The Effect of Drinking Four Glasses of Warm Water a Day and Walking 1,000 Meters on Lung Function in Patients with Tuberculosis and Diabetes Mellitus at Hospitals in Medan City

Rima Iska Marito Marbun; Pandiaman  Pandia; Aida  Aida; Yuki  Yunanda

doi:10.58344/ihj.v5i3.932

Authors

Rima Iska Marito Marbun Universitas Sumatera Utara
Pandiaman Pandia Universitas Sumatera Utara
Aida Aida Universitas Sumatera Utara
Yuki Yunanda Universitas Sumatera Utara

DOI:

https://doi.org/10.58344/ihj.v5i3.932

Keywords:

Tuberculosis, Diabetes Mellitus, Warm Water, Walking, Lung Function, FEV?, FVC

Abstract

The coexistence of tuberculosis (TB) and diabetes mellitus (DM) represents a comorbid condition in which the two diseases can adversely affect each other, potentially contributing to impaired lung function. Nonpharmacological interventions, such as drinking warm water and engaging in light physical activity, may help improve lung function in patients with TB and DM. This study aimed to determine the effects of drinking four glasses of warm water daily and walking 1,000 meters on lung function in patients with TB and DM. A pre-experimental study with a one-group pretest–posttest design was conducted involving 31 patients with TB and DM at a hospital in Medan City. The intervention consisted of drinking four glasses of warm water and walking 1,000 meters daily for two months. Lung function was assessed using spirometry to measure forced vital capacity (FVC), forced expiratory volume in one second (FEV₁), and the FEV₁/FVC ratio. Data were analyzed using a paired-samples t-test. The results showed significant increases in FVC from 72.32 ± 14.07 to 78.09 ± 13.13 (Delta = 5.77, p = 0.001) and FEV₁ from 78.58 ± 12.85 to 84.03 ± 10.35 (Delta = 5.45, p = 0.001). However, the FEV₁/FVC ratio increased only slightly, from 85.51 ± 12.10 to 85.97 ± 11.49 (Delta = 0.46), with no statistically significant difference (p = 0.74). These findings suggest that drinking four glasses of warm water and walking 1,000 meters daily for two months were associated with significant improvements in FVC and FEV₁ among patients with TB and DM, although no significant change was observed in the FEV₁/FVC ratio.

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