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Prescription of physical activity is not sufficient to change sedentary behavior and improve glycemic control in type 2 diabetes patients
Wisse W, Rookhuizen MB, de Kruif MD, van Rossum J, Jordans I, ten Cate H, van Loon LJC, Meesters EW
Diabetes Research and Clinical Practice 2010 May;88(2):e10-e13
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To assess the impact of personalized exercise prescription on habitual physical activity and glycemic control in sedentary, insulin treated type 2 diabetes patients during a 2-y intervention period. RESEARCH DESIGN AND METHODS: 74 patients were randomized to the intervention (n = 38) or control (n = 36) group. The intervention group was stimulated to increase daily physical activity through regular, structured, and personalized exercise prescription by a physical therapist over the 2-y intervention period. RESULTS: Physical activity levels at work or in leisure time were not modulated by the exercise prescription intervention. In accordance, no changes in body composition, glycemic control, medication use or risk factors for cardiovascular disease were observed. CONCLUSIONS: Long-term behavioral intervention programs, providing individualized exercise prescription, are not sufficient to change sedentary behavior and/or improve glycemic control in insulin treated, type 2 diabetes patients.
With permission from Excerpta Medica Inc.

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