Current Situation of Diet and Exercise Therapy in Terms of Medical Consultations in Patients with Diabetes Mellitus in Japan: A Nationwide Survey

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  • Arakawa Satomi
    Program of Health Science, Graduate School of Psychological and Physical Science, Aichi Gakuin University
  • Watanabe Tomoyuki
    Program of Health Science, Graduate School of Psychological and Physical Science, Aichi Gakuin University
  • Sone Hirohito
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Department of Hematology, Endocrinology and Metabolism, Niigata University Graduate School of Medical and Dental Sciences
  • Kobayashi Masashi
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Diabetes Center, JCHO Takaoka-Fushiki Hospital
  • Kawamori Ryuzo
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Sportology Center, Juntendo University, Graduate School of Medicine
  • Atsumi Yoshihito
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Diabetes Center of Eiju General Hospital
  • Oshida Yoshiharu
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Research Center of Health, Physical Fitness and Sports, Nagoya University
  • Tanaka Shiro
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Department of Sports and Health Science, Osaka Sangyo University
  • Suzuki Susumu
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Ohta General Hospital
  • Makita Shigeru
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Saitama International Medical Center, Saitama Medical University
  • Ohsawa Isao
    Program of Health Science, Graduate School of Psychological and Physical Science, Aichi Gakuin University Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society
  • Tamura Yoshifumi
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society Sportology Center, Juntendo University, Graduate School of Medicine
  • Sato Yuzo
    Research Committee for the Establishment of Therapeutic Exercise for the Patients with Diabetes of the Japan Diabetes Society The Graduate Center of Human Sciences, Aichi Mizuho College

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Other Title
  • 糖尿病診療における食事療法・運動療法の現状―糖尿病患者の全国調査集計成績―
  • 診断・治療(食事・運動・薬物) 糖尿病診療における食事療法・運動療法の現状 : 糖尿病患者の全国調査集計成績
  • シンダン ・ チリョウ(ショクジ ・ ウンドウ ・ ヤクブツ) トウニョウビョウ シンリョウ ニ オケル ショクジ リョウホウ ・ ウンドウ リョウホウ ノ ゲンジョウ : トウニョウビョウ カンジャ ノ ゼンコク チョウサ シュウケイ セイセキ

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Abstract

This study was performed to investigate the present situation of diet and exercise therapy associated with medical consultations in diabetes patients in Japan. The subjects included 5,100 patients with diabetes mellitus. A self-recorded questionnaire was distributed and collected at out-patient clinics and medical institutions specialized in diabetes. Responses were obtained from a total of 4,176 of the 5,100 patients with diabetes mellitus. The rate of exercise guidance was significantly lower than that of dietary guidance. Dietary guidance was given mostly by dietitians, while exercise guidance was conducted chiefly by physicians. The rate of implementation of exercise therapy was almost 50 %. As to the responses to the questions, "why did you not perform the exercise therapy" and "what factors are necessary to continue the exercise therapy," most participants answered a "lack of time to engage in physical exercise." The physically active patients showed lower HbA1c levels. In conclusion, the frequency of exercise guidance was significantly low in this study, and there were large differences in the rates of dietary versus exercise guidance. These results suggest that personalized exercise programs should be provided to patients considering the daily background factors of each individual, and the importance of a physically active daily lifestyle should be emphasized.

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