Department of Rehabilitation, Tokyo Metropolitan Toshima Hospital, Tokyo Metropolitan Hospital Organization, 33-1 Sakaecho, Itabashi-ku, Tokyo, 173-0015, Japan.
Graduate School of Comprehensive Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo, 112-0012, Japan.
Curr Diabetes Rev. 2024;20(9):e211123223677. doi: 10.2174/0115733998269490231106190128.
Exercise therapy is the key to preventing admission of patients with type 2 diabetes mellitus (T2DM). However, a few studies have examined the effects of exercise therapy on patients with T2DM undergoing inpatient diabetes self-management education and support (IDSMES).
This study investigated whether exercise therapy influenced the incidence of admission after discharge in patients with T2DM undergoing IDSMES.
This retrospective cohort study included patients with T2DM who underwent IDSMES between June 2011 and May 2015. Overall, 258 patients were included in this study. The exercise therapy program was implemented in June 2013. Accordingly, patients diagnosed between June 2011 and May 2013 were categorized as the non-exercise therapy program group, while those diagnosed between June 2013 and May 2015 were categorized as the exercise therapy program group. Outcomes were incident diabetes-related and all-cause admissions within 1 year of discharge. Multiple logistic regression models were used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) of the exercise therapy program's impact on the outcomes.
Within 1 year of discharge, 27 (10.5%) patients underwent diabetes-related admissions and 62 (24.0%) underwent all-cause admissions. Multiple logistic regression analyses showed a significant association of the exercise therapy program with incident diabetes-related and allcause admissions [OR: 0.22 (95% CI: 0.08-0.59) and 0.44 (95% CI: 0.22-0.86), respectively].
Exercise therapy programs significantly lowered the incidences of diabetes-related and all-cause admissions. This indicates that implementing exercise therapy during hospitalization may be important for preventing admissions of patients with T2DM receiving IDSMES.
运动疗法是预防 2 型糖尿病（T2DM）患者入院的关键。然而，很少有研究检查运动疗法对接受住院糖尿病自我管理教育和支持（IDSMES）的 T2DM 患者的影响。
本研究旨在探讨运动疗法是否会影响接受 IDSMES 的 T2DM 患者出院后的入院率。
本回顾性队列研究纳入了 2011 年 6 月至 2015 年 5 月期间接受 IDSMES 的 T2DM 患者。共有 258 例患者纳入本研究。运动疗法方案于 2013 年 6 月实施。因此，2011 年 6 月至 2013 年 5 月诊断的患者归入非运动疗法方案组，而 2013 年 6 月至 2015 年 5 月诊断的患者归入运动疗法方案组。结局为出院后 1 年内与糖尿病相关和全因入院。多变量逻辑回归模型用于估计运动疗法方案对结局的影响的比值比（OR）和 95%置信区间（CI）。
出院后 1 年内，27 例（10.5%）患者发生与糖尿病相关的入院，62 例（24.0%）患者发生全因入院。多变量逻辑回归分析显示，运动疗法方案与与糖尿病相关和全因入院的发生显著相关[OR：0.22（95%CI：0.08-0.59）和 0.44（95%CI：0.22-0.86）]。
运动疗法方案显著降低了与糖尿病相关和全因入院的发生率。这表明，在住院期间实施运动疗法对于预防接受 IDSMES 的 T2DM 患者的入院可能很重要。
