Relationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study

Hiroaki Masuda,1,2 Daisuke Ishiyama,2 Minoru Yamada,2 Fumiko Iwashima,3 Yosuke Kimura,2 Yuhei Otobe,2 Naoki Tani,2 Mizue Suzuki,2 Hideki Nakajima1 1Department of Rehabilitation, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation, Tokyo, Japan; 2Graduate School of Comprehensive Hum...

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Autores principales:	Masuda H, Ishiyama D, Yamada M, Iwashima F, Kimura Y, Otobe Y, Tani N, Suzuki M, Nakajima H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	glycemic control long-term physical activity type 2 diabetes Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/bdeee5e0811245d2815506ddff80f0ca
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spelling	oai:doaj.org-article:bdeee5e0811245d2815506ddff80f0ca2021-12-02T14:29:36ZRelationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study1178-7007https://doaj.org/article/bdeee5e0811245d2815506ddff80f0ca2021-05-01T00:00:00Zhttps://www.dovepress.com/relationship-between-long-term-objectively-measured-physical-activity--peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Hiroaki Masuda,1,2 Daisuke Ishiyama,2 Minoru Yamada,2 Fumiko Iwashima,3 Yosuke Kimura,2 Yuhei Otobe,2 Naoki Tani,2 Mizue Suzuki,2 Hideki Nakajima1 1Department of Rehabilitation, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation, Tokyo, Japan; 2Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan; 3Department of Endocrinology and Metabolism, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation, Tokyo, JapanCorrespondence: Hiroaki MasudaDepartment of Rehabilitation, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation, 33-1 Sakaecho, Itabashi-ku, Tokyo, 173-0015, JapanTel +81-3-5375-1234Fax +81-3-5944-3534Email hiroakimasuda15@gmail.comIntroduction: Increasing physical activity (PA) improves glycemic control in patients with type 2 diabetes mellitus (T2DM). However, whether long-term objectively measured PA is related to glycemic control remains unclear. The aim of this study was to investigate the relationship between long-term objectively measured PA and glycemic control in T2DM patients.Research Design and Methods: This prospective cohort study recruited T2DM patients admitted to a hospital-based diabetes management and education program. The primary outcome was glycemic control by hemoglobin A1c at 6 months after discharge. We defined poor glycemic control according to the Japanese Clinical Practice Guidelines. The PA was objectively measured using a three-axis accelerometer during 6 months’ period after discharge. The representative value of PA was the average daily steps during the measurement period and was divided into quartiles. To determine the relationship between the daily steps and poor glycemic control, we performed a multivariate logistic regression analysis.Results: Ninety-four participants were enrolled in the study. Their median age was 59 years, and 38 (40.0%) of them showed poor glycemic control. Multivariate logistic regression analysis showed that the first (Q1, ≤ 6106 steps/day) and second quartiles (Q2, 6107– 8258 steps/day) had significantly elevated risks of poor glycemic control compared to Q4 (≥ 10,542 steps/day), with odds ratios of 8.55 [95% confidence intervals (CI) =1.43– 51.23] and 15.62 (95% CI 2.63– 92.87), respectively.Conclusion: We found that lesser PA was significantly associated with poor glycemic control in T2DM patients. This finding may be beneficial for clinicians while providing long-term advice to diabetic patients.Keywords: glycemic control, long-term, physical activity, type 2 diabetesMasuda HIshiyama DYamada MIwashima FKimura YOtobe YTani NSuzuki MNakajima HDove Medical Pressarticleglycemic controllong-termphysical activitytype 2 diabetesSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 2057-2063 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	glycemic control long-term physical activity type 2 diabetes Specialties of internal medicine RC581-951
spellingShingle	glycemic control long-term physical activity type 2 diabetes Specialties of internal medicine RC581-951 Masuda H Ishiyama D Yamada M Iwashima F Kimura Y Otobe Y Tani N Suzuki M Nakajima H Relationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study
description	Hiroaki Masuda,1,2 Daisuke Ishiyama,2 Minoru Yamada,2 Fumiko Iwashima,3 Yosuke Kimura,2 Yuhei Otobe,2 Naoki Tani,2 Mizue Suzuki,2 Hideki Nakajima1 1Department of Rehabilitation, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation, Tokyo, Japan; 2Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan; 3Department of Endocrinology and Metabolism, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation, Tokyo, JapanCorrespondence: Hiroaki MasudaDepartment of Rehabilitation, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation, 33-1 Sakaecho, Itabashi-ku, Tokyo, 173-0015, JapanTel +81-3-5375-1234Fax +81-3-5944-3534Email hiroakimasuda15@gmail.comIntroduction: Increasing physical activity (PA) improves glycemic control in patients with type 2 diabetes mellitus (T2DM). However, whether long-term objectively measured PA is related to glycemic control remains unclear. The aim of this study was to investigate the relationship between long-term objectively measured PA and glycemic control in T2DM patients.Research Design and Methods: This prospective cohort study recruited T2DM patients admitted to a hospital-based diabetes management and education program. The primary outcome was glycemic control by hemoglobin A1c at 6 months after discharge. We defined poor glycemic control according to the Japanese Clinical Practice Guidelines. The PA was objectively measured using a three-axis accelerometer during 6 months’ period after discharge. The representative value of PA was the average daily steps during the measurement period and was divided into quartiles. To determine the relationship between the daily steps and poor glycemic control, we performed a multivariate logistic regression analysis.Results: Ninety-four participants were enrolled in the study. Their median age was 59 years, and 38 (40.0%) of them showed poor glycemic control. Multivariate logistic regression analysis showed that the first (Q1, ≤ 6106 steps/day) and second quartiles (Q2, 6107– 8258 steps/day) had significantly elevated risks of poor glycemic control compared to Q4 (≥ 10,542 steps/day), with odds ratios of 8.55 [95% confidence intervals (CI) =1.43– 51.23] and 15.62 (95% CI 2.63– 92.87), respectively.Conclusion: We found that lesser PA was significantly associated with poor glycemic control in T2DM patients. This finding may be beneficial for clinicians while providing long-term advice to diabetic patients.Keywords: glycemic control, long-term, physical activity, type 2 diabetes
format	article
author	Masuda H Ishiyama D Yamada M Iwashima F Kimura Y Otobe Y Tani N Suzuki M Nakajima H
author_facet	Masuda H Ishiyama D Yamada M Iwashima F Kimura Y Otobe Y Tani N Suzuki M Nakajima H
author_sort	Masuda H
title	Relationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study
title_short	Relationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study
title_full	Relationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study
title_fullStr	Relationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study
title_full_unstemmed	Relationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study
title_sort	relationship between long-term objectively measured physical activity and glycemic control in type 2 diabetes mellitus patients: a prospective cohort study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/bdeee5e0811245d2815506ddff80f0ca
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Relationship Between Long-Term Objectively Measured Physical Activity and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Prospective Cohort Study

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