Effect of Exercise Therapy on Incident Admission in Patients with Type 2 Diabetes Mellitus Undergoing Inpatient Diabetes Self-manageme nt Education and Support

  • Авторы: Masuda H.1,2, Kojima I.2, Tanaka S.3, Koyama S.2, Suzuki M.2, Otobe Y.4, Kimura Y.5, Nakajima H.1, Ishiyama D.2, Iwashima F.6, Yamada M.7
  • Учреждения:
    1. Department of Rehabilitation, Tokyo Metropolitan Toshima Hospital, Tokyo Metropolitan Hospital Organization, 33-1 Sakaecho, Itabashi-ku, Tokyo, 173-0015, Japan
    2. Graduate School of Comprehensive Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan
    3. Major of Physical Therapy, Department of Rehabilitation, School of Health Sciences, Tokyo University of Technology, 5-23-22 Nishikamata, Ota-ku, Tokyo, 144-8535, Japan
    4. Graduate School of Rehabilitation Science, Osaka Metropolitan University, 3-7-30 Habikino, Habikino-city, Osaka, 583-8555, Japan
    5. Health and Sports Technology Course, College of Science and Engineering, Kanto Gakuin University, 1- 50-1 Mutsuura, Kanazawa-ku, Yokohama, 236-8501, Japan
    6. Department of Endocrinology and Metabolism, Tokyo Metropolitan Toshima Hospital, Tokyo Metropolitan Hospital Organization, 33-1 Sakaecho, Itabashi-ku, Tokyo, 173- 0015, Japan
    7. Faculty of Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan
  • Выпуск: Том 20, № 9 (2024)
  • Раздел: Medicine
  • URL: https://modernonco.orscience.ru/1573-3998/article/view/643039
  • DOI: https://doi.org/10.2174/0115733998269490231106190128
  • ID: 643039

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Аннотация

Background::Exercise therapy is the key to preventing admission of patients with type 2 diabetes mellitus (T2DM). However, a few studies have examined the effects of exercise therapy on patients with T2DM undergoing inpatient diabetes self-management education and support (IDSMES).

Objective::This study investigated whether exercise therapy influenced the incidence of admission after discharge in patients with T2DM undergoing IDSMES.

Methods::This retrospective cohort study included patients with T2DM who underwent IDSMES between June 2011 and May 2015. Overall, 258 patients were included in this study. The exercise therapy program was implemented in June 2013. Accordingly, patients diagnosed between June 2011 and May 2013 were categorized as the non-exercise therapy program group, while those diagnosed between June 2013 and May 2015 were categorized as the exercise therapy program group. Outcomes were incident diabetes-related and all-cause admissions within 1 year of discharge. Multiple logistic regression models were used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) of the exercise therapy program’s impact on the outcomes.

Results::Within 1 year of discharge, 27 (10.5%) patients underwent diabetes-related admissions and 62 (24.0%) underwent all-cause admissions. Multiple logistic regression analyses showed a significant association of the exercise therapy program with incident diabetes-related and allcause admissions [OR: 0.22 (95% CI: 0.08–0.59) and 0.44 (95% CI: 0.22–0.86), respectively].

Conclusion::Exercise therapy programs significantly lowered the incidences of diabetes-related and all-cause admissions. This indicates that implementing exercise therapy during hospitalization may be important for preventing admissions of patients with T2DM receiving IDSMES.

Об авторах

Hiroaki Masuda

Department of Rehabilitation, Tokyo Metropolitan Toshima Hospital, Tokyo Metropolitan Hospital Organization, 33-1
Sakaecho, Itabashi-ku, Tokyo, 173-0015, Japan; Graduate School of Comprehensive Human Sciences, University of
Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan

Автор, ответственный за переписку.
Email: info@benthamscience.net

Iwao Kojima

Graduate School of Comprehensive Human Sciences, University of
Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan

Email: info@benthamscience.net

Shu Tanaka

Major of Physical Therapy, Department
of Rehabilitation, School of Health Sciences, Tokyo University of Technology, 5-23-22 Nishikamata, Ota-ku, Tokyo,
144-8535, Japan

Email: info@benthamscience.net

Shingo Koyama

Graduate School of Comprehensive Human Sciences, University of
Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan

Email: info@benthamscience.net

Mizue Suzuki

Graduate School of Comprehensive Human Sciences, University of
Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan

Email: info@benthamscience.net

Yuhei Otobe

Graduate School of Rehabilitation Science, Osaka Metropolitan
University, 3-7-30 Habikino, Habikino-city, Osaka, 583-8555, Japan

Email: info@benthamscience.net

Yosuke Kimura

Health and Sports Technology Course, College of Science and Engineering, Kanto Gakuin University, 1-
50-1 Mutsuura, Kanazawa-ku, Yokohama, 236-8501, Japan

Email: info@benthamscience.net

Hideki Nakajima

Department of Rehabilitation, Tokyo Metropolitan Toshima Hospital, Tokyo Metropolitan Hospital Organization, 33-1
Sakaecho, Itabashi-ku, Tokyo, 173-0015, Japan

Email: info@benthamscience.net

Daisuke Ishiyama

Graduate School of Comprehensive Human Sciences, University of
Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan

Email: info@benthamscience.net

Fumiko Iwashima

Department of Endocrinology and Metabolism, Tokyo
Metropolitan Toshima Hospital, Tokyo Metropolitan Hospital Organization, 33-1 Sakaecho, Itabashi-ku, Tokyo, 173-
0015, Japan

Email: info@benthamscience.net

Minoru Yamada

Faculty of Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012,
Japan

Email: info@benthamscience.net

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