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Increasing physical activity in people with type 2 diabetes

Increasing physical activity in people with type 2 diabetes

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  • Alison Kirk
  • Nanette Mutrie
  • Paul MacIntyre
  • Miles Fisher

Research units


Original languageEnglish
Number of pages7
JournalDiabetes Care
Journal publication dateApr 2003


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 (HbA1c, 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 (?2 = 22.6, P < 0.001). Between-group differences were recorded for the change in total exercise duration and peak gradient (P < 0.005), HbA1c (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.


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