Type 2 Diabetes Mellitus
Conditions
Brief summary
The objective of this study is to assess whether a structured exercise program compared to routine recommendation for exercise has any positive impact on disease outcome in patients with type 2 diabetes. This study aims to assess whether a structured exercise program has an impact on the following determinants of the disease in type 2 diabetes: HbA1C, blood pressure, lipids, body mass index and waist circumference. It also aims to assess the compliance and retention of patients with type 2 diabetes in a structured exercise program.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Man or woman with type 2 diabetes * Ready to begin regular physical activity * Age equal to or greater than 18 * Age equal to or less than 64.
Exclusion criteria
* Any vascular disease * Exhibits symptoms of coronary artery disease (CAD) * History of losing balance because of dizziness * History of losing consciousness * Has a bone or joint problem that could be made worse by a change in physical activity * Pregnant * Has been excluded by the Patient's Physician for any other health-related reason not stated under these
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean Change in Diastolic Blood Pressure | Baseline and 12 months |
| Mean Change in Triglycerides (TGs) | Baseline and 12 months |
| Mean Change in Total Cholesterol: HDL-C Ratio | Baseline and 12 months |
| Mean Change in Hemoglobin A1c (HbA1c) Levels | Baseline and 12 months |
| Mean Change in Systolic Blood Pressure | Baseline and 12 months |
| Mean Change in Waist Circumference | Baseline and 12 months |
| Mean Change in Body Mass Index | Baseline and 12 months |
| Mean Change in Serum Total Cholesterol | Baseline and 12 months |
| Mean Change in HDL-C | Baseline and 12 months |
| Mean Change in LDL-C | Baseline and 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Resistance Exercise Recommendations | Baseline and 12 months | The Canadian Diabetes Association's Clinical Practice Guidelines recommends at least 2 sessions per week of resistance exercise. |
| Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Aerobic Exercise Recommendations | Baseline and 12 months | The Canadian Diabetes Association's Clinical Practice Guidelines recommends at least 150 minutes per week of aerobic exercise. |
Countries
Canada
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Standard PA Education for People With T2DM (From a CDE) Subjects in the control arm (n = 2) received the standard approach to PA education from a Canadian Certified Diabetes Educator (CDE). | 2 |
| Structured PA Education Program for People With T2DM Subjects in the experimental arm (n = 3) participated in a structured PA education program for people with T2DM. | 3 |
| Total | 5 |
Baseline characteristics
| Characteristic | Standard PA Education for People With T2DM (From a CDE) | Structured PA Education Program for People With T2DM | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 2 Participants | 3 Participants | 5 Participants |
| Sex: Female, Male Female | 1 Participants | 2 Participants | 3 Participants |
| Sex: Female, Male Male | 1 Participants | 1 Participants | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
Mean Change in Body Mass Index
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Body Mass Index | 0.6 kg/m^2 |
| Structured PA Education Program for People With T2DM | Mean Change in Body Mass Index | -2.0 kg/m^2 |
Mean Change in Diastolic Blood Pressure
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Diastolic Blood Pressure | 5 mm Hg |
| Structured PA Education Program for People With T2DM | Mean Change in Diastolic Blood Pressure | 2 mm Hg |
Mean Change in HDL-C
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in HDL-C | -0.03 mmol/L |
| Structured PA Education Program for People With T2DM | Mean Change in HDL-C | 0.08 mmol/L |
Mean Change in Hemoglobin A1c (HbA1c) Levels
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Hemoglobin A1c (HbA1c) Levels | 0.001 mmol/mol |
| Structured PA Education Program for People With T2DM | Mean Change in Hemoglobin A1c (HbA1c) Levels | -0.007 mmol/mol |
Mean Change in LDL-C
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in LDL-C | -0.59 mmol/L |
| Structured PA Education Program for People With T2DM | Mean Change in LDL-C | 0.08 mmol/L |
Mean Change in Serum Total Cholesterol
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Serum Total Cholesterol | -0.75 mmol/L |
| Structured PA Education Program for People With T2DM | Mean Change in Serum Total Cholesterol | -0.13 mmol/L |
Mean Change in Systolic Blood Pressure
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Systolic Blood Pressure | 5.0 mm Hg |
| Structured PA Education Program for People With T2DM | Mean Change in Systolic Blood Pressure | 7 mm Hg |
Mean Change in Total Cholesterol: HDL-C Ratio
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Total Cholesterol: HDL-C Ratio | -0.7 mmol/L:mmol/L |
| Structured PA Education Program for People With T2DM | Mean Change in Total Cholesterol: HDL-C Ratio | -0.4 mmol/L:mmol/L |
Mean Change in Triglycerides (TGs)
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Triglycerides (TGs) | -0.28 mmol/L |
| Structured PA Education Program for People With T2DM | Mean Change in Triglycerides (TGs) | -0.63 mmol/L |
Mean Change in Waist Circumference
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Waist Circumference | 0.7 cm |
| Structured PA Education Program for People With T2DM | Mean Change in Waist Circumference | -3.4 cm |
Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Aerobic Exercise Recommendations
The Canadian Diabetes Association's Clinical Practice Guidelines recommends at least 150 minutes per week of aerobic exercise.
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Aerobic Exercise Recommendations | 58 minutes/week |
| Structured PA Education Program for People With T2DM | Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Aerobic Exercise Recommendations | 26 minutes/week |
Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Resistance Exercise Recommendations
The Canadian Diabetes Association's Clinical Practice Guidelines recommends at least 2 sessions per week of resistance exercise.
Time frame: Baseline and 12 months
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Standard PA Education for People With T2DM (From a CDE) | Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Resistance Exercise Recommendations | 0 sessions/week |
| Structured PA Education Program for People With T2DM | Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Resistance Exercise Recommendations | 0.7 sessions/week |