Enhancing physical activity in older type 2 diabetic adults through remote patient monitoring: a pre-post study in Taiwan.
Year: 2025
Type: article
Study design: Clinical Trial
Abstract: Background: Type 2 diabetes (T2D) is a growing concern among older adults, increasing the risk of frailty, and functional decline. In Taiwan, the convergence of population aging and high diabetes prevalence calls for innovative care strategies. This study evaluated the effectiveness of incorporating wearable step-count devices into the diabetic pay-for-performance (P4P) program to enhance physical activity and explore associations with related health outcomes. Methods: Garmin trackers and synced automatically. Participants received weekly remote feedback from diabetes educators to encourage adherence in 2 months. The Wilcoxon signed-rank test assessed changes in step counts over time, and Spearman's rank correlation examined associations with baseline health indicators. An association of daily step counts with metabolic controls factors, biochemical data, disease severity, functional performance, frailty, nutritional and mood were analyzed. Results: < 0.001). Conclusions: The study found that digital mobile health monitoring improved daily step counts over time in older diabetic patients, and baseline physical functions, and nutritional status were related to the changes. Whether incorporating this wearable technology into diabetes education program improves long metabolic controls needs further researches.
Source: PubMed
DOI: 10.7717/peerj.19659
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4412424636