Diabetes Mellitus
Conditions
Keywords
diabetes, exercise, printed materials
Brief summary
The objective of this study is to determine the effects of supervised combined aerobic and resistance training, and the effects of stage-matched written materials delivered by mail or internet, alone or in combination, on glycemic control as reflected in A1C (glycated hemoglobin).
Detailed description
Background Rationale: Structured, supervised exercise programs involving aerobic exercise, resistance exercise or their combination resulted in significant improvements in glycemic control in type 2 diabetes. It has also been shown that programs which include a psychological/behavioral component in addition to diet and exercise have been most effective for long-term treatment of obesity in diabetes. The supervised exercise program has stronger evidence for improvement of metabolic control and cardiac risk, but its longer-term sustainability has not been demonstrated, and it is relatively costly. A stage-matched printed materials/pedometer intervention has been shown to increase physical activity over a longer period of time, and likely at a lower per-patient cost than the supervised exercise intervention, but with less evidence for improvement of metabolic control.
Interventions
High volume combined aerobic/resistance exercise
Low volume combined aerobic/resistance exercise
High volume combined aerobic/resistance exercise, printouts, pedometers
Low volume combined aerobic/resistance exercise, printouts, pedometers
Printed PA information, pedometers and step log group
No exercise program provided by the study
Sponsors
Study design
Eligibility
Inclusion criteria
* type 2 diabetes * A1c 0.700-0.099 * ability to read and write English * signed ICF
Exclusion criteria
* participation in previous 6 months in exercise \> 2 times per week for at least 20 min per session * insulin therapy changes in medication for diabetes, BP or Lipids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be A1c at the end of 6 months supervised exercise period. | 6 months |
Countries
Canada