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Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial

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 assi...

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Autores principales: Matsushita, Jin, Okada, Hiroshi, Okada, Yuki, Sekiyama, Takashi, Iida, Hideto, Shindo, Atsushi, Murata, Hiroaki, Fukui, Michiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9315151/
https://www.ncbi.nlm.nih.gov/pubmed/35903280
http://dx.doi.org/10.3389/fendo.2022.949762
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author Matsushita, Jin
Okada, Hiroshi
Okada, Yuki
Sekiyama, Takashi
Iida, Hideto
Shindo, Atsushi
Murata, Hiroaki
Fukui, Michiaki
author_facet Matsushita, Jin
Okada, Hiroshi
Okada, Yuki
Sekiyama, Takashi
Iida, Hideto
Shindo, Atsushi
Murata, Hiroaki
Fukui, Michiaki
author_sort Matsushita, Jin
collection PubMed
description 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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spelling pubmed-93151512022-07-27 Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial Matsushita, Jin Okada, Hiroshi Okada, Yuki Sekiyama, Takashi Iida, Hideto Shindo, Atsushi Murata, Hiroaki Fukui, Michiaki Front Endocrinol (Lausanne) Endocrinology 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. Frontiers Media S.A. 2022-07-12 /pmc/articles/PMC9315151/ /pubmed/35903280 http://dx.doi.org/10.3389/fendo.2022.949762 Text en Copyright © 2022 Matsushita, Okada, Okada, Sekiyama, Iida, Shindo, Murata and Fukui https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Matsushita, Jin
Okada, Hiroshi
Okada, Yuki
Sekiyama, Takashi
Iida, Hideto
Shindo, Atsushi
Murata, Hiroaki
Fukui, Michiaki
Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial
title Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial
title_full Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial
title_fullStr Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial
title_full_unstemmed Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial
title_short Effect of Exercise Instructions With Ambulatory Accelerometer in Japanese Patients With Type 2 Diabetes: a Randomized Control Trial
title_sort effect of exercise instructions with ambulatory accelerometer in japanese patients with type 2 diabetes: a randomized control trial
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9315151/
https://www.ncbi.nlm.nih.gov/pubmed/35903280
http://dx.doi.org/10.3389/fendo.2022.949762
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