title: Exercise is associated with metabolism regulation and complications in Korean patients with type 2 diabetes.
abstract: [Purpose] The aim of the present study was to investigate the current evidence for the effect of exercise on glycemic control, the lipid profile, body composition, vascular health, and complications in Korean patients with type 2 diabetes. [Subjects and Methods] The subjects were 1,263 patients receiving outpatient care at 13 general hospitals located in Seoul and Gyeonggido who were subjected to examinations in the areas of blood glucose management, complications management, and diabetes education between March 19 and May 29, 2013. The relations between exercise and various regulatory factors including patient's general and clinical characteristics, metabolic regulation, achievement of goals for metabolic regulation, and complication incidence in patients with type 2 diabetes were investigated. [Results] Exercise management was associated with a decrease in systolic blood pressure, fasting glucose, postprandial glucose, hemoglobin A1c, total cholesterol, triglyceride, and low-density lipoprotein Regarding achievement of goals for metabolic regulation, significant odds ratios were observed for the effect of exercise treatment on blood pressure, fasting glucose, postprandial glucose, hemoglobin A1c, triglyceride, HDL in men, and BMI in patients with type 2 diabetes. Moreover, exercise management was associated with decreased occurrence of cerebrovasculopathy. [Conclusion] In conclusion, exercise induced metabolic regulation of glycemic control, the lipid profile, and body composition, as well as vascular health and complications, in Korean patients with type 2 diabetes.
authors: Department of Healthcare Management and Institute of Global Healthcare Research, College of Health Science, Eulji University, Republic of Korea.
authors: Jin-Won
authors: JW
authors: Noh
authors: Cheil General Hospital & Women's Healthcare Center, College of Medicine, Kwandong University, Republic of Korea.
authors: Jeong Eun
authors: JE
authors: Park
authors: Department of Nursing, Diabetes Education Team, Seoul National University Bundang Hospital, Republic of Korea.
authors: Jin Hee
authors: JH
authors: Jung
authors: Diabetes Center, Kyung Hee University Hospital at Gangdong, Republic of Korea.
authors: Jung Hwa
authors: JH
authors: Lee
authors: Diabetes Education Unit, Samsung Medical Center, Republic of Korea.
authors: Kang Hee
authors: KH
authors: Sim
authors: Department of Physical Therapy, College of Health Science, Eulji University: Gyeonggi 461-713, Republic of Korea.
authors: Min Hee
authors: MH
authors: Kim
keywords: Exercise; Metabolism; Type 2 diabetes mellitus