Previously submitted to: JMIR mHealth and uHealth (no longer under consideration since Mar 04, 2022)
Date Submitted: Feb 14, 2022
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Physical activity evaluation and promotion using Fitbit and IPAQ data for type 2 diabetes prevention in patients with prediabetes: a pilot study.
ABSTRACT
Background:
Prediabetes is one of the most rapidly growing health problems, and the leading cause is overweight. This condition is reversible, but lifestyle-changing measures should be taken. Physical activity evaluation with consumer wearables and questionnaires is essential in family doctors’ work to help patients increase physical activity and weight control.
Objective:
This article explores the use of Fitbit activity trackers and IPAQ to assess physical activity for diabetes prevention.
Methods:
Prospective cohort pilot study. Randomly selected 30 patients (9 males and 21 females), aged 32-65 years, with impaired glucose levels and without diabetes or moving disorders. Subjects received Fitbit Inspire activity trackers, physical activity recommendations. In the first visit, patients answered IPAQ, the routine blood check was taken, and we analyzed body composition with X-contact 356 analyzer. The second visit was after six months, and we repeated the first visit procedures and extracted data from Fitbit accounts.
Results:
The median weight was 87.6 +- 16.9Kg and BMI 32.0 [26.4–34.6]. The count of steps per day and variability was different between patients and during the research period, but we found statistically significant improvement in body composition for all the groups. A significant decrease in weight (-1.5Kg) (P=0.022) and a mass of body fat (-1.8Kg) (P<0.001) was observed. Also, visceral fat level, visceral area, waist to hip ratio, and abdominal circumference decreased (P<0.001). IPAQ showed the change of physical activity respectively, and the self-reported physical activity correlated with Fitbit data. Though the questionnaire reported active minutes was significantly lower than registered by the Fitbit activity tracker.
Conclusions:
Physical activity tracking and self-monitoring can help to improve patients with prediabetes weight control and prevent obesity. This is the part of the pilot study, but the results are promising, and the research with large sample size, control group, and healthy subjects should be taken.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.