Four-year physical activity levels among intervention participants with type 2 diabetes

UNICK, JESSICA L.; GAUSSOIN, SARAH A.; HILL, JAMES O.; JAKICIC, JOHN M.; BOND, DALE S.; HELLGREN, MARGARETA; JOHNSON, KAREN C.; PETERS, ANNE L.; CODAY, MACE; KITZMAN, DALANE W.; BOSSART, SUZETTE; WING, RENA R.

doi:10.1249/mss.0000000000001054

Cited by 52Physical Activity and HealthDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and Research

Four-year physical activity levels among intervention participants with type 2 diabetes

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UNICK, JESSICA L., GAUSSOIN, SARAH A., HILL, JAMES O., JAKICIC, JOHN M., BOND, DALE S., HELLGREN, MARGARETA, JOHNSON, KAREN C., PETERS, ANNE L. +4 more·2016·Medicine & Science in Sports & Exercise

DOI 10.1249/mss.0000000000001054PMC PMC5110392

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Abstract

Physical activity (PA) has numerous health benefits, particularly for those with diabetes. However, rates of long-term PA participation are often poor. PURPOSE: This study examined the effect of an intensive lifestyle intervention (ILI) on objectively assessed PA for a 4-yr period among older adults with type 2 diabetes. METHODS: Data from 2400 participants (age = 59.3 ± 6.9 yr, body mass index = 36.1 ± 5.9 kg·m) with accelerometry data from the Look AHEAD trial were included in the analyses. Participants randomized to ILI were instructed to reduce caloric intake and progress to ≥175 min·wk of moderate-to-vigorous-intensity PA (MVPA), whereas those randomized to Diabetes Support and Education (DSE) served as the control group. PA was measured at baseline, year 1, and year 4 using an RT3 accelerometer, and bout-related MVPA (PA ≥3 METs, accumulated in bouts of ≥10 min in duration) was calculated. RESULTS: Despite no differences at baseline (ILI = 93.4 ± 152.7 vs DSE = 88.4 ± 143.6 min·wk), bout-related MVPA was significantly greater in ILI compared with DSE at year 1 (151.0 ± 213.5 vs 87.5 ± 145.1 min·wk, P < 0.0001) and year 4 (102.9 ± 195.6 vs 73.9 ± 267.5 min·wk, P < 0.001), and more ILI participants achieved ≥175 min·wk at year 1 (29.1% vs 16.3%, P < 0.001) and year 4 (18.3% vs 10.0%, P < 0.001). Forty-one percent of ILI participants who achieved ≥175 min·wk at year 1 maintained this threshold of PA at year 4. However, the majority of ILI participants never achieved the ≥175 min·wk threshold. CONCLUSIONS: When measured objectively and compared with DSE, ILI engaged in significantly more bout-related MVPA for a 4-yr period. However, future intervention strategies should target the large percentage of individuals who fail to reach the MVPA goal as result of a lifestyle intervention.

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Counseling interventions designed to promote walking through pedometers in the general population or in individuals with prediabetes or type 2 diabetes resulted in up to about 8 min/day increases in MVPA after 1 year and smaller (about 4 min/day), or even no, increments after longer follow-up, together with no change in SED-time.
“Counseling interventions designed to promote walking through the provision of pedometers in the general population (8) or in individuals with prediabetes (9) or type 2 diabetes (10,11) resulted in up to $8 min Á day À1 increases in MVPA after 1 year and smaller ($4 min Á day À1 ), or even no, increments after longer follow-up, together with no change in SED-time.”
From Relationships of Changes in Physical Activity and Sedentary Behavior With Changes in Physical Fitness and Cardiometabolic Risk Profile in Individuals with Type 2 Diabetes: The Italian Diabetes and Exercise Study 2 (IDES_2) (2022) · cites this paper as [11]

