Breaking News
December 14, 2018 - Scientists perform lung lavage as new approach for tuberculosis diagnosis in rhinoceros
December 14, 2018 - Recent winners of the Nobel Medicine Prize
December 14, 2018 - KHN’s ‘What the Health?’ Insurance enrollment is lagging — and there are lots of reasons why
December 14, 2018 - Study assesses safety and efficacy of new treatment for pancreatic cancer
December 14, 2018 - Study finds drug targets for Ebola, Dengue, and Zika viruses
December 14, 2018 - Study highlights need for personalized approach to treat ICU acquired delirium
December 14, 2018 - Massage helps relieve pain, improve mobility in patients with knee osteoarthritis
December 14, 2018 - Average outpatient visit in the U.S. costs nearly $500, shows new study
December 14, 2018 - Reference Infliximab, Biosimilar Equivalent for Crohn’s Disease
December 14, 2018 - New contact lens to treat eye injuries
December 14, 2018 - Acne could have a genetic basis find researchers promising new cure
December 14, 2018 - Higher physical activity associated with improved mood
December 14, 2018 - New UGA study points to optimal hypertension treatment for stroke patients
December 14, 2018 - Study highlights factors that can reduce food cravings
December 14, 2018 - Researchers discover Ebola-fighting protein in human cells
December 14, 2018 - Fentanyl surpasses heroin in cause of U.S. drug overdose deaths
December 14, 2018 - When Heart Attack Strikes, Women Often Hesitate to Call for Help
December 14, 2018 - A warning about costume contacts
December 14, 2018 - Study examines link between peripheral artery disease and heart attack
December 14, 2018 - Researchers develop biotechnological tool to produce antifungal proteins in plants
December 14, 2018 - 3D-printed adaptive aids can benefit patients with arthritis
December 14, 2018 - Chronic bullying during adolescence impacts mental health
December 14, 2018 - Integral Molecular and Merus collaborate to develop bispecific antibody therapeutics
December 13, 2018 - Importance of cell cycle and cellular senescence in the placenta discovered
December 13, 2018 - Gold “nanoprisms” open new window into vessels and single cells
December 13, 2018 - Research findings could lead to new targets for cancer-fighting therapeutics
December 13, 2018 - Butantan Institute signs collaboration agreement with MSD to develop dengue vaccines
December 13, 2018 - Study explores how patients want to discuss symptoms with doctors
December 13, 2018 - RUDN medics first to gather scattered data on hepatitis morbidity in Somalia
December 13, 2018 - Age and gender disparities found in use of bed nets to prevent malaria in sub-Saharan Africa
December 13, 2018 - Caffeine therapy benefits developing brains of premature babies
December 13, 2018 - New review focuses on electrospinning techniques used in musculoskeletal tissue engineering
December 13, 2018 - A new division focused on human immune system
December 13, 2018 - Zogenix Announces Positive Phase 3 Trial Results on the Efficacy and Safety of Fintepla (ZX008) in Dravet Syndrome
December 13, 2018 - BCR ABL Genetic Test: MedlinePlus Lab Test Information
December 13, 2018 - Caffeinated beverages during pregnancy linked to lower birth weight babies
December 13, 2018 - Stanford Medicine Health Trends Report examines opportunity to democratize health care
December 13, 2018 - Obsessive-compulsive disorder may protect individuals from obesity
December 13, 2018 - Scientists investigate how a painful event is processed in the brain
December 13, 2018 - Genetic study reveals new insights into underlying causes of moderate-to-severe asthma
December 13, 2018 - Study uncovers new genetic clues to frontotemporal dementia
December 13, 2018 - Vitamin C supplementation for pregnant smokers may reduce harm to infants’ lungs
December 13, 2018 - New study reveals yin-yang personality of dopamine
December 13, 2018 - Research identifies nerve-signaling pathway behind sustained pain after injury
December 13, 2018 - Children with high levels of callous traits show widespread differences in brain structure
December 13, 2018 - Long-term Benefit of Steroid Injections for Knee Osteoarthritis Challenged
December 13, 2018 - Adding new channels to the brain remote control
December 13, 2018 - In the Spotlight: A different side of neuroscience
December 13, 2018 - Medical Marvels: Using immunotherapy for melanoma that spread to the brain
December 13, 2018 - Puzzles do not keep dementia away finds study
December 13, 2018 - New mouse model shows potential for rapid identification of promising muscular dystrophy therapies
December 13, 2018 - Study reveals urban and rural differences in prenatal exposure to essential and toxic elements
December 13, 2018 - New collaborative partnership in quest of novel antibiotics
December 13, 2018 - Single tau molecule holds clues to help diagnose neurodegeneration in its earliest stages
December 13, 2018 - AHA Scientific Statement: Low Risk of Side Effects for Statins
December 13, 2018 - What Is Acute Flaccid Myelitis?
December 13, 2018 - How bereaved people control their thoughts without knowing it
December 13, 2018 - Health care democratization underway, according to 2nd annual Stanford Medicine Health Trends Report | News Center
December 13, 2018 - Going Beyond a Single Color
December 13, 2018 - London-based startup launches ‘thedrug.store’ aiming to clean up CBD industry
December 13, 2018 - Loss of tight junction barrier protein results in gastric cancer development
December 13, 2018 - Novel way to efficiently deliver anti-parasitic medicines
December 13, 2018 - RKI publishes new data on disease prevention and utilization of medical services
December 13, 2018 - High-tech, flexible patches sewn into clothes could help to stay warm
December 13, 2018 - The CCA releases three reports on requests for medical assistance in dying
December 13, 2018 - Restoring Hair Growth on Scarred Skin? Mouse Study Could Show the Way
December 13, 2018 - Probiotic use may reduce antibiotic prescriptions, researchers say
December 13, 2018 - Drug repositioning strategy identifies potential new treatments for epilepsy
December 13, 2018 - Chronic rhinitis associated with hospital readmissions for asthma and COPD patients
December 13, 2018 - Food poisoning discovery could save lives
December 13, 2018 - Cloned antibodies show potential to treat, diagnose life-threatening fungal infections
December 13, 2018 - Exercise may reduce colorectal cancer risk after weight loss
December 13, 2018 - Russian scientists create hardware-information system for brain disorders treatment
December 13, 2018 - Moderate alcohol consumption linked with lower risk of hospitalization
December 13, 2018 - Nurturing Healthy Neighborhoods | NIH News in Health
December 13, 2018 - Rise in meth and opioid use during pregnancy
December 13, 2018 - Researchers gain new insights into pediatric tumors
December 13, 2018 - FSU study finds racial disparity among adolescents receiving flu vaccine
December 13, 2018 - Study investigates attitudes toward implementation of ‘sex as a biological variable’ policy
December 13, 2018 - Drug cocktail induces cancer cell death by switching off energy supply
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