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Pedometer- and accelerometer- based physical activity interventions in Type 2 diabetes: A systematic review and
Vanessa L P de Oliveira1, Tatiana P de Paula1, Luciana V Viana2
1Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, 2º andar, Porto Alegre, Brazil.
Nutrition, Metabolism, and Cardiovascular Diseases : NMCD
|January 14, 2024
Summary
Physical activity (PA) interventions using pedometers and accelerometers can improve hemoglobin A1c (HbA1c) and triglycerides in type 2 diabetes (T2DM) patients. These devices significantly increase daily steps, aiding T2DM management.
Area of Science:
- Endocrinology and Metabolism
- Exercise Physiology
- Digital Health
Background:
- Type 2 diabetes mellitus (T2DM) management often involves lifestyle interventions, including physical activity (PA).
- Evidence for the efficacy of accelerometer- and pedometer-based PA interventions in T2DM is limited.
- This systematic review and meta-analysis aims to evaluate the impact of these interventions on key metabolic and clinical markers in T2DM patients.
Approach:
- A systematic review and meta-analysis of randomized controlled clinical trials (RCTs) was conducted.
- Searches were performed across multiple databases (MEDLINE/PubMed, EMBASE, LILACS, Scopus) up to March 28th, 2022.
- Included RCTs evaluated pedometers or accelerometers as motivating tools for PA in T2DM patients, with a minimum duration of two weeks.
Key Points:
- Twenty-four RCTs involving 1969 T2DM patients were analyzed.
- Accelerometer- and pedometer-based PA interventions led to significant reductions in HbA1c (-0.22%) and triglycerides (-13.11 mg/dL).
- Pedometer use significantly increased daily steps by 2,131 steps/day.
Conclusions:
- Pedometers and accelerometers, when used as motivating tools, are associated with improved glycemic control (HbA1c) and lipid profiles (triglycerides) in T2DM.
- These devices effectively increase physical activity levels, measured in daily steps.
- Further high-quality research is needed to fully elucidate the long-term effects of tracker-motivated PA in the T2DM population.
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