Abstract
【Background】The intervention was conducted in a 50-year-old patient with type 2 diabetes visiting a diabetology clinic under exercise guidance by a physical therapist and using a pedometer application.
【Methods】Aerobic exercise using equipment was performed in the exercise therapy room of our clinic thrice a week for 30 min on each occasion. Three exercise modalities, a bicycle ergometer, treadmill, and cross trainer, were used for 10 min each. The intervals and cool-downs were approximately 1 min for each machine. A goal of at least 5,000 steps per day was set on the pedometer application, and its completion was checked by the physical therapist. The pedometer application also enables one to visualize changes in their daily step count on a graph and has a function that allows one to earn points on reaching their goal.
【Results】As a result of continuing these measures for 6 months, the body mass index improved from 27.0 kg/m2 to 25.5 kg/m2, and the glycosylated hemoglobin improved from 8.3% to 7.0%. Biochemical tests showed an improvement in the Aspartate aminotransferase level from 44.0 IU/L to 19.0 IU/L, Alanine transaminase level from 65.0 IU/L to 29.0 IU/L, and triglyceride level from 552.0 mg/dL to 364.0 mg/dL. Bone mineral density went from 86.77 mmAI to 89.04 mmAI, and the results of the pulse wave conduction velocity test and Diabetic peripheral neuropathy test were in the normal range before and after the test.
【Conclusions】In this study, in addition to exercise guidance by a physical therapist, the use of a pedometer application may have contributed to the promotion of healthy behavior.
