Andrea Diedrich1, Donna J Munroe2, Melissa Romano3. 1. Mercy Gilbert Medical Center, Gilbert, Arizona (Ms Diedrich) 2. Northern Illinois University, School of Nursing and Health Studies, DeKalb, Illinois (Dr Munroe) 3. Kishwaukee Community Hospital, DeKalb, Illinois (Ms Romano)
Abstract
PURPOSE: The purpose of this study was to evaluate the effectiveness of a self-help physical activity program for persons with type 2 diabetes. Effectiveness was measured by cardiovascular indicators, hemoglobin A1C, anthropometric indicators, and activity levels. METHODS: This intervention study included 53 individuals with type 2 diabetes. Participants were randomly assigned. Participants in the intervention group attended the usual Diabetes Self-Management Education Program (DSMEP) and received a copy of the book, Manpo-kei; a concise handout summarizing the key points of Manpo-kei; and a pedometer. Participants not assigned to the intervention attended the usual DSMEP only. Data collection was completed at the beginning of the study and 3 months later using a lifestyle and diabetes questionnaire, a physical activity questionnaire, and cardiovascular and anthropometric measures. RESULTS: Those who participated in the intervention demonstrated a significant decrease in hemoglobin A1C, weight, and body fat. In addition, they increased their number of daily steps as measured by the pedometer. The control group also demonstrated a significant decrease in hemoglobin A1C and weight. Both groups demonstrated increases in their regular weekly activity. At the end of the study period, the intervention group had a significantly lower diastolic blood pressure than the control group. CONCLUSIONS: Pedometers can be a helpful strategy to motivate persons with diabetes to increase physical activity. However, it appears that attendance at DSMEP alone may be enough to increase physical activity for persons with type 2 diabetes.
RCT Entities:
PURPOSE: The purpose of this study was to evaluate the effectiveness of a self-help physical activity program for persons with type 2 diabetes. Effectiveness was measured by cardiovascular indicators, hemoglobin A1C, anthropometric indicators, and activity levels. METHODS: This intervention study included 53 individuals with type 2 diabetes. Participants were randomly assigned. Participants in the intervention group attended the usual Diabetes Self-Management Education Program (DSMEP) and received a copy of the book, Manpo-kei; a concise handout summarizing the key points of Manpo-kei; and a pedometer. Participants not assigned to the intervention attended the usual DSMEP only. Data collection was completed at the beginning of the study and 3 months later using a lifestyle and diabetes questionnaire, a physical activity questionnaire, and cardiovascular and anthropometric measures. RESULTS: Those who participated in the intervention demonstrated a significant decrease in hemoglobin A1C, weight, and body fat. In addition, they increased their number of daily steps as measured by the pedometer. The control group also demonstrated a significant decrease in hemoglobin A1C and weight. Both groups demonstrated increases in their regular weekly activity. At the end of the study period, the intervention group had a significantly lower diastolic blood pressure than the control group. CONCLUSIONS: Pedometers can be a helpful strategy to motivate persons with diabetes to increase physical activity. However, it appears that attendance at DSMEP alone may be enough to increase physical activity for persons with type 2 diabetes.
Authors: Matthew J Miller; Jennifer Stevens-Lapsley; Thomas T Fields; David Coons; Susan Bray-Hall; William Sullivan; Cory L Christiansen Journal: Contemp Clin Trials Date: 2017-01-31 Impact factor: 2.226
Authors: Franciele R Figueira; Daniel Umpierre; Felipe V Cureau; Alessandra T N Zucatti; Mériane B Dalzochio; Cristiane B Leitão; Beatriz D Schaan Journal: Sports Med Date: 2014-11 Impact factor: 11.136
Authors: Catrine Tudor-Locke; Cora L Craig; Yukitoshi Aoyagi; Rhonda C Bell; Karen A Croteau; Ilse De Bourdeaudhuij; Ben Ewald; Andrew W Gardner; Yoshiro Hatano; Lesley D Lutes; Sandra M Matsudo; Farah A Ramirez-Marrero; Laura Q Rogers; David A Rowe; Michael D Schmidt; Mark A Tully; Steven N Blair Journal: Int J Behav Nutr Phys Act Date: 2011-07-28 Impact factor: 6.457
Authors: Suliman Mansi; Stephan Milosavljevic; Steve Tumilty; Paul Hendrick; G David Baxter Journal: Health Qual Life Outcomes Date: 2013-11-01 Impact factor: 3.186
Authors: Suliman Mansi; Stephan Milosavljevic; G David Baxter; Steve Tumilty; Paul Hendrick Journal: BMC Musculoskelet Disord Date: 2014-07-10 Impact factor: 2.362
Authors: Marc A Adams; James F Sallis; Gregory J Norman; Melbourne F Hovell; Eric B Hekler; Elyse Perata Journal: PLoS One Date: 2013-12-09 Impact factor: 3.240