A randomized trial investigating the 12-month changes in physical activity and health outcomes following a physical activity consultation delivered by a person or in written form in Type 2 diabetes: Time2Act
Background and aims Physical activity is a cornerstone of Type 2 diabetes management but is underutilized. Physical activity consultations increase physical activity in people with Type 2 diabetes but resources are often limited. Time2Act is a randomized control trial to study the 12‐month effectiv...
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| Veröffentlicht in: | Diabetic medicine 2009-03, Vol.26 (3), p.293-301 |
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| creator | Kirk, A. Barnett, J. Leese, G. Mutrie, N. |
| description | Background and aims Physical activity is a cornerstone of Type 2 diabetes management but is underutilized. Physical activity consultations increase physical activity in people with Type 2 diabetes but resources are often limited. Time2Act is a randomized control trial to study the 12‐month effectiveness of a physical activity consultation delivered by a person or in written form, in contrast to standard care, for people with Type 2 diabetes.
Methods A total of 134 inactive people with Type 2 diabetes in a contemplation or preparation stage were randomized to either intervention or standard care. Objective (accelerometer) and subjective (7‐day recall) physical activity levels were measured over 1 week, along with physiological [blood pressure, body mass index (BMI), waist circumference] and biochemical [glycated haemoglobin (HbA1c), total and high‐density lipoprotein (HDL) cholesterol] measures at baseline, 6 and 12 months.
Results Neither a physical activity consultation delivered by a person nor in written form was better than standard care at increasing physical activity levels or improving health outcomes in the full study cohort. Total and HDL cholesterol, waist circumference and both systolic and diastolic blood pressure improved over 12 months in all groups, whilst HbA1c improved over 6 months. In a subgroup (baseline pedometer steps |
| doi_str_mv | 10.1111/j.1464-5491.2009.02675.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764395223</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>764395223</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4675-c18dfa1732a2468f82355563810ce634d3f33c35e3bdee0f4e9558e4e63545723</originalsourceid><addsrcrecordid>eNqNkcmOEzEURUsIRDcNv4C8gV5V8FCuAYlFFJoGEQZBgKXluF4lDjUE2xmKFRJfyC_wJbwiUdgghDeezr3v2TeKCKMjhuPRasSSNIllUrARp7QYUZ5mcrS_EZ2fLm5G5zRLeCxoxs6iO96vKGW8EMXt6IwVgmU5l-fRjzFxui27xn6FkgRndU1suwUf7EIH2y5IWAJhPG66NiyJWep2AR4Rsl723hrEtQl2a0NP0IcsQdfIdZtgugbBqqvrbjf46L8oTNf6TR2wUNeSEmq7BYdtzPuBBufxtHNDsZ2zIUCLdq4Z9rN-DT-_feektHoOAfxjMrMN8LEJd6Nbla493DvOF9GHZ1ezyfN4-ub6xWQ8jU2CfxUblpeVZpngmidpXuVcSClTkTNqIBVJKSohjJAg5iUArRIopMwhwTuZyIyLi-jy4Lt23ZcNfphqrDdQ17qFbuNVliaikJwLJB_-k0wzKrOCDZb5ATSu895BpdbONtr1ilE1BK9WashXDfmqIXj1O3i1R-n9Y43NvIHyj_CYNAIPjoD2mEGFqRvrTxzH8im-HbknB25na-j_uwH19NXVsEJ9fNBbH2B_0mv3Gd8pEP30-lq9ff_x5fRdKtVE_AKLGtzF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67057912</pqid></control><display><type>article</type><title>A randomized trial investigating the 12-month changes in physical activity and health outcomes following a physical activity consultation delivered by a person or in written form in Type 2 diabetes: Time2Act</title><source>Wiley-Blackwell Journals</source><source>MEDLINE</source><creator>Kirk, A. ; Barnett, J. ; Leese, G. ; Mutrie, N.</creator><creatorcontrib>Kirk, A. ; Barnett, J. ; Leese, G. ; Mutrie, N.</creatorcontrib><description>Background and aims Physical activity is a cornerstone of Type 2 diabetes management but is underutilized. Physical activity consultations increase physical activity in people with Type 2 diabetes but resources are often limited. Time2Act is a randomized control trial to study the 12‐month effectiveness of a physical activity consultation delivered by a person or in written form, in contrast to standard care, for people with Type 2 diabetes.
Methods A total of 134 inactive people with Type 2 diabetes in a contemplation or preparation stage were randomized to either intervention or standard care. Objective (accelerometer) and subjective (7‐day recall) physical activity levels were measured over 1 week, along with physiological [blood pressure, body mass index (BMI), waist circumference] and biochemical [glycated haemoglobin (HbA1c), total and high‐density lipoprotein (HDL) cholesterol] measures at baseline, 6 and 12 months.
