Breaking News
June 23, 2018 - Coconut oil diet increases vitality, lifespan of fruit flies with peroxisomal disorder
June 23, 2018 - Jumping genes or transposons and their role in the genetic code
June 23, 2018 - The Current issue of “The view from here” is concerned with Therapeutics
June 23, 2018 - Abnormal lipid metabolism in fat cells predicts future weight gain and diabetes in women
June 23, 2018 - Alcohol problems linked to sex without condom use among black gay men
June 23, 2018 - DNA patterns in circulating blood cells can help identify spastic cerebral palsy
June 23, 2018 - Unsubstantiated health claims widespread within weight loss industry
June 23, 2018 - FDA grants marketing authorization for use of two catheter-based devices in hemodialysis patients
June 23, 2018 - An ingrown toenail not the same as a bypass
June 23, 2018 - Study suggests proteinuria lowering as important target in managing pediatric CKD
June 23, 2018 - FDA Alert: Kratom (mitragyna speciosa) powder products by Gaia Ethnobotanical: Recall
June 23, 2018 - CDC chief asks for, and gets, cut to his record $375K pay
June 22, 2018 - Novel cellular pathway may clarify how arterial inflammation develops into atherosclerosis
June 22, 2018 - Pioneering exercise program improves physical, mental health of elderly people living in care homes
June 22, 2018 - Rutgers Cancer Institute educates childhood cancer survivors about late effects of treatment
June 22, 2018 - Study tests accuracy of device designed to detect heart dysfunction in childhood cancer survivors
June 22, 2018 - Study links annual haze with increased hospitalizations for respiratory problems
June 22, 2018 - Robotic surgery appears to be as effective as open surgery in treating bladder cancer
June 22, 2018 - Many Drugs Made Available Via FDA Expanded Access Programs
June 22, 2018 - Normal eye dominance is not necessary for restoring visual acuity in amblyopia
June 22, 2018 - Parent-Child Interaction Therapy can reduce depression rates in children
June 22, 2018 - Study provides insights into how components of different cells in the brain are altered
June 22, 2018 - Research does not confirm antidiabetic action of natural fatty acid derivatives
June 22, 2018 - Oxidative stress can be used against tumors to treat cancer
June 22, 2018 - Simple, cost-effective test may help improve early diagnosis of mild cognitive impairment
June 22, 2018 - New guide published to help battle fatal disease caused by kissing bugs
June 22, 2018 - Stigma Adds to Burden of Type 1 Diabetes
June 22, 2018 - In retinoblastoma survivors, oculo-visual issues tied to QoL
June 22, 2018 - Most adults with allergies do not use prescribed epinephrine even in emergency situations
June 22, 2018 - Study provides clues to how cancer cells develop resistance to chemotherapies
June 22, 2018 - New consensus paper serves as basis for uniform medical management of DSD
June 22, 2018 - Researchers work to identify areas of the brain that help us wake up
June 22, 2018 - Alcohol hangovers more significant and costly than people realize, shows research
June 22, 2018 - Targeting cells involved in blood vessel formation could hinder brain tumor growth
June 22, 2018 - Young cancer survivors need more support as they feel dissatisfied with their sexuality
June 22, 2018 - Unusual cell-to-cell communication in glioblastoma promotes aggressiveness and therapy resistance
June 22, 2018 - Turning A Phage – Drug Discovery Today
June 22, 2018 - World-first study links birth interventions and long-term childhood illness
June 22, 2018 - Improving the quality of biomedical research samples
June 22, 2018 - Researchers identify cerebral palsy using AI and DNA sequencing
June 22, 2018 - Administering nitric oxide gas after heart surgery may decrease risk of kidney problems
June 22, 2018 - Measuring levels of ethyl sulphate in hair can help assess alcohol consumption
June 22, 2018 - Researchers develop robot bloodhound that can rapidly detect odors on the ground
June 22, 2018 - AAA doses first patients in two clinical studies with PSMA-R2 for prostate cancer
June 22, 2018 - LSTM led consortium receives grant to investigate how human behavior impacts AMR
June 22, 2018 - Researchers discover drug compound that inhibits movement of cancer cells
June 22, 2018 - Normalization of ‘plus-size’ body shapes may prevent recognition of health risks of obesity
June 22, 2018 - UC San Diego launches new bacteriophage therapy center
June 22, 2018 - New review outlines current state of sex-sensitive issues linked to heart failure drugs
June 22, 2018 - Pelvic pain a major issue for women nearing mid-life, research reveals
June 22, 2018 - Researchers develop reliable DNA barcodes for biomedical research
June 22, 2018 - New risk-prediction model may help identify diabetic patients at high risk of pancreatic cancer
June 22, 2018 - Study reveals how mTORC1-driven changes in crowding could influence major diseases
June 22, 2018 - Researchers uncover new therapeutic opportunity in the treatment of malignant melanoma
June 22, 2018 - UC Riverside researcher receives grants to advance cancer, ALS research
June 22, 2018 - Radiation therapy alone may be enough to treat older, sicker patients with anal cancers
June 22, 2018 - Technical report describes how to make accurate particle size measurements on carbon black samples
June 22, 2018 - Nocdurna (desmopressin acetate) Approved by FDA as First Sublingual Tablet to Treat Nocturia due to Nocturnal Polyuria
June 22, 2018 - Neuroscientists locate neurons in the brain that respond when a visual target is found
June 22, 2018 - First human Keystone virus infection reported
June 22, 2018 - New study reveals how ‘good’ bacteria help in regulating our metabolism
June 22, 2018 - Osteopathic manual therapy affecting the diaphragm improves chronic low back pain
June 22, 2018 - Researchers create revolutionary model to study pulmonary diseases
June 22, 2018 - Diagnosing Heart Disease Using AI
June 22, 2018 - Increasing biodefense risks posed by synthetic biology
June 22, 2018 - Many Women Report Vasomotor Symptoms in Their 60s
June 22, 2018 - Rare mutation of gene carried by Quebec family gives insight into how the brain is wired
June 22, 2018 - Chemists find new way to make enzymes do a non-natural reaction
June 22, 2018 - Summer is good time to check for signs of skin cancer
June 22, 2018 - Innovative method can help identify patients with spastic cerebral palsy
June 22, 2018 - Exercise alters characteristics of blood to reduce inflammation in obese people
June 22, 2018 - Researchers examine complications across different types of breast reconstructive surgeries
June 22, 2018 - Rhesus macaque model could be useful to test therapies for congenital Zika virus syndrome
June 22, 2018 - AHA: New Insights Into Sickle Cell and Stroke Risk
June 22, 2018 - Doctors prescribe opioids at high rates to those at increased overdose risk
June 22, 2018 - Reduction in US cigarette smoking rates
June 22, 2018 - Preconception binge drinking may have negative effect on future offspring
June 22, 2018 - FDA expands approval of novel diabetes management device to include younger pediatric patients
June 22, 2018 - Researchers confirm weight loss benefits of the 16:8 diet
June 22, 2018 - FDA approves Eversense CGM system for use in adults with diabetes
Online interactive app motivates diabetes patients to increase physical activity

