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Clinical effect of real time pulse rate monitoring with a portable pulsimeter on physical exercise therapy for male patients with type 2 diabetes

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Abstract

In patients with type 2 diabetes, it is recommended that exercise therapy is performed using heart rate as an index of exercise intensity. This study was designed to clinically evaluate whether continuous exercise therapy with a portable pulsimeter for self-monitoring of the pulse rate influences glycemic control in patients with type 2 diabetes. We randomly assigned 23 male patients to a pulse displayed group (in which the portable pulsimeter displayed a pulse rate) or a pulse non-displayed group (in which the portable pulsimeter only recorded the data and did not display a pulse rate). The patients then received exercise therapy for 1 month. Patients in the pulse displayed group were instructed to regulate their walking speed by maintaining their portable pulsimeter in the target pulse rate zone, whereas patients in the pulse non-displayed group were instructed to regulate their walking speed while taking their pulse rate and using the Borg scale to maintain the target pulse rate zone using the conventional method. We found the mean walking time within the target pulse rate zone during exercise therapy was significantly increased in the pulse displayed group (p < 0.01). Similarly, glycoalbumin and 1,5-anhydro-D-glucitol improved significantly in the pulse displayed group after 1 month of exercise therapy (p < 0.01, respectively). Our results suggest that this therapeutic device might be useful for improving glycemic control in patients with type 2 diabetes.

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References

  1. Cuff DJ, Meneilly GS, Martin A, Ignaszewski A, Tildesley HD, et al. Effective exercise modality to reduce insulin resistance in women with type 2 diabetes. Diabetes Care. 2003;26(11):2977–82.

    Article  PubMed  Google Scholar 

  2. Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790–9.

    Article  CAS  PubMed  Google Scholar 

  3. Chudyk A, Petrella RJ. Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes Care. 2011;34(5):1228–37.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Sluik D, Buijsse B, Muckelbauer R, Kaaks R, Teucher B, Johnsen NF, Tjønneland A, Overvad K, Ostergaard JN, Amiano P, Ardanaz E, Bendinelli B, Pala V, Tumino R, Ricceri F, Mattiello A, Spijkerman AM, Monninkhof EM, May AM, Franks PW, Nilsson PM, Wennberg P, Rolandsson O, Fagherazzi G, Boutron-Ruault MC, Clavel-Chapelon F, Castaño JM, Gallo V, Boeing H, Nöthlings U. Physical activity and mortality in individuals with diabetes mellitus: a prospective study and meta-analysis. Arch Intern Med. 2012;172(17):1285–95.

    Article  PubMed  Google Scholar 

  5. Kodama S, Tanaka S, Heianza Y, Fujihara K, Horikawa C, Shimano H, Saito K, Yamada N, Ohashi Y, Sone H. Association between physical activity and risk of all-cause mortality and cardiovascular disease in patients with diabetes: a meta-analysis. Diabetes Care. 2013;36(2):471–9.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Raz I, Riddle MC, Rosenstock J, Buse JB, Inzucchi SE, Home PD, Del Prato S, Ferrannini E, Chan JC, Leiter LA, Leroith D, Defronzo R, Cefalu WT. Personalized management of hyperglycemia in type 2 diabetes: reflections from a Diabetes Care Editors’ Expert Forum. Diabetes Care. 2013;36(6):1779–88.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Boulé NG, Kenny GP, Haddad E, Wells GA, Sigal RJ. Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in type 2 diabetes mellitus. Diabetologia. 2003;46(8):1071–81.

    Article  PubMed  Google Scholar 

  8. Kirk A, Mutrie N, MacIntyre P, Fisher M. Increasing physical activity in people with type 2 diabetes. Diabetes Care. 2003;26(4):1186–92.

    Article  PubMed  Google Scholar 

  9. MacLeod SF, Terada T, Chahal BS, Boulé NG. Exercise lowers postprandial glucose but not fasting glucose in type 2 diabetes: a meta-analysis of studies using continuous glucose monitoring. Diabetes Metab Res Rev. 2013;29(8):593–603.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors are grateful to Mr. J. Takeuchi and Ms. J. Hasegawa (Seiko Epson Corporation, Suwa, Nagano, Japan) for their helpful discussions and to Ms. S. Kitazumi for her secretarial work.

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Authors and Affiliations

  1. Division of Diabetes, Endocrinology and Metabolism, Third Department of Internal Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo, 181-8611, Japan

    Yoshikazu Sumitani, Toshio Hosaka, Toshihiko Yokoyama, Susumu Nishida, Kouichi Inukai & Hitoshi Ishida

  2. Department of Rehabilitation, Kyorin University Hospital, Tokyo, 181-8611, Japan

    Yuka Susaki

  3. Department of Physical Therapy, Faculty of Allied Health Sciences, Kyorin University, Tokyo, 192-8508, Japan

    Yuhki Fujisawa

  4. Department of Clinical Nutrition, Kyorin University Hospital, Tokyo, 181-8611, Japan

    Kinuyo Kuriyama & Yoshie Tsukada

  5. Sensing System Operations Division, Planning and Design Department, Seiko Epson Corporation, Nagano, 399-0293, Japan

    Toshihiko Yokoyama

  6. Department of Molecular Predictive Medicine and Sport Science, Kyorin University School of Medicine, Tokyo, 181-8611, Japan

    Junetsu Ogasawara

  7. Department of Rehabilitation Medicine, Kyorin University School of Medicine, Tokyo, 181-8611, Japan

    Yasutomo Okajima

  8. Higashiyamato Hospital, Tokyo, 207-0014, Japan

    Hideki Ohno

Authors
  1. Yoshikazu Sumitani
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  2. Toshio Hosaka
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  3. Yuka Susaki
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  4. Yuhki Fujisawa
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  5. Kinuyo Kuriyama
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  6. Yoshie Tsukada
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  7. Toshihiko Yokoyama
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  8. Junetsu Ogasawara
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  9. Susumu Nishida
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  10. Kouichi Inukai
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  11. Yasutomo Okajima
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  12. Hideki Ohno
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  13. Hitoshi Ishida
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Corresponding author

Correspondence to Hitoshi Ishida.

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Compliance with ethical standards

Author Ishida received a research grant from Seiko Epson Corporation.

Human rights statement and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later revision. Informed consent or an acceptable substitute was obtained from all patients prior to inclusion in the study. Additional informed consent was obtained from all patients for whom identifying information is included in this article.

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Sumitani, Y., Hosaka, T., Susaki, Y. et al. Clinical effect of real time pulse rate monitoring with a portable pulsimeter on physical exercise therapy for male patients with type 2 diabetes. Diabetol Int 7, 228–234 (2016). https://doi.org/10.1007/s13340-015-0238-7

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  • DOI: https://doi.org/10.1007/s13340-015-0238-7

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