Results Neither a physical activity consultation delivered by a person nor in written form was better than standard care at increasing physical activity levels or improving health outcomes in the full study cohort. Total and HDL cholesterol, waist circumference and both systolic and diastolic blood pressure improved over 12 months in all groups, whilst HbA1c improved over 6 months. In a subgroup (baseline pedometer steps < 5000/day), the physical activity consultation delivered by a person significantly increased physical activity over 12 months and the standard care group significantly decreased.
Conclusions More research is needed which not only investigates the most economical and effective methods to promote physical activity, but also the best setting to conduct physical activity consultations and the participant factors affecting uptake of physical activity in Type 2 diabetes.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2009.02675.x</identifier><identifier>PMID: 19317825</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Biological and medical sciences ; Counseling ; Diabetes Mellitus, Type 2 - rehabilitation ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Exercise - physiology ; Exercise Therapy - methods ; Feeding. Feeding behavior ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Humans ; intervention ; lifestyle ; Male ; Medical sciences ; Middle Aged ; Patient Education as Topic ; physical activity ; Risk Factors ; Statistics as Topic ; Time Factors ; Type 2 diabetes ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2009-03, Vol.26 (3), p.293-301</ispartof><rights>2009 The Authors. Journal compilation © 2009 Diabetes UK</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4675-c18dfa1732a2468f82355563810ce634d3f33c35e3bdee0f4e9558e4e63545723</citedby><cites>FETCH-LOGICAL-c4675-c18dfa1732a2468f82355563810ce634d3f33c35e3bdee0f4e9558e4e63545723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2009.02675.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2009.02675.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21236810$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19317825$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kirk, A.</creatorcontrib><creatorcontrib>Barnett, J.</creatorcontrib><creatorcontrib>Leese, G.</creatorcontrib><creatorcontrib>Mutrie, N.</creatorcontrib><title>A randomized trial investigating the 12-month changes in physical activity and health outcomes following a physical activity consultation delivered by a person or in written form in Type 2 diabetes: Time2Act</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Background and aims Physical activity is a cornerstone of Type 2 diabetes management but is underutilized. Physical activity consultations increase physical activity in people with Type 2 diabetes but resources are often limited. Time2Act is a randomized control trial to study the 12‐month effectiveness of a physical activity consultation delivered by a person or in written form, in contrast to standard care, for people with Type 2 diabetes.
Methods A total of 134 inactive people with Type 2 diabetes in a contemplation or preparation stage were randomized to either intervention or standard care. Objective (accelerometer) and subjective (7‐day recall) physical activity levels were measured over 1 week, along with physiological [blood pressure, body mass index (BMI), waist circumference] and biochemical [glycated haemoglobin (HbA1c), total and high‐density lipoprotein (HDL) cholesterol] measures at baseline, 6 and 12 months.
Results Neither a physical activity consultation delivered by a person nor in written form was better than standard care at increasing physical activity levels or improving health outcomes in the full study cohort. Total and HDL cholesterol, waist circumference and both systolic and diastolic blood pressure improved over 12 months in all groups, whilst HbA1c improved over 6 months. In a subgroup (baseline pedometer steps < 5000/day), the physical activity consultation delivered by a person significantly increased physical activity over 12 months and the standard care group significantly decreased.
Conclusions More research is needed which not only investigates the most economical and effective methods to promote physical activity, but also the best setting to conduct physical activity consultations and the participant factors affecting uptake of physical activity in Type 2 diabetes.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Counseling</subject><subject>Diabetes Mellitus, Type 2 - rehabilitation</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Exercise - physiology</subject><subject>Exercise Therapy - methods</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>intervention</subject><subject>lifestyle</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Education as Topic</subject><subject>physical activity</subject><subject>Risk Factors</subject><subject>Statistics as Topic</subject><subject>Time Factors</subject><subject>Type 2 diabetes</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcmOEzEURUsIRDcNv4C8gV5V8FCuAYlFFJoGEQZBgKXluF4lDjUE2xmKFRJfyC_wJbwiUdgghDeezr3v2TeKCKMjhuPRasSSNIllUrARp7QYUZ5mcrS_EZ2fLm5G5zRLeCxoxs6iO96vKGW8EMXt6IwVgmU5l-fRjzFxui27xn6FkgRndU1suwUf7EIH2y5IWAJhPG66NiyJWep2AR4Rsl723hrEtQl2a0NP0IcsQdfIdZtgugbBqqvrbjf46L8oTNf6TR2wUNeSEmq7BYdtzPuBBufxtHNDsZ2zIUCLdq4Z9rN-DT-_feektHoOAfxjMrMN8LEJd6Nbla493DvOF9GHZ1ezyfN4-ub6xWQ8jU2CfxUblpeVZpngmidpXuVcSClTkTNqIBVJKSohjJAg5iUArRIopMwhwTuZyIyLi-jy4Lt23ZcNfphqrDdQ17qFbuNVliaikJwLJB_-k0wzKrOCDZb5ATSu895BpdbONtr1ilE1BK9WashXDfmqIXj1O3i1R-n9Y43NvIHyj_CYNAIPjoD2mEGFqRvrTxzH8im-HbknB25na-j_uwH19NXVsEJ9fNBbH2B_0mv3Gd8pEP30-lq9ff_x5fRdKtVE_AKLGtzF</recordid><startdate>200903</startdate><enddate>200903</enddate><creator>Kirk, A.</creator><creator>Barnett, J.</creator><creator>Leese, G.</creator><creator>Mutrie, N.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200903</creationdate><title>A randomized trial investigating the 12-month changes in physical activity and health outcomes following a physical activity consultation delivered by a person or in written form in Type 2 diabetes: Time2Act</title><author>Kirk, A. ; Barnett, J. ; Leese, G. ; Mutrie, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4675-c18dfa1732a2468f82355563810ce634d3f33c35e3bdee0f4e9558e4e63545723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Counseling</topic><topic>Diabetes Mellitus, Type 2 - rehabilitation</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Exercise - physiology</topic><topic>Exercise Therapy - methods</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>intervention</topic><topic>lifestyle</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Education as Topic</topic><topic>physical activity</topic><topic>Risk Factors</topic><topic>Statistics as Topic</topic><topic>Time Factors</topic><topic>Type 2 diabetes</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kirk, A.</creatorcontrib><creatorcontrib>Barnett, J.</creatorcontrib><creatorcontrib>Leese, G.</creatorcontrib><creatorcontrib>Mutrie, N.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kirk, A.</au><au>Barnett, J.</au><au>Leese, G.</au><au>Mutrie, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized trial investigating the 12-month changes in physical activity and health outcomes following a physical activity consultation delivered by a person or in written form in Type 2 diabetes: Time2Act</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2009-03</date><risdate>2009</risdate><volume>26</volume><issue>3</issue><spage>293</spage><epage>301</epage><pages>293-301</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Background and aims Physical activity is a cornerstone of Type 2 diabetes management but is underutilized. Physical activity consultations increase physical activity in people with Type 2 diabetes but resources are often limited. Time2Act is a randomized control trial to study the 12‐month effectiveness of a physical activity consultation delivered by a person or in written form, in contrast to standard care, for people with Type 2 diabetes.
Methods A total of 134 inactive people with Type 2 diabetes in a contemplation or preparation stage were randomized to either intervention or standard care. Objective (accelerometer) and subjective (7‐day recall) physical activity levels were measured over 1 week, along with physiological [blood pressure, body mass index (BMI), waist circumference] and biochemical [glycated haemoglobin (HbA1c), total and high‐density lipoprotein (HDL) cholesterol] measures at baseline, 6 and 12 months.
Results Neither a physical activity consultation delivered by a person nor in written form was better than standard care at increasing physical activity levels or improving health outcomes in the full study cohort. Total and HDL cholesterol, waist circumference and both systolic and diastolic blood pressure improved over 12 months in all groups, whilst HbA1c improved over 6 months. In a subgroup (baseline pedometer steps < 5000/day), the physical activity consultation delivered by a person significantly increased physical activity over 12 months and the standard care group significantly decreased.
Conclusions More research is needed which not only investigates the most economical and effective methods to promote physical activity, but also the best setting to conduct physical activity consultations and the participant factors affecting uptake of physical activity in Type 2 diabetes.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19317825</pmid><doi>10.1111/j.1464-5491.2009.02675.x</doi><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0742-3071 |
| ispartof | Diabetic medicine, 2009-03, Vol.26 (3), p.293-301 |
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| source | Wiley-Blackwell Journals; MEDLINE |
| subjects | Aged Biological and medical sciences Counseling Diabetes Mellitus, Type 2 - rehabilitation Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Exercise - physiology Exercise Therapy - methods Feeding. Feeding behavior Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Humans intervention lifestyle Male Medical sciences Middle Aged Patient Education as Topic physical activity Risk Factors Statistics as Topic Time Factors Type 2 diabetes Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | A randomized trial investigating the 12-month changes in physical activity and health outcomes following a physical activity consultation delivered by a person or in written form in Type 2 diabetes: Time2Act |
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