Promoting Physical Activity for Persons With Diabetes

Diedrich, Andrea; Munroe, Donna J.; Romano, Melissa

doi:10.1177/0145721709352382

Cited by 36 publications

(54 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Of the trials measuring PA, 3 used the Yamax DigiWalker SW200 pedometer (Yamax Corpo, Tokyo, Japan) [24-26], 1 used the Omron HJ-720ITC pedometer (Omron Healthcare, Inc.; Bannockburn, Illinois, America) [27], with the remaining 3 not giving details [28-30]. Of the trials measuring HbA1c, 1 used the Adams procedure [24], 2 used the DCA 2000 (details not provided) [27,31], 1 used the Tosoh A1c 2.2 Plus Glycohemoglobin Analyzer (Tosoh Medics, Inc.; Foster City, California, America) [26], and the others were unknown [18,25,29,30,32,33]. All 11 trials had been carried out in developed countries: 3 in Belgium, 2 in Britain, 1 in Norway, 2 in America, 1 in Canada and 2 in Australia.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Step counter use in type 2 diabetes: a meta-analysis of randomized controlled trials

Qiu

Cai

Chen

et al. 2014

BMC Med

View full text Add to dashboard Cite

BackgroundWhile step counter use has become popular among type 2 diabetes (T2D) patients, its effectiveness in increasing physical activity (PA) and improving glycemic control has been poorly defined. The aim of this meta-analysis of randomized controlled trials (RCTs) was to evaluate the association of step counter use with PA and glycemic control in T2D patients.MethodsArticles were identified by searches of PubMed, Web of Science and Cochrane Library from January 1994 to June 2013. RCTs in the English language were included, if they had assessed the effectiveness of step counters as motivating and monitoring tools in T2D patients, with reported changes in steps per day (steps/d) or glycosylated hemoglobin A1c (HbA1c), or both. Data were independently collected by 2 authors and overall estimates were made by a random-effects model.ResultsOf the 551 articles retrieved, 11 RCTs were included. Step counter use significantly increased PA by 1,822 steps/d (7 studies, 861 participants; 95% confidence interval (CI): 751 to 2,894 steps/d) in patients with T2D. Step counter use with a PA goal showed a bigger increase in PA (weighted mean difference (WMD) 3,200 steps/d, 95% CI: 2,053 to 4,347 steps/d) than without (WMD 598 steps/d, 95% CI: −65 to 1,260 steps/d). Further subgroup analysis suggested step counter use with a self-set PA goal (WMD 2,816 steps/d, 95% CI: 1,288 to 4,344 steps/d) made no difference in increasing PA from a 10,000 steps/d goal (WMD 3,820 steps/d, 95% CI: 2,702 to 4,938 steps/d). However, no significant HbA1c change was observed by step counter use (10 studies, 1,423 participants; WMD 0.02%, 95% CI: −0.08% to 0.13%), either with (WMD 0.04%, 95% CI: −0.21% to 0.30%) or without a PA goal (WMD 0.01%, 95% CI: −0.10% to 0.13%).ConclusionsStep counter use is associated with a significant increase in PA in patients with T2D. However, evidence regarding its effect in improving glycemic control remains insufficient.Trial registrationPROSPERO CRD42013005236

show abstract

Section: Resultsmentioning

confidence: 99%

“…All studies had blinded assessment of outcomes, and described losses to follow-up and exclusions; 45.5% (5/11) carried out ITT analyses [24,25,28,29,32], whereas 54.5% (6/11) used per-protocol analyses [18,26,27,30,31,33]. The risk of bias assessment for each study is listed in Table 2.…”

Section: Resultsmentioning

confidence: 99%

Step counter use in type 2 diabetes: a meta-analysis of randomized controlled trials

Qiu

Cai

Chen

et al. 2014

BMC Med

View full text Add to dashboard Cite

show abstract

“…Pedometers have been commonly employed to provide a measurement of walking undertaken as part of a PA program, to provide patient feedback, and as a motivational instrument within intervention programs designed to increase activity and improve the quality of life, across a range of clinical conditions including: chronic obstructive pulmonary disease (COPD), [35] diabetes, [36,37] inactive overweight and obese older people, [38,39] and healthy adults [40,41]. In addition, a number of studies describe a variety of pedometer-driven walking research protocols for adults with low back pain [42,43] designed to assess the effects on pain-related disability and functional interference.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of studies using pedometers as an intervention for musculoskeletal diseases

