The Alberta Diabetes and Physical Activity Trial (ADAPT):A Randomized Trial Evaluating Theory-Based Interventions to Increase Physical Activity in Adults with Type 2 Diabetes

Plotnikoff, Ronald C.; Karunamuni, Nandini; Courneya, Kerry S.; Sigal, Ronald J.; Johnson, Jeffrey; Johnson, Steven T.

doi:10.1007/s12160-012-9405-2

Cited by 48 publications

(93 citation statements)

References 43 publications

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“…Plotnikoff et al, (2013), however, found no significant improvement in the level of physical activity or hemoglobin A1c in T2DM patients using distance education with print-based materials alongside pedometer use and telephone counseling, although this intervention did increase the steps counts between women [34].…”

Section: Discussionmentioning

confidence: 98%

Efficacy of telephone support as a tool for promoting daily physical activity in type 2 diabetic patients

Fonseca-Guedes¹,

Possa²,

Righetti³

et al. 2014

J Diab Res Clin Met

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Background: Type 2 diabetes mellitus (T2DM) is a highly prevalent public health problem. Although there is strong evidence supporting the essential role of physical activity in the management of T2DM, the prescription of physical activity has limited success in promoting changes in behavior. The purpose of the present study was to evaluate the impact of phone call support, over the course of five weeks, as an incentive to promote walking in type 2 diabetic patients with poor glycemic control. Methods: A total of 54 type 2 diabetic patients with poor glycemic control (HbA 1C Hg ≥8%) were enrolled in a randomized controlled clinical trial that was conducted at an outpatient clinic. The intervention patients received one telephone call per week for 5 weeks to encourage activity in the form of walking. Control patients did not receive phone calls. The number of steps each subject took was recorded weekly using pedometers. Results: Intervention group there was a significant increase in the number of steps per week between the first and last week compared to the control group (P<0.001). The absolute risk reduction was 75%, and it was necessary to provide phone call support for only three patients to obtain an increase in the number of the steps between the first and the last week of the study (NNT=3.0). Conclusions: Our results suggest that the telephone call, a high cost-benefit approach, may be an efficient intervention for promoting physical activity improvement in type 2 diabetic patients with poor glycemic control.

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Section: Discussionmentioning

confidence: 98%

Efficacy of telephone support as a tool for promoting daily physical activity in type 2 diabetic patients

Fonseca-Guedes¹,

Possa²,

Righetti³

et al. 2014

J Diab Res Clin Met

View full text Add to dashboard Cite

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“…No G2 a maioria (54,0%) era viúvo, e apenas 23,0%, casados. Estudos que investigaram o aconselhamento telefônico como ferramenta de intervenção para incrementar a prática de atividade física com pacientes com DM, mostraram predominância de pessoas casadas (EAKIN et al, 2010a;GOODE et al, 2011;PIETTE et al, 2011;PLOTNIKOFF et al, 2012. No presente estudo observou-se que a maioria dos familiares do G1 e G2 Quanto à ocupação, observou-se que a maioria dos pacientes é aposentado.…”

Section: Caracterização Dos Pacientes Com Diabetes Mellitus Segundo Aunclassified

“…No Brasil, verificou-se que não há estudos que permitem a comparação dessa variável utilizando o suporte telefônico como estratégia educativa. Em relação aos estudos internacionais, a classificação utilizada da variável escolaridade pelos autores de três estudos que investigaram o suporte telefônico como estratégia educativa, não permite comparação com os dados do presente estudo (EAKIN et al, 2009(EAKIN et al, , 2010aPLOTNIKOFF et al, 2012). Entretanto, por se tratar de países desenvolvidos, observa-se que o nível de instrução dos pacientes com DM superior ao que foi encontrado nesse estudo.…”

Section: Caracterização Dos Pacientes Com Diabetes Mellitus Segundo Aunclassified

“…Por outro lado, foram encontrados estudos que utilizaram outros questionários, de vários países, com objetivos equivalentes, sendo que a maioria deles tinham características semelhantes às do IPAQ, tais como: frequência e duração da atividade física, dentre outros (EAKIN et al, 2009(EAKIN et al, , 2010aFUKUDA;MUTO;KAWAMORI, 1999;GOODE et al, 2011;KIM;OH, 2003;PLOTNIKOFF et al, 2012).…”

Section: Caracterização Dos Pacientes Com Diabetes Mellitus Segundo Aunclassified

“…Uma estratégia inovadora, exequível e de baixo custo para o incremento da prática da atividade física regular é o uso do suporte telefônico (EAKIN et al, 2009(EAKIN et al, , 2010bGOODE et al, 2011;GRAVES et al, 2009;PLOTNIKOFF, et al, 2012 O treinamento aeróbio em intensidade moderada e/ou vigorosa melhora a sensibilidade à insulina em pessoas saudáveis e com DM tipo 2 (BAJPEYI et al, 2009;EVANS et al, 2005;GALBO;TOBIN;LOON, 2007;HOUMARD et al, 2004).…”

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O uso do suporte telefônico como estratégia para incremento do nível de atividade física de pacientes com diabetes mellitus

Zanetti¹

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Interventions Using Wearable Physical Activity Trackers Among Adults With Cardiometabolic Conditions

et al. 2021

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Key Points Question Are interventions using wearable physical activity (PA) trackers, including accelerometers, fitness trackers, and/or pedometers, associated with improved PA levels among people with cardiometabolic conditions? Findings In this systematic review and meta-analysis of 38 randomized clinical trials with 4203 participants, interventions with wearable PA trackers were associated with significantly increased PA levels during approximately 15-weeks follow-up; interventions (particularly pedometers) with additional components, such as consultations with health care professionals, were associated with increased PA levels. Meaning The findings suggest that use of wearable PA trackers (especially pedometers) is associated with increased PA levels among people with cardiometabolic conditions when combined with additional intervention components, such as face-to-face consultations, but these PA level improvements may remain below the targets set by clinical recommendations.

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The Alberta Diabetes and Physical Activity Trial (ADAPT):A Randomized Trial Evaluating Theory-Based Interventions to Increase Physical Activity in Adults with Type 2 Diabetes

Abstract: No significant effects were found for PA or A1c levels for T2DM adults. The multi-component strategy including telephone counseling may have potential for women. The trial was registered on ClinicalTrials.gov identifier: NCT00221234.

Cited by 48 publications

References 43 publications

Efficacy of telephone support as a tool for promoting daily physical activity in type 2 diabetic patients

Efficacy of telephone support as a tool for promoting daily physical activity in type 2 diabetic patients

O uso do suporte telefônico como estratégia para incremento do nível de atividade física de pacientes com diabetes mellitus

Interventions Using Wearable Physical Activity Trackers Among Adults With Cardiometabolic Conditions

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