Clinical trial NCT00910507: The Impact of Exercise Counseling on Exercise Behavior in People With Type 2 Diabetes: A Randomized Clinical Trial
Official title: The Impact of Physical Therapist-Directed Exercise Counseling Combined With Fitness Center-Based Exercise Training on Stage of Exercise Behavior in People With Type 2 Diabetes: A Randomized Clinical Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Diabetes Mellitus, Type 2
Keywords: Diabetes Mellitus, Type 2
Exercise
Counseling
Behavior
Lead sponsor: University of Central Arkansas
Sponsor class: OTHER
First posted: 2009-06-01
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this randomized clinical trial is to investigate the impact of physical therapist-directed exercise counseling combined with fitness center-based exercise training on stage of exercise behavior in people with type 2 diabetes.

Detailed description: Type 2 diabetes is a chronic, metabolic disease characterized by hyperglycemia resulting from insulin resistance. Research studies indicate that complications such as cardiovascular disease, peripheral vascular disease, retinopathy, and loss of physical function are associated with type 2 diabetes. Clinical management of people with type 2 diabetes consists of medical nutrition therapy, pharmacological therapy, and exercise. Exercise has been shown to improve risk factors associated with complications of type 2 diabetes such as elevated plasma glucose, elevated blood pressure, loss of muscular strength, and loss of exercise capacity. In fact, the American Diabetes Association and American College of Sports Medicine have published position statements recommending the use of exercise, specifically resistance and aerobic training, as an intervention for people with type 2 diabetes. However, 31 percent of people with type 2 diabetes have reported no regular physical activity and an additional 38 percent have reported less than recommended levels of physical activity. Therefore, interventions to promote regular exercise behavior in people with type 2 diabetes are clinically important by potentially preventing type 2 diabetes-related complications.

Previous studies have investigated the impact of exercise counseling on exercise behavior in people with type 2 diabetes. However, these studies have limitations such as lack of agreement with exercise training guidelines for people with type 2 diabetes and research design flaws. This current study investigates the effect of a novel, physical therapist-directed exercise counseling combined with fitness center-based exercise training intervention on stage of exercise behavior in people with type 2 diabetes.

Eligibility criteria: Inclusion Criteria:

* Type 2 diabetes
* Consider medically stable to participate by a physician

Exclusion Criteria:

* Contraindication for exercise testing
* Uncontrolled hypertension
* Proliferative retinopathy
* Severe peripheral neuropathy
* Nephropathy
* Autonomic neuropathy
* Unable to participate due to a physical impairment
* Fasting plasma glucose greater than 250 mg/dL
* Involved in resistance or aerobic training on 2 or more days per week

Primary outcomes:
measure: Stage of Exercise Behavior
timeFrame: 2 months
Secondary outcomes:
Other outcomes:
Locations:
city: Conway
country: United States
facility: University of Central Arkansas
state: Arkansas
Study officials:
affiliation: University of Central Arkansas
name: James D Taylor, PT, PhD
role: PRINCIPAL_INVESTIGATOR
References: