P042 Telemonitoring Improves Exercise Training Adherence, Physical Fitness and Glycaemic Control in Patients with Type 2 Diabetes

Marios, Tracy; Smart, Neil

doi:10.1016/s0167-5273(11)70068-7

Cited by 11 publications

(32 citation statements)

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“…In another study supporting ours, Tracy Marios et al showed that diabetic patients who were continuously followed up by a "tele monitoring system" achieved their targeted exercise durations (20). Along with a properly prescribed exercise program, providing patient compliance and persistence with the exercise regimen constitutes a very important challenge.…”

Section: Discussionsupporting

confidence: 56%

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Patient Compliance to Physical Exercise in Obesity Treatment

Ergen¹

2013

Acta Endo (Buc)

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Objective. The goal of this study is to evaluate the effectiveness of the Exercise Physiology Clinic by assessing weight loss profiles of patients who attended the clinic.Study design. The data on 2039 visits performed between April 2010 and March 2011 by 1102 individuals who attended the Exercise Physiology Clinic were assessed.Subjects and methods. Patients who attended two to three visits were classified as Group 1 and those who paid four or more visits were classified as Group 2. Body analyses were performed by bioimpedance technique and Body Mass Indices (BMIs) were calculated and then personal exercise programs were prescribed according to measurements made in each visit.Results. Mean age and mean BMI of the patients at baseline were 47.1±14.0 (16-92 years) and 32.2±6.7 kg/m 2 (15.1-63.7 kg/m 2 ), respectively. According to the visit frequency, in patients who visited our clinic two or more times, monthly mean differences in body weight and body fat were calculated as 0.72±0.9 kg and 0.53±0.8 kg/month, respectively. The differences between the baseline and the final measurements of body weight and body fat were higher in Group 2 when compared to Group 1 (p<0.01). While no statistical significance was found between the two groups in terms of weight loss, the change in body fat mass was found to be significantly greater at every visit in Group 2 compared to that of Group 1 (p=0.2 and p=0.05, respectively).Conclusions. A decrease was demonstrated in the body weight and fat mass of the patients who were followed up in our Exercise Physiology Clinic. The results suggested that the increase in the number of exercise physiology clinics will have an important role in preventing metabolic disorders associated with obesity.

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Section: Discussionsupporting

confidence: 56%

“…Therefore, to establish and maintain exercise training habits is one of the most important challenges for the professionals of this field (19). Studies showed that periodical followup of patients by exercise physiologists resulted in an increase of the weekly exercise duration (20).…”

Section: Introductionmentioning

confidence: 99%

Patient Compliance to Physical Exercise in Obesity Treatment

Ergen¹

2013

Acta Endo (Buc)

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“…1,23,24 However, a wide range (0.009% to 3.15%) mean reduction in HbA1c was reported with Internet-based diabetes self-management interventions. 12,13,25 Marios et al 26 focused only on exercise within a technology-based platform in type 2 diabetes subjects. They were asked to complete 180 minutes per week of exercise at the obtained corresponding heart rate, while 55%-65% of peak VO 2, and then subjects were followed via a tele-heart rate monitor and weekly phone calls for six months.…”

Section: Discussionmentioning

confidence: 99%

The effects of Internet-based exercise compared with supervised group exercise in people with type 2 diabetes: a randomized controlled study

et al. 2018

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“…In addition, the use of personal glucometers, food intake diary and body weight variables are also alternatives to control the responses of exercise sessions in physiological variables (58,62,65). It is important to emphasize that there were no adverse events reported during the follow-up of all home-based exercise program (57)(58)(59)(60)(62)(63)(64)(65)(66)(67)(68)(69), which can be explained by the fact that most studies provided a first orientation session involving explanations about exercise program and/or a complex diabetes self-management education (56-59, 61-63, 65, 70). Finally, home-based exercise training appears to be more costeffective than traditional exercise programs performed in centers (71).…”

Section: Physical Exercise For Managing Diabetes and Counteracting Dementioning

confidence: 99%

“…Moderate-intensity continuous aerobic exercise (3 to 5 times per week), regulated by VO 2PEAK /HR RESERVE ( 58 , 60 , 63 , 65 ), METs ( 61 ) or steps ( 59 ), was the most frequent modality in the studies involving home-based training ( Table 2 ); however, programs with combined aerobic and resistance exercise ( 56 , 61 ) or multicomponent exercise ( 57 ) were also used. Some studies provided equipment’s to control the exercise performed at home, such as heart rate monitor ( 60 , 64 ), pedometers ( 56 , 59 , 61 ), potable oximeter ( 59 ), cycle and home rowing ergometer ( 65 , 67 ). However, these tools may be expensive, difficult to administer and not suitable for all participants in unsupervised sessions.…”

Section: Physical Exercise For Managing Diabetes and Counteracting Dementioning

confidence: 99%

The Urgent Need for Recommending Physical Activity for the Management of Diabetes During and Beyond COVID-19 Outbreak

et al. 2020

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Diabetes is the second most prevalent non-communicable chronic diseases (NCDs) in patients with coronavirus disease 2019 (COVID-19) and is highly associated with increased incidence of disease severity and mortality. Individuals with diabetes and poor glycemic control have an even worse prognosis. Despite of the need/effectiveness of social distancing measures (i.e.: home confinement, quarantine and/or lockdown) during COVID-19 outbreak, preliminary findings showed an increase in negative behaviors during COVID-19 home confinement (i.e.:~33.5% reduction in physical activity,~28.6% (~3.10h) increase in sedentary behavior (i.e.: daily sitting, reclining and lying down time), and more unhealthy food consumption and meal pattern), which may have important clinical implications. For example, we estimated that this reduction in physical activity can increase the cases of type 2 diabetes (from~7.2% to~9.6%;~11.1 million cases per year) and all-cause mortality (from~9.4% to~12.5%;~1.7 million deaths per year) worldwide. Few weeks of reduction in physical activity levels result in deleterious effects on several cardiometabolic (i.e.: glycemic control, body composition, inflammatory cytokines, blood pressure, vascular function…) and functional parameters (i.e.: cardiorespiratory/muscle fitness, balance, agility…). In contrast, physical activity and exercise are important tools for preventing and treating diabetes and others NCDs. Home-based exercise programs are useful, safe and effective for the management of diabetes, and could be widely used during COVID-19 outbreak. In this context, there is an urgent need for recommending physical activity/exercise, during and beyond COVID-19 outbreak, for improving the management of diabetes, as well as to prevent the increase in global burden of COVID-19, diabetes and others NCDs.

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P042 Telemonitoring Improves Exercise Training Adherence, Physical Fitness and Glycaemic Control in Patients with Type 2 Diabetes

Cited by 11 publications

References 0 publications

Patient Compliance to Physical Exercise in Obesity Treatment

Patient Compliance to Physical Exercise in Obesity Treatment

The effects of Internet-based exercise compared with supervised group exercise in people with type 2 diabetes: a randomized controlled study

The Urgent Need for Recommending Physical Activity for the Management of Diabetes During and Beyond COVID-19 Outbreak

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