Home-Based Physical Activity in Patients With Type 2 Diabetes Mellitus: A Scoping Review

Mustapa, Amirah; Justine, Maria; Latir, Aliff; Manaf, Haidzir

doi:10.5535/arm.21102

Cited by 6 publications

(7 citation statements)

References 36 publications

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“…Additionally, new practices strengthened during the COVID-19 pandemic, such as telehealth (i.e., using technology for remote monitoring of patients with T2D) [24,46], are also being adopted in the current scenario. However, the home-based exercise and T2D scenario still need greater scienti c consistency and a greater number of intervention studies [47]. Therefore, it is essential to highlight the importance of carrying out this type of intervention that will be used in the RED, involving the performance of a remotely supervised home-based exercise training.…”

Section: Discussionmentioning

confidence: 99%

Cardiometabolic, Functional, and Psychosocial Effects of a Remotely Supervised Home- based Exercise Program in Individuals with Type 2 Diabetes (RED Study): A Randomized Clinical Trial

Rodrigues

Delevatti

Carvalho

et al. 2023

Preprint

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Background: Type 2 diabetes mellitus (T2D) is a serious global health problem, and exercise is considered an essential non-pharmacological tool in T2D prevention and treatment. During periods of social isolation experienced by the COVID-19 pandemic, home-based exercise programs were strongly recommended as a strategy to facilitate exercise practice and reduce the negative impacts of social isolation. Remotely supervised exercise stands out as an easily accessible strategy after the pandemic, as it is a tool that aims to facilitate access to exercise by this population. The purpose of the RED study is to verify the effects of a remotely supervised home-based exercise program compared to a control group on cardiometabolic, functional, and psychosocial outcomes in patients with T2D. Methods: Participants are randomized into the control group (CG) and the intervention group (IG). The CG receives recommendations for the physical activity practice, while the IG will perform a 12-week home-based exercise program supervised remotely by video call. The participants’ cardiometabolic, functional, and psychosocial parameters are assessed at baseline (week 0) and post-intervention (week 13). Discussion: It is expected that the results of the proposed study will benefit the knowledge base of health professionals and provide more evidence for a growing area, i.e., home-based exercise and T2D. Additionally, the expectation is to verify and demonstrate whether this program can be accessible and effective for different health outcomes in patients with T2D. Trial Registration: The RED study protocol was prospectively registered at ClinicalTrials.gov (NCT05362071). Date registered April 6, 2022.

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Section: Discussionmentioning

confidence: 99%

Cardiometabolic, Functional, and Psychosocial Effects of a Remotely Supervised Home- based Exercise Program in Individuals with Type 2 Diabetes (RED Study): A Randomized Clinical Trial

Rodrigues

Delevatti

Carvalho

et al. 2023

Preprint

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“…As the individuals included in this trial were previously sedentary, from the standpoint of patient safety, the exercises included in the home-based physical activity intervention were of low to moderate intensity, akin to activities of daily living. Therefore, taking into account the recent recommendations of Mustapa et al [ 70 ] suggesting aerobic activity with a frequency of three to five times per week at moderate intensity, along with moderate intensity free and body weight resistance training exercises, is optimal to mediate improvements in type 2 diabetic patients. It can be speculated that the prescribed exercise regimen was not sufficiently intense to mediate improvements in HbA1c levels.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, these findings oppose those of Plotnikoff et al [ 69 ], who showed significant reductions in strength and insulin control following home-based resistance training, but do concur with the observations of Krousel-Wood et al [ 68 ] using a combination of aerobic and resistance training. Once again, taking into account the recommendations of Mustapa et al [ 70 ], it can be speculated that the physical activity utilized in this trial was not of sufficient intensity to mediate improvements in hematological, blood pressure, anthropometric, or fitness indices. The current investigation nonetheless suggests that the home-based physical activity program adopted in the current investigation was ineffective in facilitating improved hematological, blood pressure, anthropometric, or fitness parameters in Saudi Arabian type 2 diabetes patients.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Home-Based Physical Activity Program on Blood Biomarkers and Health-Related Quality of Life Indices in Saudi Arabian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

