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Impact of Structured Physical Activity Education Delivery in Patients With Type 2 Diabetes Mellitus

Impact of Structured Physical Activity Education Delivery on Hemoglobin A1c Levels, Blood Pressure, Lipid Profile, Body Mass Index, Waist Circumference, and Adherence to Canadian Diabetes Association Clinical Practice Guidelines Weekly Physical Activity Recommendations for Patients With Type 2 Diabetes Mellitus: A Pilot Study.

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02093702
Enrollment
5
Registered
2014-03-21
Start date
2014-04-30
Completion date
2016-06-30
Last updated
2016-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes Mellitus

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

BEHAVIORALPhysical activity and exercise education and behaviour counseling from a Registered Kinesiologist and a YMCA Wellness Coach
BEHAVIORALUnstructured Physical Activity and Exercise Education

Sponsors

Royal Victoria Hospital, Canada
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No

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

MeasureTime frame
Mean Change in Diastolic Blood PressureBaseline and 12 months
Mean Change in Triglycerides (TGs)Baseline and 12 months
Mean Change in Total Cholesterol: HDL-C RatioBaseline and 12 months
Mean Change in Hemoglobin A1c (HbA1c) LevelsBaseline and 12 months
Mean Change in Systolic Blood PressureBaseline and 12 months
Mean Change in Waist CircumferenceBaseline and 12 months
Mean Change in Body Mass IndexBaseline and 12 months
Mean Change in Serum Total CholesterolBaseline and 12 months
Mean Change in HDL-CBaseline and 12 months
Mean Change in LDL-CBaseline and 12 months

Secondary

MeasureTime frameDescription
Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Resistance Exercise RecommendationsBaseline and 12 monthsThe 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 RecommendationsBaseline and 12 monthsThe Canadian Diabetes Association's Clinical Practice Guidelines recommends at least 150 minutes per week of aerobic exercise.

Countries

Canada

Participant flow

Participants by arm

ArmCount
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
Total5

Baseline characteristics

CharacteristicStandard PA Education for People With T2DM (From a CDE)Structured PA Education Program for People With T2DMTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
2 Participants3 Participants5 Participants
Sex: Female, Male
Female
1 Participants2 Participants3 Participants
Sex: Female, Male
Male
1 Participants1 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 00 / 0
serious
Total, serious adverse events
0 / 00 / 0

Outcome results

Primary

Mean Change in Body Mass Index

Time frame: Baseline and 12 months

ArmMeasureValue (MEAN)
Standard PA Education for People With T2DM (From a CDE)Mean Change in Body Mass Index0.6 kg/m^2
Structured PA Education Program for People With T2DMMean Change in Body Mass Index-2.0 kg/m^2
Primary

Mean Change in Diastolic Blood Pressure

Time frame: Baseline and 12 months

ArmMeasureValue (MEAN)
Standard PA Education for People With T2DM (From a CDE)Mean Change in Diastolic Blood Pressure5 mm Hg
Structured PA Education Program for People With T2DMMean Change in Diastolic Blood Pressure2 mm Hg
Primary

Mean Change in HDL-C

Time frame: Baseline and 12 months

ArmMeasureValue (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 T2DMMean Change in HDL-C0.08 mmol/L
Primary

Mean Change in Hemoglobin A1c (HbA1c) Levels

Time frame: Baseline and 12 months

ArmMeasureValue (MEAN)
Standard PA Education for People With T2DM (From a CDE)Mean Change in Hemoglobin A1c (HbA1c) Levels0.001 mmol/mol
Structured PA Education Program for People With T2DMMean Change in Hemoglobin A1c (HbA1c) Levels-0.007 mmol/mol
Primary

Mean Change in LDL-C

Time frame: Baseline and 12 months

ArmMeasureValue (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 T2DMMean Change in LDL-C0.08 mmol/L
Primary

Mean Change in Serum Total Cholesterol

Time frame: Baseline and 12 months

ArmMeasureValue (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 T2DMMean Change in Serum Total Cholesterol-0.13 mmol/L
Primary

Mean Change in Systolic Blood Pressure

Time frame: Baseline and 12 months

ArmMeasureValue (MEAN)
Standard PA Education for People With T2DM (From a CDE)Mean Change in Systolic Blood Pressure5.0 mm Hg
Structured PA Education Program for People With T2DMMean Change in Systolic Blood Pressure7 mm Hg
Primary

Mean Change in Total Cholesterol: HDL-C Ratio

Time frame: Baseline and 12 months

ArmMeasureValue (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 T2DMMean Change in Total Cholesterol: HDL-C Ratio-0.4 mmol/L:mmol/L
Primary

Mean Change in Triglycerides (TGs)

Time frame: Baseline and 12 months

ArmMeasureValue (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 T2DMMean Change in Triglycerides (TGs)-0.63 mmol/L
Primary

Mean Change in Waist Circumference

Time frame: Baseline and 12 months

ArmMeasureValue (MEAN)
Standard PA Education for People With T2DM (From a CDE)Mean Change in Waist Circumference0.7 cm
Structured PA Education Program for People With T2DMMean Change in Waist Circumference-3.4 cm
Secondary

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

ArmMeasureValue (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 Recommendations58 minutes/week
Structured PA Education Program for People With T2DMMean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Aerobic Exercise Recommendations26 minutes/week
Secondary

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

ArmMeasureValue (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 Recommendations0 sessions/week
Structured PA Education Program for People With T2DMMean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Resistance Exercise Recommendations0.7 sessions/week

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026