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Increasing Physical Activity in People With Type 2 Diabetes
Ist Teil von
Diabetes care, 2003-04, Vol.26 (4), p.1186-1192
Ort / Verlag
Alexandria, VA: American Diabetes Association
Erscheinungsjahr
2003
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Increasing Physical Activity in People With Type 2 Diabetes
Alison Kirk , BSC 1 ,
Nanette Mutrie , PHD 1 ,
Paul MacIntyre , MD 1 and
Miles Fisher , MD 2
1 Center for Exercise Science and Medicine, University of Glasgow, Glasgow, Scotland, U.K.
2 Diabetes Center, Glasgow Royal Infirmary, Glasgow, Scotland, U.K.
Abstract
OBJECTIVE —To evaluate effect of exercise consultation on physical activity and resultant physiological and biochemical variables at
6 months in people with type 2 diabetes.
RESEARCH DESIGN AND METHODS —A total of 70 inactive people with type 2 diabetes were given standard exercise information and were randomized to receive
an exercise consultation ( n = 35) or not ( n = 35). Exercise consultation, based on the transtheoretical model, combines motivational theory and cognitive behavioral
strategies into an individualized intervention to promote physical activity. Changes from baseline to 6 months were assessed
in 1 ) physical activity (7-day recall, accelerometer, cardiorespiratory fitness, stage, and processes of change), 2 ) physiological variables (blood pressure and BMI), and 3 ) biochemical variables (HbA 1c , lipid profile, and fibrinogen).
RESULTS —Between-group differences were recorded for the change in minutes of moderate activity ( P < 0.001) and activity counts ( P < 0.001) per week. Experimental participants recorded an increase in activity counts per week and minutes of moderate activity
per week ( P < 0.001). The control group recorded no significant changes. More experimental participants increased stage of change (χ 2 = 22.6, P < 0.001). Between-group differences were recorded for the change in total exercise duration and peak gradient ( P < 0.005), HbA 1c ( P = 0.02), systolic BP ( P = 0.02), and fibrinogen ( P = 0.03).
CONCLUSIONS —Exercise consultation increased physical activity and improved glycemic control and cardiovascular risk factors in people
with type 2 diabetes.
ACSM, American College of Sports Medicine
BP, blood pressure
CDC, Centers for Disease Control and Prevention
HDL-C, HDL cholesterol
LDL-C, LDL cholesterol
Footnotes
Address correspondence and reprint requests to Alison Kirk, Cardiology Department, Royal Alexandra Hospital, Paisley, Scotland,
U.K. E-mail: allison.kirk{at}rah.scot.nhs.uk .
Received for publication 25 October 2002 and accepted in revised form 2 January 2003.
A table elsewhere in this issue shows conventional and Système International (SI) units and conversion factors for many substances.
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