Internet Based Exercise Training in Type 2 Diabetes

Study Overview
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Brief Summary
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Type 2 Diabetes Mellitus (DM) is a disease which is characterized with insulin resistance and exercise has positive effects on glycemic control and cardiovascular disease (CVD) development in these patients. Encouraging physical activity and exercise with using internet-based technology provides; potential to reach more people via comparatively low cost, 24 hour accessibility to services and for clinician, more frequent communication ability with the patient. In literature, there is no study examined exercise training via internet in patients with Type 2 DM. For this reason, considering the lack of the literature, the investigators aimed to compare the effects of internet based combined exercise training on glycemic control, functional capacity and physical activity level with supervised group training in patients with Type 2 DM. The purpose of the study is to provide convenience of rehabilitation access, glycemic control, offer an alternative physiotherapy and rehabilitation service which can help to improve physical activity level and obtain quantitative data for the applicability and contribution of internet based exercise training in patients with Type 2 DM.

Official Title
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Can Internet Based Exercise Training Be an Alternative to Supervised Group Exercise Training in Patients With Type 2 Diabetes?

Conditions
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Type 2 Diabetes

Intervention / Treatment
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* Other: Internet based exercise training
* Other: group exercise training
* Other: Physical activity counselling via a brochure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: HbA1c level between %6,5-11 Patients who can reach 420 meters in 6 minutes walking test Patients who are available high speed internet from home, work or mobile phone Exclusion Criteria: Non-Cooperation Uncontrolled Hypertension and cardiac arrythmia Severe neurological and pulmonary disorder Patients who had Percutan Transluminal Coronary Angiography or cardiac pacemaker Previous Myocardial Infarction Previous amputation Major musculoskeletal problem Chronic renal failure Patients who had hip or knee prothesis within 5 years Diabetic ulceration pr neuropathy Pregnancy Breastfeeding Hemolytic anemia Renal anemia

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>Usual Care Group: A brochure which emphasis the importance of physical activity and exercise in Type 2 DM will be given to the patients in this group after the evaluation. | Other: Physical activity counselling via a brochure<br> <br> |
| Experimental: Group B<br>Supervised Clinical Exercise Training Group: Patients in this group will continue group exercise training includes aerobic and resistance training, 1 hour in a day, 3 times in a week for 8 weeks with the supervision of a researcher physiotherapist. | Other: group exercise training<br> <br> |
| Experimental: Group C<br>Internet Based Exercise Training Group. the patients to this group will be a member of the web site named www.diyabetvehareket.com. The participation of the patients will be provided with the videos directing them to 1 hour in a day, 3 times in a week for 8 week both aerobic and resistance exercise training from the researcher physiotherapist. | Other: Internet based exercise training<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HbA1c |  | 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| fasting blood glucose |  | 2 months | 
| Body fat ratio |  | 2 months | 
| Body Muscle Ratio |  | 2 months | 
| 6 minute walking distance |  | 2 months | 
| International Physical Activity Questionnaire |  | 2 months | 
| Number of Steps (Mean of 7 days) |  | 2 months | 
| Quadriceps Muscle Strength (for left and right) |  | 2 months | 
| Euro Quality of Life-5 Dimension |  | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Type 2 DM, internet based exercise training, group exercise training, glycemic control