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• W3040866786 abstract "PURPOSE: Obesity management in patients with type 2 diabetes (T2DM) is very important for improving insulin resistance. One of the factors affecting obesity management is physical activity level (PAL). The purpose of this study was to investigate the relationship between obesity and the daily physical activity level monitored by smart-phones in T2DM patients. METHODS: A total of 325 patients with T2DM who have enrolled a diabetes self-management App (iCareD, Medical Excellence Inc., Korea) linked to an electronic medical record (EMR) at least for 30 days was enlisted. The daily walking steps were monitored by a 3-axis accelerometer embedded in the smartphone. And 268 patients who walked over an average of 1,000 step/day in 30 days (163 men; 58.1±11.8 yrs, 170.9±5.8 cm, 73.7±11.4 kg, and 25.2±3.5 kg/m2, 105 women; 55.3±14.6 yrs, 158.1±5.2 cm, 61.0±11.7 kg, and 24.3±4.0 kg/m2) were selected for the analyses of PAL. The medical record (height, weight, and body mass index: BMI) of those selected subjects were retrieved from the hospital. PAL was divided into quartile, and the obesity prevalence was compared by groups. Statistical software SAS version 9.4 were used and statistical significance was set at p<0.05. RESULTS: The average daily PAL for 30 days was 5,209±3,276 step/day (n=268). Those who walked >7,500 step/day were 20.8% (n=56). The quartile was divided by 67 patients at ≤2,452, between >2,452 and ≤4,655, between >4,655 and ≤7,009, and >7,009 step/day, for the 1st, 2nd, 3rd, and 4th quartile, respectively. The total obesity prevalence with BMI ≥25 kg/m2 was 41.7% (n=112). The group obesity prevalence was 47.7% (n=32), 44.7% (n=30), 40.2% (n=27), and 34.3% (n=23), in 1st, 2nd, 3rd, and 4th quartile, respectively (p=0.459). CONCLUSIONS: This study revealed a quantification of PAL monitored by smartphones in Korean T2DM patients. The majority of the subjects did not meet the recommended activity level guided by the American Diabetes Association (7,500~9,999 step/day). The low level of PAL may be due by data collection modality such as smartphones. Further studies are required. (study funded by NRF-2014M3A9D7070333)." @default.
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• W3040866786 date "2020-07-01" @default.
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• W3040866786 title "A Simple Smartphone-based Physical Activity Level Did Not Predict Obesity Prevalence In Type 2 Diabetes Patients In Korea" @default.
• W3040866786 doi "https://doi.org/10.1249/01.mss.0000671536.65827.6d" @default.
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