Type 2 Diabetes Mellitus Clinical Trial
Official title:
Behavioral Change Communication to Promote Physical Activity Among Females With Type 2 Diabetes Mellitus Attending Diabetic Clinic.
Type 2DM is present in the populations of almost all the countries in the world and is a
significant disease burden in most countries .Evidences suggest that population in India
develop Type 2 DM at an increasing rate as they reject their traditional life styles.
Awareness and knowledge regarding Diabetes and role of physical inactivity in producing
complications is still grossly inadequate( Mohan. D, Raj.D Awareness and knowledge of
Diabetes in Chennai.The Chennai urban Rural Epidemiology study(CURES-9)J Assoc. Physicians
India 2005 April;53:283-7).Exercise is a low cost , non pharmacological intervention that
has been shown to be effective in metabolic control. Exercise is still vastly under-utilized
in the management of Type 2 DM.
Most proximal behavioral cause of insulin resistance is physical inactivity.(Michael J.
LaMonte, Steven N. Blair et al.( Physical activity and Diabetes prevention J Appl Physiol.
99: 1205-1213,2005)
This study was designed to promote physical activity among type 2 DM female subjects aged
35-65 yrs attending Diabetic clinic of a tertiary care hospital in Kerala.
The BCC model consisted of 1.an audio visual module imparting knowledge about DM, its
complications, advantages of PA in Diabetes control, how to include more PA in routine life
style 2. pamphlets.All these were standardised. Physical activity was measured using
international physical activity questionnaire validated(responsiveness& reliability) for our
cultural activity.IPAQ covers four domains of physical activity:
work-related,transportation, housework/gardening and leisure-time activity. PA data from the
questionnaire were transformed into energy expenditure estimates as MET using published
values. To calculate the weekly physical activity (MET-h /week), the number of hours
dedicated to each activity class was multiplied by the specific MET score for that activity.
follow up once in a month (4 times) measure incremental physical activity and reinforcement
in each visit. Students t test was used to compare the experimental and control groups with
respect to the incremental physical activity measured in calorie expenditure. It was found
that the incremental physical activity(final-basal) measured in METS is significantly higher
in intervention group.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
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