Effect of Step Count Measurement on Glycemic Control: Secondary Analysis of a Randomized Controlled Trial.
Study Goal
The researchers aimed to determine whether the rate of step count measurement (pedometer use) influenced glycemic control in patients with type 2 diabetes.
Results Summary
Patients with a reduced step count measurement rate experienced worsened glycemic control, with a significant between-group difference in HbA1c change (0.516%, p=0.012). The study concluded that consistent step count measurement may improve glycemic outcomes.
Population
Patients with type 2 diabetes from eight hospitals in Japan.
Effective Dosage
Not specified (step count monitoring via pedometer).
Duration
12 months.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
walking | decrease | glycemic control | - | - | has proven efficacy for | #1 |
DialBetesPlus, a self-management support system that allowed patients to monitor step count using a pedometer | neutral | glycemic control | Patients with type 2 diabetes from eight hospitals in Japan | - | investigated the effect of | #2 |
step count measurement | decrease | a better glycemic profile | - | - | may lead to | #3 |
reduced daily step count measurement rate | increase | glycemic control | Patients with type 2 diabetes | 0.516% in the amount of change in HbA1c | experienced a worsening in | #4 |
Although walking has proven efficacy for glycemic control, patients struggle to meet daily step goals. This secondary analysis investigated the effect of step count measurement rate on glycemic control. Patients with type 2 diabetes from eight hospitals in Japan participated in a 12-month randomized controlled trial. The intervention group received DialBetesPlus, a self-management support system that allowed patients to monitor step count using a pedometer. We divided the intervention group into two groups based on whether daily step count measurement rate (the percentage of days with pedometer use) increased or decreased during the last three months of the intervention (month 10-12), relative to the first three months of the intervention (month 1-3). Patients with a reduced measurement rate experienced a worsening in glycemic control, with between-group difference of 0.516% in the amount of change in HbA1c (p=0.012). We conclude that step count measurement may lead to a better glycemic profile.