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Effect of mild exercise on glycemic and bodyweight control in Japanese type 2 diabetes patients: A retrospective analysis
Authors: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
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.
Keywords:Nutritional therapy  Outpatient clinic  Physical exercise
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