Mansi

Milosavljevic

Baxter

et al. 2014

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundPhysical activity (PA) plays an important role in the prevention and management of a number of chronic conditions. Aim: to investigate the evidence for effectiveness of pedometer-driven walking programs to promote physical activity among patients with musculoskeletal disorders (MSDs).MethodA comprehensive systematic review was performed using 11 electronic databases up to 20 February 2014. Keywords and MeSH terms included “musculoskeletal disorders”, “walking”, and “pedometer”. Randomized controlled trials, published in English, that examined the effects of a pedometer-based walking intervention to increase physical activity levels and improve physical function and pain in patients with musculoskeletal disorders were included.ResultOf the 1996 articles retrieved, seven studies ranging in date of publication from 1998 to 2013 met the inclusion criteria, allowing data extraction on 484 participants with an age range of 40 to 82 years. Interventions lasted from 4 weeks to 12 months and the results across studies showed significant increases in step count (p < 0.05) following the intervention. Across these studies, there was a mean increase in PA of 1950 steps per day relative to baseline. Four studies reported improved scores for pain and/or physical function at the intervention completion point relative to controls.ConclusionThis study provides strong evidence for the effectiveness of pedometer walking interventions in increasing PA levels for patients with MSDs. Our findings suggest that a combination of interventions is likely to be the most effective strategy to maximize health benefits in the short term. Further research should include larger sample sizes, and longer intervention durations are required to support the role of pedometer walking interventions as a long term intervention for management of musculoskeletal disorders.

show abstract

“…En cuanto al autocuidado en ejercicio evaluado a través de cuestionario, los resultados mostraron una frecuencia muy baja, hallazgo que es congruente con otros estudios nacionales y extranjeros donde han utilizado alguna forma de autorreporte o cuestionario (13,15,17,18,37). La actividad ambulatoria reportada con el podómetro y la poca realización de ejercicio percibida que mostró el cuestionario tuvieron una relación positiva en nuestro estudio, lo que sugiere la pertinencia de utilizar conjuntamente cuestionarios para medir AF o ejercicio con métodos más objetivos como el podómetro.…”

Section: Discussionunclassified

Education, Physical Activity and Obesity among Adults with Type II Diabetes from the Standpoint of Orem's Self-care Theory

et al. 2013

View full text Add to dashboard Cite

Objetivos: describir la relación de la actividad física (pasos/día)/ejercicio con la obesidad (índice de masa corporal, circunferencia de cintura y grasa corporal) en adultos con diabetes tipo 2. Se planteó además: 1) determinar la relación de la educación/comprensión en diabetes con la actividad física/ejercicio, y 2) establecer diferencias de actividad física/ejercicio y obesidad/sobrepeso de acuerdo con variables sociodemográficas. Materiales y métodos: diseño descriptivo correlacional, muestra aleatoria de 124 pacientes de 17 centros comunitarios de Tampico, Tamaulipas, México. Las mediciones incluyeron: podómetro New-Life Style 2000, cuestionarios de autocuidado y Perfil de Cuidado en Diabetes, IMC, CC y grasa corporal. Los datos se analizaron con medidas de tendencia central, correlación de Spearman, prueba U de Mann-Whitney y Kruskal Wallis. Resultados: el promedio de pasos/día mostró relación inversa con el IMC (rs = - 0,282, p < 0,01) y la CC (rs = - 0,300, p < 0,01). La comprensión en diabetes tuvo relación positiva con el ejercicio (rs = 0,179, p = 0,04). Las mujeres fueron quienes tuvieron mayor porcentaje de grasa corporal (p < 0,05). Conclusiones: los hallazgos tienen implicaciones importantes para el ejercicio práctico de la profesión de enfermería que juega un papel esencial en el fomento de la actividad física y otros comportamientos básicos de autocuidado a través de la educación. La educación basada en teoría se hace necesaria para el avance en el conocimiento de la disciplina.

show abstract

Promoting Physical Activity for Persons With Diabetes

Abstract: Pedometers can be a helpful strategy to motivate persons with diabetes to increase physical activity. However, it appears that attendance at DSMEP alone may be enough to increase physical activity for persons with type 2 diabetes.

Cited by 36 publications

References 27 publications

Step counter use in type 2 diabetes: a meta-analysis of randomized controlled trials

Step counter use in type 2 diabetes: a meta-analysis of randomized controlled trials

A systematic review of studies using pedometers as an intervention for musculoskeletal diseases

Education, Physical Activity and Obesity among Adults with Type II Diabetes from the Standpoint of Orem's Self-care Theory

Contact Info

Product

Resources

About