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Finally, i made use of univariate and you will multivariate logistic regression analyses to assess the brand new dating ranging from bad glycemic control and everyday methods

Finally, i made use of univariate and you will multivariate logistic regression analyses to assess the brand new dating ranging from bad glycemic control and everyday methods

Initially, the participants were segregated into 2 groups according to the glycemic control (poor glycemic control and better glycemic control). The characteristics of the participants were compared between the groups by Student’s t-test, Mann–Whitney U-test, and chi-squared test. We then divided the patients into 4 groups according to quartiles of the average daily steps for 6 months’ period after discharge (1st quartile [Q1] – 4th quartile [Q4]). In the multivariate analysis, we assessed each covariate and adjusted results for the average daily steps during hospitalization and characteristics that were significantly different between poor and better glycemic control. Statistical significance was set at a p-value of < 0.05 for all analyses. Statistical analyses were performed using SPSS software version 25.0 (IBM, Tokyo, Japan).

Overall performance

The clinical and demographic characteristics of the participants are shown in Table 1. Based on the inclusion and exclusion criteria, a total of 125 patients admitted to the diabetes management and education program were included in the analysis, and complete follow-up data was obtained from 94 patients. The median age (IQR) of the study participants was 59.0 (46.0–68.0) years, 27 (28.7%) were female, and the median HbA1c at baseline (IQR) was 8.9 (8.0–10.9) %. The proportions of poor glycemic control group and the better glycemic control group were 40% (n = 38) and 60% (n = 56), respectively. Significant differences were observed in the duration of diabetes (p = 0.010), diabetic microvascular complications (p = 0.013), comorbidities (p = 0.010), past education hospitalization program (p < 0.001), living alone (p = 0.035), and steps for 6 months' period after discharge (p = 0.009) between the two groups. The average daily steps for 6 months' period after discharge in the Q4, Q3, Q2, and Q1 groups were ? 10,542 steps/day, 8259–10,541 steps/day, 6107–8258 steps/day, and ? 6106 steps/day, respectively.

The outcome of your logistic regression analysis toward matchmaking ranging from average every day tips to possess six months’ months shortly after discharge and you will terrible glycemic manage are shown inside the Table 2. Q1 (odds proportion [OR]: 8.55, 95% confidence period [95% CI]: 1.43–, p = 0.019) and you may Q2 (OR: , 95% CI: 2.63–, p = 0.003) organizations got somewhat raised dangers of terrible glycemic control considering multivariate analyses using Q4 just like the site.


In this potential cohort studies, i examined the relationship between fairly measured PA to possess 6 months’ months immediately after discharge and you may glycemic manage inside the T2DM patients. We found that the new Q1 (? 6106 methods/day) and you may Q2 (6107–8258 measures/day) organizations had somewhat increased risks of worst glycemic manage according to multivariate analyses playing with Q4 (? 10,542) while the site. This effects helps all of our hypothesis you to lower every day steps in the long-term are associated with the poor glycemic manage for the T2DM patients.

The results showed that T2DM clients having all the way down everyday steps in this new a lot of time-title tended to has bad glycemic handle. Our wanting is actually in line with past meta-research studies exhibiting you to definitely increased PA was associated with improvement in glycemic control for the T2DM people. 14,19 Thus, the newest conclusions of one’s data and you can earlier in the day degree one another suggest this new requirement for maintaining lots and lots of every day stages in this new long-label discover best glycemic handle in the T2DM customers.

Within studies, glycemic handle is influenced by the fresh each day number of steps, although not the fresh new years invested for the day-after-day walking on an average-power height. These parameters apparently suggest contradictory abilities: what amount of daily measures is apparently large, and stage spent every day walking on a medium-strength level was apparently reasonable than those within the previous education. twenty-four,36–41 Such discrepancies ranging from our very own data and the ones from earlier surveys ; class. Our analysis incorporated members who had been younger, got high PA, together with higher a career position as opposed to those away from prior training. Thus, it is thought that middle-aged pros, which constructed most of the analysis participants, was able ideal glycemic handle by the expanding light-strength PA, such as for example taking walks throughout their commute and you may moving for the work environment.