Korean J Fam Pract 2019; 9(1): 29-35  https://doi.org/10.21215/kjfp.2019.9.1.29
Effects of Intermittent Leisure Time Physical Activity on Glycemic Control in Korean Adult Men with Diabetes and Prediabetes
Sun Young Park, Sang Wha Lee*, Hong Soo Lee, Kyung Won Shim, A Ri Byun, Young Eun Kwon
Department of Familial Medicine, Ewha Womens University Mokdong Hospital, Ewha Womens University School of Medicine, Seoul, Korea
Sang Wha Lee, Tel: +82-2-2650-5165, Fax: +82-2-2654-2439, E-mail: ghwa@ewha.ac.kr, ORCID: http://orcid.org/0000-0002-7451-9978
Received: March 16, 2018; Revised: August 16, 2018; Accepted: September 11, 2018; Published online: February 20, 2019.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Although less frequent activity might be fit into patients, little is known about the benefits of the low frequency physical activity. With the increasing prevalence of diabetes, the objective of the present study was to investigate the effect of physical activity patterns on glycemic control in Korean adult men with diabetes and prediabetes.
Methods: We obtained data from the Korean National Health and Nutrition Examination Survey VI (2014 to 2015), which included 14,930 participants. We analyzed the data for 1,297 male individuals aged 40–80 years, with diabetes or prediabetes. Physical activity patterns were classified into physical activity (Metabolic Equivalents [MET]·minutes) and frequency.
Results: Among the 1,297 respondents, 846 were in the “Inactive”, 98 were in the “Insufficiently Active 1” (<600 MET·minutes, 1 or 2 sessions/wk), 54 were in the “Insufficiently Active 2” (<600 MET·minutes, 3 or more sessions/wk), and 299 were in the “Sufficiently Active” (≥600 MET·minutes). Those in the “Insufficiently Active 1” had a significantly lower HbA1c than “inactive” (0.27%; 5.98±0.07 vs. 6.25±0.05). In contrast, those in the “Insufficiently Active 2” (6.66±0.28) exhibited higher HbA1c as compared to “inactive”. Finally, those in the “Sufficiently Active” (6.21±0.06) exhibited lower HbA1c as compared to “inactive” (0.04%) (all P-values <0.05). A similar trend was observed in the relationship between physical activity and fasting blood glucose levels.
Conclusion: Though engaging in physical activity once or twice a week does not meet the World Health Organization-recommended frequency, it has a significant positive effect on glycemic control in patients with diabetes and prediabetes.
Keywords: Exercise; Diabetes Mellitus; Prediabetic State
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