Effect of Single-Dose Massage Session on Autonomic Activity, Mood, and Affective Responses in Major Depressive Disorder. Journal of Holistic Nursing, 37(4), 312–321. DOI: https://doi.org/10.1177/0898010119832493
International Society for Pediatric and Adolescent Diabetes (2022). ISPAD Clinical Practice Consensus Guidelines 2022. Retrieved from: https://cdn.ymaws.com/www.ispad.org/resource/dynamic/forums/20221028_072422_12759.pdf
Lindgren, L., Rundgren, S., Winsö, O., Lehtipalo, S., Wiklund, U., Karlsson, M., Stenlund, H., Jacobsson, C., & Brulin, C. (2010). Physiological responses to touch massage in healthy volunteers. Autonomic Neuroscience, 158(1–2), 105–110. DOI: https://doi.org/10.1016/j.autneu.2010.06.011
Lovibond, P., & Lovibond, S. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. DOI: https://doi.org/10.1016/0005-7967(94)00075-u
Mayo Clinic Staff (2022). Type 1 Diabetes. Patient care & Health Information: Diseases and Conditions. Retrieved from: https://www.mayoclinic.org/diseases-conditions/type-1-diabetes/symptoms-causes/syc-20353011
Muscatello, M. R. A., Troili, G. M., Pandolfo, G., Mento, C., Gallo, G., Lanza, G., Pintaudi, B., Vieste, G. D., Benedetto, A. D., Zoccali, R. A., & Bruno, A. (n.d.). Depressione, ansia e rabbia in soggetti affetti da diabete mellito di tipo 1 | Recenti Progressi in Medicina. Depressione, Ansia E Rabbia in Soggetti Affetti Da Diabete Mellito Di Tipo 1 | Recenti Progressi in Medicina.
Nelson, N. L. (2015). Massage therapy: understanding the mechanisms of action on blood pressure. A scoping review. Journal of the American Society of Hypertension, 9(10), 785–793. DOI: https://doi.org/10.1016/j.jash.2015.07.009
Rich, G. J. (2010). Massage therapy: Significance and relevance to professional practice. Professional Psychology: Research and Practice, 41(4), 325–332. DOI: https://doi.org/10.1037/a0020161
Sajedi, F., Kashaninia, Z., Hoseinzadeh, S., & Abedinipoor, A. (2011). How effective is Swedish massage on blood glucose level in children with diabetes mellitus? Acta medica Iranica, 49(9), 592–597.
Sherman, K. J., Ludman, E. J., Cook, A. J., Hawkes, R. J., Roy-Byrne, P. P., Bentley, S., Brooks, M. Z., & Cherkin, D. C. (2010). Effectiveness of therapeutic massage for generalized anxiety disorder: a randomized controlled trial. Depression and Anxiety, 27(5), 441–450. DOI: https://doi.org/10.1002/da.20671
SPKC, Veselības statistikas datubāze (2022). Cukura diabēta pacienti sadalījumā pa cukura diabēta tipiem, dzimumiem un vecuma grupām. [Diabetic patients by type of diabetes, gender and age group] Pieejams: https://statistika.spkc.gov.lv/pxweb/lv/Health/Health__Saslimstiba_Slimibu_Izplatiba__Cukura_diabets/CDG015_tips_vecuma_grupa_dzimums.px/table/tableViewLayout2/
Sridani, N. W., Russeng, S., Nur, R., Fauzan, & Devi, R. (2020). The effect of back massage EPRO method on blood pressure in hypertension patients. Enfermería Clínica, 30, 31–34. DOI: https://doi.org/10.1016/j.enfcli.2019.10.035
University of California, San Francisco (2022). Blood sugar and stress. Diabetes Education Online. Retrieved from: https://dtc.ucsf.edu/types-of-diabetes/type2/understanding-type-2-diabetes/how-the-body-processes-sugar/
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. DOI: https://doi.org/10.1037/0022-3514.54.6.1063
Wettlaufer, D. E. (2017). The Effects of Massage on Student Stress. The University of the Rockies ProQuest Dissertations Publishing, 2017. 10607659.
Zadkhosh, S. M., Ariaee, E., Atri, A. E., Rashidlamir, A., & Saadatyar, A. (2015). The effect of massage therapy on depression, anxiety and stress in adolescent wrestlers. International Journal of Sport Studies, 5(3), 321-327.