Cited by 140Physical Activity and HealthDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and Research

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Effects of a 12-month physical activity counselling intervention on glycaemic control and on the status of cardiovascular risk factors in people with Type 2 diabetes

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MacIntyre, P., Fisher, M., Kirk, A., Mutrie, N.·2004·Diabetologia

DOI 10.1007/s00125-004-1396-5

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Abstract

Aims/hypothesis The aim of this study was to investigate the effectiveness of physical activity counselling in promoting physical activity in people with Type 2 diabetes and to evaluate resultant physiological and biochemical effects.Methods A total of 70 inactive people with Type 2 diabetes were given standard exercise information and randomised to receive physical activity counselling (n=35, experimental) or not (n=35, control). Physical activity consultations were delivered at baseline and after 6 months, with follow-up phone calls after 1, 3, 6 and 9 months. Changes from baseline after 6 and 12 months were assessed for physical activity (7-day recall and accelerometer), for physiological characteristics (body mass index and blood pressure) and for biochemical variables (HbA(1)c, lipid profile, fibrinogen, tissue plasminogen activator and microalbuminuria).Results Significant differences between groups were recorded for physical activity after 6 and 12 months (p<0.01). The experimental group had increased levels of physical activity from baseline to 6 months (p<0.01), with no decrease from 6 to 12 months (p>0.05). In the control group, accelerometer counts per week decreased from baseline to 12 months (p=0.03). Between-group differences (p<0.05) were recorded for the change in HbA(1)c (experimental: 0.26% decrease; control: 0.15% increase), for systolic blood pressure (experimental: 7.7 mm Hg decrease; control: 5.6 mm Hg increase) and for fibrinogen (experimental: 0.28 mmol/l decrease; control: 1.43 mmol/l increase) from baseline to 6 months, and for total cholesterol (experimental: 0.33 mmol/l decrease; control: 0.04 mmol/l increase) from baseline to 12 months (p<0.05). No significant differences were recorded in other measured variables.Conclusions/interpretations Physical activity counselling was effective in promoting physical activity in people with Type 2 diabetes. The counselling improved glycaemic control as well as the status of cardiovascular risk factors in these patients.

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Authors: MacIntyre, P., Fisher, M., Kirk, A., & Mutrie, N.
Affiliations: University of Glasgow (GB)
Glasgow Royal Infirmary (GB)
Corresponding author: Kirk, A.
ORCID: Fisher, M.
Kirk, A.
Mutrie, N.
Venue: Diabetologia
Publisher: Springer Science and Business Media LLC
Published: 2004-05-01
Volume: 47
Issue: 5
Pages: 821-832
ISSN: 0012-186X (ISSN-L)
1432-0428
DOI: 10.1007/s00125-004-1396-5
OpenAlex: W1969569765
Cited by: 139
References: 55
Citations by year: 2026: 1 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 6 · 2016: 7 · 2015: 6 · 2014: 8 · 2013: 8 · 2012: 10
FWCI: 4.11
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
Locations: Diabetologia (publishedVersion)
PubMed (publishedVersion)
Discovery Research Portal (University of Dundee) (publishedVersion)
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Funders: Tenovus
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords: type 2 diabetes, physical activity counseling, physical activity promotion, glycemic control, HbA1c, cardiovascular risk factors, blood pressure, fibrinogen, lipid profile, microalbuminuria, sedentary lifestyle
MeSH terms: Blood Pressure, Cardiovascular Diseases, Counseling, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Fibrinogen, Follow-Up Studies, Humans, Oxygen Consumption, Risk Factors, Time Factors, Exercise

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Effects of a 12-month physical activity counselling intervention on glycaemic control and on the status of cardiovascular risk factors in people with Type 2 diabetes

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