Journal of Diabetes Investigation (Jan 2019)

Effect of mild exercise on glycemic and bodyweight control in Japanese type 2 diabetes patients: A retrospective analysis

  • Shuhei Nakanishi,
  • Masahiro Iwamoto,
  • Hidenori Hirukawa,
  • Masashi Shimoda,
  • Fuminori Tatsumi,
  • Kenji Kohara,
  • Atsushi Obata,
  • Seizo Okauchi,
  • Tomoe Kinoshita,
  • Junpei Sanada,
  • Yoshiro Fushimi,
  • Momoyo Nishioka,
  • Akiko Mizoguchi,
  • Miyuki Kameyama,
  • Tomoatsu Mune,
  • Kohei Kaku,
  • Hideaki Kaneto

DOI
https://doi.org/10.1111/jdi.12832
Journal volume & issue
Vol. 10, no. 1
pp. 104 – 107

Abstract

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Abstract We retrospectively evaluated the effects of mild physical exercise (P) in a routine clinical setting on glycemic and bodyweight control in Japanese type 2 diabetes patients with and without individualized nutritional therapy (D). We analyzed 49 patients who participated in P that measured 2.5 metabolic equivalents and was held once every 2 weeks, compared with 83 non‐participant controls, followed over a period of approximately 1.6 years. With a Cox model, the adjusted hazard ratio for improved glycated hemoglobin by numerical count of P was 1.03 (95% confidence interval [CI] 1.00–1.07; P = 0.025). Among four categories – with neither P nor D, only P, only D, and both P and D – the hazard ratios for reduced body mass index were 1.0, 0.87 (95% CI 0.46–1.67), 0.58 (95% CI 0.25–1.30) and 2.17 (95% CI 1.03–4.59), respectively. Even mild physical exercise contributed to glycemic control. The combination of P and D exerted beneficial effects on bodyweight control.

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