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Additional file 1 of Promoting physical activity in a multi-ethnic population at high risk of diabetes: the 48-month PROPELS randomised controlled trial
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Additional file 5 of Promoting physical activity in a multi-ethnic population at high risk of diabetes: the 48-month PROPELS randomised controlled trial
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Additional file 2 of Promoting physical activity in a multi-ethnic population at high risk of diabetes: the 48-month PROPELS randomised controlled trial
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Additional file 7 of Promoting physical activity in a multi-ethnic population at high risk of diabetes: the 48-month PROPELS randomised controlled trial
Khunti, K., Griffin, S., Brennan, A., Dallosso, H. M., Davies, M. J., Eborall, H., Edwardson, C. L., Gray, L. J., Hardeman, W., Heathcote, L., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14722166
Additional file 3 of Promoting physical activity in a multi-ethnic population at high risk of diabetes: the 48-month PROPELS randomised controlled trial
Khunti, K., Griffin, S., Brennan, A., Dallosso, H. M., Davies, M. J., Eborall, H., Edwardson, C. L., Gray, L. J., Hardeman, W., Heathcote, L., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14722154
Additional file 6 of Promoting physical activity in a multi-ethnic population at high risk of diabetes: the 48-month PROPELS randomised controlled trial
Khunti, K., Griffin, S., Brennan, A., Dallosso, H. M., Davies, M. J., Eborall, H., Edwardson, C. L., Gray, L. J., Hardeman, W., Heathcote, L., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14722163
Additional file 4 of Promoting physical activity in a multi-ethnic population at high risk of diabetes: the 48-month PROPELS randomised controlled trial
Khunti, K., Griffin, S., Brennan, A., Dallosso, H. M., Davies, M. J., Eborall, H., Edwardson, C. L., Gray, L. J., Hardeman, W., Heathcote, L., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14722157
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The effects of a lifestyle intervention supported by the InterWalk smart-phone application on increasing physical activity among persons with type 2 diabetes: A parallel-group, randomized trial (Preprint)Preprint
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Authors: UNICK, J. L., GAUSSOIN, S. A., HILL, J. O., JAKICIC, J. M., BOND, D. S., HELLGREN, M., JOHNSON, K. C., PETERS, A. L., CODAY, M., KITZMAN, D. W., BOSSART, S., & WING, R. R.
Affiliations: University of Southern California (US)
ORCID: UNICK, JESSICA L.
GAUSSOIN, SARAH A.
HILL, JAMES O.
JAKICIC, JOHN M.
BOND, DALE S.
JOHNSON, KAREN C.
PETERS, ANNE L.
CODAY, MACE
KITZMAN, DALANE W.
WING, RENA R.
Venue: Medicine & Science in Sports & Exercise
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-12
Volume: 48
Issue: 12
Pages: 2437-2445
ISSN: 0195-9131 (ISSN-L)
DOI: 10.1249/mss.0000000000001054
PMC: PMC5110392
OpenAlex: W2503679995
Cited by: 52
References: 35
Citations by year: 2026: 3 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 17 · 2020: 3 · 2019: 7 · 2018: 1 · 2017: 5
FWCI: 3.48
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Medicine & Science in Sports & Exercise (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5p30dk046204-15)
National Institute of Diabetes and Digestive and Kidney Diseases (U01DK057149, U01DK057151, U01DK057135, U01DK057131, U01DK056990, U01DK057136, U01DK057178, U01DK057182, U01DK057078, U01DK057154, U01DK057008, U01DK057171, U01DK057002, K01DK100498, U01DK057219, U01DK056992, U01DK057177, P30-DK046204)
National Center for Research Resources (M01RR002719, M01RR000056, M01RR000051, M01RR001066, M01RR001346, UL1RR024153)
Topics: Health Sciences › Medicine › Physiology › 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, intensive lifestyle intervention, moderate-to-vigorous physical activity, older adults, Look AHEAD trial, accelerometer-measured activity, diabetes support and education, caloric restriction, obesity, diabetes prevention, physical activity goals
MeSH terms: Behavior Therapy, Counseling, Diabetes Mellitus, Type 2, Diet, Reducing, Exercise Therapy, Female, Humans, Life Style, Longitudinal Studies, Male, Middle Aged, Patient Education as Topic, Body Mass Index

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