Document Detail


Effects of a 12-month physical activity counselling intervention on glycaemic control and on the status of cardiovascular risk factors in people with Type 2 diabetes.
MedLine Citation:
PMID:  15138687     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS/HYPOTHESIS: The aim of this study was to investigate the effectiveness of physical activity counselling in promoting physical activity in people with Type 2 diabetes and to evaluate resultant physiological and biochemical effects. METHODS: A total of 70 inactive people with Type 2 diabetes were given standard exercise information and randomised to receive physical activity counselling (n=35, experimental) or not (n=35, control). Physical activity consultations were delivered at baseline and after 6 months, with follow-up phone calls after 1, 3, 6 and 9 months. Changes from baseline after 6 and 12 months were assessed for physical activity (7-day recall and accelerometer), for physiological characteristics (body mass index and blood pressure) and for biochemical variables (HbA(1)c, lipid profile, fibrinogen, tissue plasminogen activator and microalbuminuria). RESULTS: Significant differences between groups were recorded for physical activity after 6 and 12 months (p<0.01). The experimental group had increased levels of physical activity from baseline to 6 months (p<0.01), with no decrease from 6 to 12 months (p>0.05). In the control group, accelerometer counts per week decreased from baseline to 12 months (p=0.03). Between-group differences (p<0.05) were recorded for the change in HbA(1)c (experimental: 0.26% decrease; control: 0.15% increase), for systolic blood pressure (experimental: 7.7 mm Hg decrease; control: 5.6 mm Hg increase) and for fibrinogen (experimental: 0.28 mmol/l decrease; control: 1.43 mmol/l increase) from baseline to 6 months, and for total cholesterol (experimental: 0.33 mmol/l decrease; control: 0.04 mmol/l increase) from baseline to 12 months (p<0.05). No significant differences were recorded in other measured variables. CONCLUSIONS/INTERPRETATIONS: Physical activity counselling was effective in promoting physical activity in people with Type 2 diabetes. The counselling improved glycaemic control as well as the status of cardiovascular risk factors in these patients.
Authors:
A Kirk; N Mutrie; P MacIntyre; M Fisher
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2004-05-11
Journal Detail:
Title:  Diabetologia     Volume:  47     ISSN:  0012-186X     ISO Abbreviation:  Diabetologia     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-01     Completed Date:  2005-04-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0006777     Medline TA:  Diabetologia     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  821-32     Citation Subset:  IM    
Affiliation:
Centre for Exercise Science and Medicine, University of Glasgow, Scotland. a.kirk@dundee.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Cardiovascular Diseases / epidemiology*
Counseling
Diabetes Mellitus, Type 2 / rehabilitation*
Diabetic Angiopathies / epidemiology*
Exercise*
Fibrinogen / metabolism
Follow-Up Studies
Humans
Oxygen Consumption
Risk Factors
Time Factors
Chemical
Reg. No./Substance:
9001-32-5/Fibrinogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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