Title:Effect of Exercise Therapy on Incident Admission in Patients with Type 2
Diabetes Mellitus Undergoing Inpatient Diabetes Self-manageme nt
Education and Support
Volume: 20
Issue: 9
Author(s): Hiroaki Masuda*, Fumiko Iwashima, Daisuke Ishiyama, Hideki Nakajima, Yosuke Kimura, Yuhei Otobe, Mizue Suzuki, Shingo Koyama, Shu Tanaka, Iwao Kojima and Minoru Yamada
Affiliation:
- 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
Keywords:
Type 2 diabetes, exercise therapy, inpatient diabetes, self-management education, logistic regression models, confidence intervals.
Abstract:
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.