Online interactive app motivates diabetes patients to increase physical activity

image_pdfDownload PDFimage_print

As the holidays draw to a close, 29 million Americans with type 2 diabetes had to navigate the minefield of treats, drinks, and dinners. Many patients have stepped up to meet the challenge of moderating their diet, but fewer embrace the benefits of physical activity in controlling their blood sugar.

A research team led by scientists at University of Utah Health have developed an online interactive app to help motivate patients to be more physically activity to manage their disease. The results are published in the January 9 issue of the Journal of Medical Internet Research.

According to Nancy Allen, Ph.D., ANP-BC, assistant professor in the College of Nursing at U of U Health and co-author on the paper, there is an emotional component to behavior change. Convincing patients to increase their physical activity to maintain their blood sugar levels is easier said than done.

In addition, this disease commonly co-occurs with obesity, which sets off a dangerous cycle. Overweight patients experience joint pain, limiting their ability or desire to engage in physical activity. As patients limit their physical activity, they gain more weight, worsening their disease.

To overcome these hurdles, the research team developed the interactive app to gauge participant understanding of the effect of physical activity in managing their disease and motivate them toward this important behavioral change.

At the start, the user enters their blood sugar (A1c) value and some basic vital information. Using this input, the program draws an average blood sugar curve, which is based on the patient’s A1c value. The participant then uses a mouse to draw a line along the rising and falling blood sugar curve to illustrate how they expect their blood sugar would change following 30 minutes of exercise, like walking.

Next, the user controls slider that change the duration of exercise or time of day exercise occurs. The program reveals how blood sugar actually changes from the average blood sugar curve following a period of physical activity. The participant can see the difference between their expected and the actual curves. The results are often dramatically different.

“Based on prior work, we thought people would underestimate the impact of physical activity, but we were wrong,” said Bryan Gibson, D.P.T, Ph.D., assistant professor in Biomedical Informatics at U of U Health and first author on the paper. “The patients overestimated the impact of physical activity on their blood sugar, but after using the simulation their motivation still increased.”

Gibson believes the participants were swayed when the results affirmed their beliefs of the positive effect of physical activity on blood sugar.

More importantly, the patient can run the app multiple times to explore how the time of day and length of physical activity affect blood sugar levels. Through this process, they can pinpoint the optimal time for their exercise to reap the most benefits.

The researchers found the app provided an effective way to change patients’ attitude toward physical activity and shift their beliefs to incorporate more exercise into their daily routine. In fact, the participants on average increased their plans to walk for exercise in the next week by more than 30 minutes (from 67.1 minutes pre-study to 100.5 minutes post-study).

“I see this as a tool that educators can use in their office to help patients make the visual connection between the power that they have with physical activity and diabetes management,” Allen said.

Of the 2,019 participants who visited the website, 1,335 (566 male; 765 female) submitted completed data. Of which, 77 percent were Caucasian and 15 percent were Hispanic, African American, American Indian or Native America, and Pacific Islander. According to Oakley-Girvan, the next project will include a participation pool that more closely mirrors the U.S. population managing this disease.

In the future, the research team hopes to adapt this approach to personalize the app by creating patient-specific blood sugar curves using a glucose monitor and an activity monitor rather than rely on average blood sugar curves. In addition, they hope to integrate this work into the clinical care setting to give providers additional tools to help educate their patients. The team also wants to leverage the power of social engagement by integrating the app into a supportive group setting.

“Exercise is a natural part of your daily living,” said Ingrid Oakley-Girvan, Ph.D., M.P.H, a research scientist at the Cancer Prevention Institute of California and co-author on the study. “Sitting is the new smoking, but our technology empowers patients to understand how exercise improves their health.”

Source:

https://healthcare.utah.edu/

Tagged with:

About author

Related Articles