Diabetes Mellitus, Type 2 Clinical Trial
Official title:
The Effects of HOme-Based Combined Exercise on Glycaemic Control and Anthropometric Measurements in Patients With Type 2 Diabetes
The study aims to investigate whether 12 weeks of structured aerobic and resistance exercises
completed at home can have a beneficial effect on the health of patients with type 2 diabetes
compared to standard physical activity advice. The study will investigate whether the
exercises can reduce factors such as patient's BMI, blood pressure and waist circumference,
as well as blood glucose and insulin sensitivity. Participants will use pedometers and
Therabands to carry out their exercises.
This will be compared to giving participants a physical activity advice sheet and no
structured exercise examples.
The study will be a 12 week randomised controlled trial, so that the researchers can isolate
the independent variable of home-based combined exercise to ensure that factor is affecting
the patient's measurements. Participants will be recruited from a DESMOND day through the
medical team informing them of the study via a Participant Information Sheet. Once recruited
and informed consent is obtained, the participants will be assigned an ID number so that they
can remain anonymous, and then will be randomly allocated into either the exercise or control
group. Ideally 9 participants will be recruited into each group.
All participants will be invited into the Spinnaker Physiology Laboratory at Portsmouth
University at a specified date. They will have their health and fitness data collected and
complete a 7-day physical activity recall questionnaire, SF-36 Form and Self-Efficacy
Questionnaire before and after the intervention period to measure any change in their PA
levels, self-perceived health status and self-efficacy towards exercise. They will be
provided with a 7 day food diary to complete.
A control group is included so that the researchers can rule out other factors that may
affect glycaemic control and anthropometric measurements. The control group will be given a
Physical Activity Advice sheets as this mimics what they would normally have access to
through DESMOND. The control group will receive a Physical Activity advice sheet and the
researchers will talk through the advice sheet with the participants. If the control group
were to have no intervention, this would be less than they normally have access to as part of
their normal diabetes treatment.
The exercise group will be given the therabands and pedometer, a Physical Activity Log,
Pedometer log, theraband protocol and Physical Activity Advice sheet, which will all be
explained to the participant. All theraband exercises will be performed so that the
researchers can ensure the participant has a good technique. The exercise intervention
resistance segment will involve the exercise group performing 7 theraband exercises on three
days per week on non-consecutive days. For the aerobic exercise, the participants will be
asked to use the provided pedometer to record the number of steps they complete on day 1 of
the intervention (assuming that on this day, they complete their normal daily activities that
they would do most days of the week). They then are asked to add 2,000 steps onto their daily
steps; this amount will then become their daily step goal. Once they have reached this goal
on 4 out of 5 days, they are asked to increase their step goal by 500.
The participants will be invited back after 12 weeks to repeat the pre-study measures to
assess any changes.
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