부산대학교 도서관

【Background/ objective】A successful weight-loss strategy for short-term hospitalizations has not been established, even though most type 2 diabetics have inadequate exercise habits for disease management. This study aimed to test the feasibility of using a mobile device for improving exercise compliance and weight reduction in hospitalized type 2 diabetes patients. 【Methods】The study participants were 14 patients with type 2 diabetes with no exercise habits with a body mass index of ≥ 25kg/m2 admitted to Handa City Handa Hospital to receive disease management education. Eight patients were assigned to a group using a mobile device for exercise support (Mobile health Application support Program: MAP). Six patients were assigned to a group not using a mobile device (Standard Program: SP). 【Results】The exercise compliance rate was 85% ± 13% in the MAP group and 22% ± 21% in the SP group; thus, it was significantly higher in the MAP group than in the SP group (p <0.001). Regarding the behavioral stages, all patients in the MAP group reached the execution stage; in contrast, four patients did not reach the execution stage in the SP group. The ratio of patients reaching the execution stage was significantly higher in the MAP group (p = 0.015). 【Discussion】For the MAP group, it is presumed that the notification function of a mobile device and the feedback of exercise execution contributed to the improvement of exercise compliance. This result suggested that using a mobile device for exercise support was feasible and could help improve exercise compliance rates and the behavioral stage in hospitalized diabetes education programs. However, further study is needed to describe the long-term effects of using a mobile device for weight reduction and follow-ups are required to monitor lasting behavioral changes.