Diabetes, Physical Activity
Conditions
Brief summary
Can participation in group physical activity, such as a community-based organized group walk, help adult diabetes patients develop a physically active lifestyle? Can such engagement ultimately lead to an improvement in hemoglobin A1c? To address this question, the investigators have designed this pilot study with the aim to investigate the effect of community-based group walks among Joslin adults with diabetes on the development of a physically active lifestyle and glycemic level. The investigators hypothesize that participation in group walking events helps Joslin adults with diabetes engage in physical activity and improves glycemic control.
Interventions
BEHAVIORALGroup Walk
weekly walking club session on Saturday mornings at Boston Common, lasting 30 min - 1 hour and engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
BEHAVIORALIndividual Walk
engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
Sponsors
Joslin Diabetes Center
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Joslin Clinic patients * 18 years or older * A1C between 7.5% - 12.0% * Received physician clearance indicating safe to participate in the walk club events * Reside within Boston and Greater Boston Area * Ability to communicate in English and/or Chinese * Agree to participate in the intervention walk club for 6 consecutive weeks
Exclusion criteria
* Pregnant or breast feeding * Unstable angina or myocardial infarction within 1 month prior to screening * Unstable gait, severe neuropathy, or deformed foot. * Enrolled in another investigational study within 1 month prior to screening for this study * On medications such as prednisone that will affect blood glucose
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in steps/day | Baseline, Week 3, Week 6, Week 9, Week 12 |
Secondary
| Measure | Time frame |
|---|---|
| Change in Blood Pressure | Baseline, Week 3, Week 6, Week 9, Week 12 |
| Change in Waist Circumference | Baseline, Week 3, Week 6, Week 9, Week 12 |
| Hip Circumference | Baseline, Week 3, Week 6, Week 9, Week 12 |
| Change in Physical Activity Pattern | Baseline, Week 6, Week 12 |
| Change in Food Consumption | Baseline, Week 6, Week 12 |
| Change in BMI | Baseline, Week 3, Week 6, Week 9, Week 12 |
| Change in Pulse | Baseline, Week 3, Week 6, Week 9, Week 12 |
| Change in Height | Baseline, Week 3, Week 6, Week 9, Week 12 |
| Change in Weight | Baseline, Week 3, Week 6, Week 9, Week 12 |
| Change in A1c | Baseline, Week 12 |
| Change in Fructosamine | Baseline, Week 6, Week 12 |
Countries
United States
Outcome results
None listed