Abstract
The purpose of this study is to clarify the actual situation regarding adherence to an exercise regimen in individuals with type 2 diabetes, and to examine the psychosocial factors that influence this phenomenon. A self-recording questionnaire survey and the measurement of physical activity using an accelerometer were carried out for the patients who had been recommended to participate in exercise regimen. The number of steps walked and the “active physical activity” that the patients participated in the exercise regimen were evaluated as an index of adherence to an exercise regimen by making 131 people who excluded the people who didn't agree on exercise regimen the subject and the findings were then analyzed by a stepwise multiple-regression analysis.
The average number of steps walked, the active physical activity of about 3 METs or more that the subjects participated in the exercise regimen were as follows:8,817 steps/day, 18.7 METs×h/week, respectively. Self-efficacy for exercise was therefore found to be the factor which most greatly influenced adherence to an exercise regimen.
The number of steps walked and the active physical activity were found to be related to BMI and HbA1c, therefore it's necessary to raise adherence to an exercise regimen in order to help patients to control their blood sugar levels. In order to raise patient adherence to exercise regimens, we utilized a pedometer, etc., while regarding specific exercise goals in regard to the amount of exercise in numerical targets, it is considered to be important to design exercise regimens according to the needs and abilities of each individual on a case by case basis.
