Counseling vs Standard Care to Increase Physical Activity in T2D

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Increases in both light-intensity and moderate-to-vigorous physical activity were noted in both the intervention and standard care groups.
Increases in both light-intensity and moderate-to-vigorous physical activity were noted in both the intervention and standard care groups.

HealthDay News — Theoretical and practical once-yearly counseling for 3 years is associated with increased physical activity and reduced sedentary time in patients with type 2 diabetes (T2D), according to a study published online in Diabetes Care.

Stefano Balducci, MD, from La Sapienza University in Rome, and colleagues randomized 300 physically inactive and sedentary patients with T2D to receive theoretical and practical counseling once yearly for 3 years (intervention group) or standard care (control group). The authors reported the 4-month effects on objectively measured daily light-intensity physical activity, moderate-to-vigorous physical activity, and sedentary time, as well as cardiovascular risk factors.

The researchers observed increases in light-intensity physical activity and moderate-to-vigorous physical activity in both groups, and decreases in sedentary time, although the changes were significantly more marked in intervention participants. In intervention participants only there was a significant reduction in HbA1c. There was an association for an increase in light-intensity physical activity  >0.92 hours/day and in moderate-to-vigorous physical activity >7.33 min/day, and a decrease in sedentary time >1.05 hours/day, with an average decrease of about 1% in HbA1c and with significant improvements in fasting glucose, body weight, waist circumference, and high sensitivity C-reactive protein. Physical activity and sedentary time changes independently predicted improvement in HbA1c.

"Significant improvements in cardiometabolic risk profiles were observed in subjects experiencing the most pronounced changes in physical activity and sedentary time, even if below the recommended level," the authors write.

Disclosures: Several authors disclosed financial ties to the pharmaceutical industry.

Reference

Balducci S, D'Errico V, Haxhi J, et al; for the Italian Diabetes and Exercise Study (IDES) 2. Effect of a behavioral intervention strategy for adoption and maintenance of a physically active lifestyle. the Italian Diabetes and Exercise Study (IDES) 2 [published online August 2017]. Diabetes Care. doi:10.2337/dc17-0594

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