Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial
Open accessAbstract
This study aimed to investigate the effects of physical therapists’ exercise instructions in Japanese patients with type 2 diabetes. Thirty-six participants were recruited from the outpatient clinic at Matsushita Memorial Hospital, Osaka, Japan from June 2020 to September 2020 and were randomly assigned to either the non-intervention or intervention group. The intervention group received exercise instructions from physical therapists for 30 min at baseline (week 0) and at week 4 by referring to ambulatory accelerometer records. Laboratory parameters, physical activity, body composition, motor skill, and transtheoretical model were assessed in both the groups at baseline (week 0) and week 8. In week 8, patients in the intervention group had a statistically significant reduction in HbA1c levels compared with those in the non-intervention group (7.3% [6.8-%–7.9%] vs. 7.4% [7.3%–7.7%], P = 0.04). The number of steps per day (P = 0.001), energy expenditure (P = 0.01), lower extremity muscle strength (P = 0.002), and 6-min walk test results (P = 0.04) were significantly increased in the intervention group compared with those in the non-intervention group in week 8. The transtheoretical model varied between baseline (week 0) and week 8 only in the intervention group (P < 0.001). Thus, outpatient exercise instructions from physical therapists could improve glycemic control owing to physical activity by improving motor skills and changing the transtheoretical model in Japanese patients with type 2 diabetes.
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No meaningful changes in BMI or other anthropometric indicators were observed in most trials.
“No meaningful changes in BMI or other anthropometric indicators were observed in most trials [13,14,23,33].”
In unstructured or passively monitored cases, wearable devices functioned primarily as tools for awareness and data collection, rather than as drivers of behavioural change.
“In such cases, wearable devices functioned primarily as tools for awareness and data collection, rather than as drivers of behavioural change [9,13,23,26,33].”
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Cites
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InfluentialSelf-citation
- Authors
- Matsushita, J., Okada, H., Okada, Y., Sekiyama, T., Iida, H., Shindo, A., Murata, H., & Fukui, M.
- Affiliations
- Matsushita Memorial Hospital (JP)
- Kyoto Prefectural University of Medicine (JP)
- Ikeda Municipal Hospital (JP)
- Corresponding author
- Okada, Hiroshi
- Venue
- Frontiers in Endocrinology
- Publisher
- Frontiers Media SA
- Published
- 2022-07-12
- Volume
- 13
- Pages
- 949762-949762
- ISSN
- 1664-2392 (ISSN-L)
- PMC
- PMC9315151
- OpenAlex
- W4285041398
- Cited by
- 8
- References
- 25
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 1
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Endocrinology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, exercise recommendations, physiotherapists, glycemic control, HbA1c, physical activity, step count, energy expenditure, lower limb muscle strength, 6-minute walk test, motor skills, transtheoretical model, Japanese patients
- MeSH terms
- Ambulatory Care Facilities, Diabetes Mellitus, Type 2, Humans, Japan, Exercise, Accelerometry
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