The Association between time spent in performing physical activity and physical function in outpatients with type 2 diabetes who may have diabetic neuropathy. Issue 6 (November 2020)

• Record Type: Journal Article
• Authors: Shirai, Nobuyuki; Tsubaki, Atsuhiro; Morishita, Shinichiro; Honma, Daisuke; Isobe, Sumiyo; Ikarashi, Kanami; Suzuki, Akiko; Murayama, Satoru
• Is Part Of: Diabetes & metabolic syndrome. Volume 14:Issue 6(2020)
• Page Start: 2111
• Page End: 2116
• Publication Date: 2020-11
• Subjects: Type 2 diabetes -- Diabetic neuropathy -- Physical activity -- Questionnaire -- Physical function; Diabetes -- Periodicals; Metabolism -- Disorders -- Periodicals; Diabetes Mellitus -- Periodicals; Metabolic Diseases -- Periodicals; Diabète -- Périodiques; Métabolisme, Troubles du -- Périodiques; Endocrinologie -- Périodiques; Diabète -- Physiopathologie -- Périodiques; Diabetes; Metabolism -- Disorders; Electronic journals; Periodicals; 616.462
• DOI: 10.1016/j.dsx.2020.10.020
• Languages: English
• ISSNs: 1871-4021

Abstract

Abstract: Aims: To determine the relationship between physical activity time and physical function according to the Japanese Clinical Practice Guideline for Diabetes, which recommended 150 min of activity for outpatients with type 2 diabetes who may have diabetic neuropathy. Methods: We examined a cross-sectional study with 79 outpatients with Type 2 diabetes participated. A short version, Japanese language edition of the International Physical Activity Questionnaire (IPAQ) was used to evaluate physical activity. Isometric knee extensor strength, grip strength, maximum 10-m walking speed, the Michigan Neuropathy Screening Instrument score, and the Short Physical Performance Battery (SPPB). Each evaluation item was compared between time spent performing physical activity ≥150 min group and <150 min group, and multiple regression analysis was performed to determine the factors associated with time spent performing physical activity. Further, the correlation between time spent performing physical activity and isometric knee extensor strength was examined. Results: The ≥150 min group had significantly higher isometric knee extensor strength than the <150 min group. In addition, the ≥150 min group had significantly faster maximum 10-m walking speed and sit-to-stand time than the <150 min group. Isometric knee extensor strength was determined to be an independent factor associated with the IPAQ score. A positive correlation was found between the IPAQ score and isometric knee extensor strength. Conclusions: Among the patients with type 2 diabetes who may have diabetic neuropathy, those who performed physical activity for ≥150 min per week were suggested to have higher physical function than those with <150 min of activity. Highlights: The Japanese Clinical Practice Guideline for Diabetes recommends physical activity. We investigated 79 with type 2 diabetes and with suspected diabetic neuropathy. The International Physical Activity Questionnaire, Japanese language short version was used. The group with longer physical activity (≥150 min/week) had higher physical functions than those with shorter physical activity (<150 min/week).