Type 2 diabetes with Obesity
Conditions
Interventions
Digital Outdoor Exercise Program Group (Intervention Group):Exercise prescription: A combination of aerobic and resistance training programs that meet diabetes exercise guidelines. Participants were e
Face-to-face rehabilitation (control group):Exercise prescription: A combined aerobic and resistance training regimen similar to the digital arm to ensure that both groups get the same "dose" of exerc
Sponsors
Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Eligibility
Sex/Gender
All
Age
37 Years to 58 Years
Inclusion criteria
Inclusion criteria: 1. Adults (18-70 years old) have been diagnosed with type 2 diabetes (according to ADA standards) for at least 1 year. 2.Obesity is defined as BMI>=28 kg/m^2 (using Chinese obesity standards). 3. hba1c between 7% and 10% at screening (to ensure there is room for improvement in blood sugar control). A sedentary or low-activity lifestyle (not meeting 4.the moderate exercise recommendation of >=150 minutes per week in the last 3 months). 5. Moderate intensity exercise approved by a physician (no uncontrolled cardiovascular disease or other exercise contraindications). 6. Own a smartphone or tablet computer with basic proficiency (for people in digital intervention). 7. Willing to participate in any intervention group and attend follow-up.
Exclusion criteria
Exclusion criteria: 1.Type 1 diabetes or secondary diabetes (with a focus on management of type 2 diabetes). 2.Severe diabetic complications that hinder safe exercise: proliferative retinopathy, advanced neuropathy with frequent falls, active diabetic foot ulcers. 3.Significant cardiovascular disease, uncontrolled or high-risk exercise (e.g., recent myocardial infarction <6 months, unstable angina, uncontrolled hypertension, blood pressure 180/100 mmHg, grade III-IV heart failure). 4.Severe musculoskeletal or joint diseases that limit activity or movement (e.g., severe osteoarthritis, lower limb amputation, and lack of proper prosthetics). 5.Chronic kidney disease stage 4-5 or other serious comorbidities that interfere with exercise or study participation. 6.Pregnant or planning to become pregnant in the next 6 months (due to changes in exercise risks and metabolic needs). 7.Currently enrolled in another organized weight loss, exercise, or diabetes management program. 8. Inability to commit to 12-week plans or expected non-compliance (e.g., frequent travel, lack of phone/Internet access to digital groups).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HbA1c;Adverse events; | — |
Secondary
| Measure | Time frame |
|---|---|
| Body Mass Index;Body fat percentage;Blood Pressure;Lipid profile;30s sit-to-stand;SF-36; | — |
Countries
China
Contacts
Public ContactHuang Li Hua
Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Outcome results
None listed