This article was originally published here
J Diabetes Investig. 2021 February 18th doi: 10.1111 / jdi.13527. Online before printing.
ABSTRACT
OBJECTIVES / INTRODUCTION: This study investigated the effect of daily walking steps (WS) on HbA1c, body mass index (BMI) and body composition including sitting time (ST) in Japanese type 2 diabetes patients over a period of 12 months .
MATERIALS AND METHODS: Self-administered ST values and information on WS were obtained and analyzed for 236 patients with type 2 diabetes who regularly visited the outpatient department. The patients, who were divided into three categories by WS: Non-Step Counter User (NU), less than 7,500 daily walking steps (LS), and 7,500 or more daily walking steps (HS) – were prospectively considering ST by monitoring HbA1c observed BMI, waist circumference (WC), and visceral fat accumulation (VFA) for 12 months.
RESULTS: After 12 months, the participants classified as HS group had significantly reduced BMI and VFA independently of ST and significantly reduced the WC with high ST. The differences between WC and VFA increased significantly after 12 months between the participants in the NU group and the HS group with long ST. However, no difference in HbA1c levels and BMI was found between the three ST independent categories. Compared to NU, the odds ratios with logistic regression models for the improvement of BMI and VFA in the LS and HS groups and WC in the HS group were significantly higher after 12 months only in patients with a long ST.
CONCLUSIONS: These results suggest that consideration of physical inactivity, combined with daily walking strides, may be essential for the management of type 2 diabetes.
PMID: 33605026 | DOI: 10.1111 / jdi.13527