Sinclair,

Ageely,

Mahfouz

et al. 2023

Life

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The purpose of this study was to undertake a randomized control trial examining the effects of a 12-week home-based physical activity program on Saudi Arabian adults with type 2 diabetes. Sixty-four patients with type 2 diabetes mellitus were recruited from the Jazan Diabetes and Endocrinology Center, located in the Jazan region of southwestern Saudi Arabia. Patients were randomly assigned to either control, i.e., usual care (males = 46.9% and females = 53.1%, age = 45.88 ± 8.51 years, mass = 76.30 ± 15.16 kg, stature = 160.59 ± 8.94 cm, body mass index (BMI) = 29.73 ± 6.24 kg/m2, years since diagnosis = 8.12 ± 6.22 years) or a home-based physical activity (males = 50% and females = 50%, age = 42.07 ± 9.72 years, mass = 74.58 ± 13.67 kg, stature = 158.94 ± 9.38 cm, BMI = 29.44 ± 4.38 kg/m2, years since diagnosis = 12.17 ± 8.38 years) trial arms. The home-based physical activity group was required to undertake aerobic training by increasing their habitual step count by 2000 steps per day and performing resistance training 3 times per week for 12 weeks. The primary outcome was hemoglobin A1c (HbA1c), and secondary measures of anthropometrics, blood biomarkers, physical fitness, and patient-reported quality of life outcomes pertinent to type 2 diabetes were measured at timepoints, i.e., baseline, 12 weeks, and 24 weeks (follow-up). Intention-to-treat analyses revealed no significant alterations in the primary outcome (control: baseline = 8.71%, 12-weeks = 8.35%, and follow-up = 8.72%; home-based physical activity: baseline = 8.32%, 12-weeks = 8.06%, and follow-up = 8.39%) between trial arms. However, improvements in psychological wellbeing at follow-up measured using the Patient Health Questionnaire-9 were significantly greater in the home-based physical activity group (baseline = 6.84, 12-weeks = 5.96, and follow-up = 5.00) compared to the control (baseline = 6.81, 12-weeks = 5.73, and follow-up = 8.53). No other statistically significant observations were observed. Home-based physical activity is not effective in mediating improvements in HbA1c levels or secondary hematological, blood pressure, anthropometric, or fitness indices. However, given the link between psychological wellbeing and the etiology/progression of disease activity in type 2 diabetes, home-based physical activity may be effective for tertiary disease management. Future trials should examine the efficacy of relative exercise intensities greater than those in the current study.

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“…On top of that, incorporating tailored physical activity (PA) in the mHealth applications is considerably pivotal for healthcare professionals (HCPs) in diabetes treatment [3]. Recent studies have also shown that the heart rate measurement while performing the PA is also an important contributor to diabetes management [4].…”

mentioning

confidence: 99%

“…Acknowledging the potential of mHealth, there is a growing interest in investigating its applications for personalised rehabilitation programmes [23,24]. Furthermore, the issues posed by the coronavirus disease of 2019 (COVID-19) pandemic, underline the critical need for remote healthcare solutions globally [4].…”

mentioning

confidence: 99%

Tele-DM: development of a mobile health technology for non-invasive type-2 diabetes mellitus patients with assistive physical activities and vital signs monitoring

2024

IJATEE

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The fast evolution of mobile technology has become beneficial in health-related fields.*Author for correspondence Nowadays, there is a large number of mobile health (mHealth) applications that have been developed and have proven their usefulness in the treatment of type-2 diabetes (T2D) patients. With the increasing prevalence of diabetes and the growing need for selfmanagement, mHealth apps have become an

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Home-Based Physical Activity in Patients With Type 2 Diabetes Mellitus: A Scoping Review

Cited by 6 publications

References 36 publications

Cardiometabolic, Functional, and Psychosocial Effects of a Remotely Supervised Home- based Exercise Program in Individuals with Type 2 Diabetes (RED Study): A Randomized Clinical Trial

Cardiometabolic, Functional, and Psychosocial Effects of a Remotely Supervised Home- based Exercise Program in Individuals with Type 2 Diabetes (RED Study): A Randomized Clinical Trial

Effects of a Home-Based Physical Activity Program on Blood Biomarkers and Health-Related Quality of Life Indices in Saudi Arabian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

Tele-DM: development of a mobile health technology for non-invasive type-2 diabetes mellitus patients with assistive physical activities and vital signs monitoring

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