The findings demonstrate community-based PA interventions can be effective in producing increases in PA .
Our findings can guide future PA community-based interventions  in adult population s diagnosed with TD2
Evidence suggests engaging in regular physical activity ( PA ) can have beneficial outcomes for adults with type 2 diabetes ( TD2 ) , including weight loss , reduction of medication usage and improvements in hemoglobin A1c (HbA1c)/fasting glucose .
While a number of clinical -based PA interventions exist , community-based approaches are limited .
Impact of Physical Therapist–Directed Exercise Counseling Combined With Fitness Center–Based Exercise Training on Muscular Strength and Exercise Capacity in People With Type 2 Diabetes: A Randomized Clinical Trial
Background : Assessing muscular strength ( force-generating capacity ) and exercise capacity in response to an intervention for people with type 2 diabetes is clinical ly important in the prevention of type 2 diabetes-related complications . Objective : The purpose of this study was to investigate the impact of physical therapist – directed exercise counseling combined with fitness center – based exercise training on muscular strength and exercise capacity in people with type 2 diabetes . Design : This study was a r and omized clinical trial . Setting : The study was conducted on a university campus , with patient recruitment from the local community . Patients : Twenty-four people with type 2 diabetes were r and omly allocated to either a group that received physical therapist – directed exercise counseling plus fitness center – based exercise training ( experimental group ) or a group that received laboratory-based , supervised exercise ( comparison group ) . Intervention : The experimental group received physical therapist – directed exercise counseling on an exercise program and was provided access to a fitness center . The comparison group received the same exercise program as the experimental group while under supervision . Measurements : For all participants , chest press , row , and leg press muscular strength ( 1-repetition maximum [ in kilograms ] ) and exercise capacity ( grade d exercise test duration [ in minutes ] ) testing were conducted at baseline and 2 months later . Results : No significant differences in improvements in muscular strength were found for the chest press ( adjusted mean difference=1.2 ; 95 % confidence interval [CI]=−5.5 to 7.8 ) , row ( adjusted mean difference=0.1 ; 95 % CI=−9.0 to 9.1 ) , or leg press ( adjusted mean difference=2.7 ; 95 % CI=−9.1 to 14.6 ) between the groups . No significant difference in improvement in exercise capacity ( adjusted mean difference=0.2 ; 95 % CI=−0.9 to 1.2 ) was found between the groups . Limitations : Lack of group allocation blinding and the small sample size were limitations of this study . Conclusions : The results suggest that physical therapist – directed exercise counseling combined with fitness center – based exercise training can improve muscular strength and exercise capacity in people with type 2 diabetes , with outcomes comparable to those of supervised exercise
The findings demonstrate community-based PA interventions can be effective in producing increases in PA .
Our findings can guide future PA community-based interventions  in adult population s diagnosed with TD2
Evidence suggests engaging in regular physical activity ( PA ) can have beneficial outcomes for adults with type 2 diabetes ( TD2 ) , including weight loss , reduction of medication usage and improvements in hemoglobin A1c (HbA1c)/fasting glucose .
While a number of clinical -based PA interventions exist , community-based approaches are limited .