A self-monitoring approach for evaluating the effect of 3 weeks of high-intensity training in patients with type 2 diabetes mellitus. An intervention study

Dissing, Anne-Mette Lücke; Johansen, Mette Dencker; Pilegaard, Morten; Hejlesen, Ole

doi:10.1016/j.obmed.2019.01.001

Cited by 3 publications

(7 citation statements)

References 29 publications

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“…Of the 11 included studies, three were conducted in the United States of America, three in Denmark, one in Spain, one in Italy, one in Canada, one in Sweden and one in Australia. Nine were RCTs, 31‐39 and two were single‐arm studies 40,41 . Studies had follow‐up durations that ranged from 21 days 41 to 3 years 31 .…”

Section: Resultsmentioning

confidence: 99%

“…Nine were RCTs, 31‐39 and two were single‐arm studies 40,41 . Studies had follow‐up durations that ranged from 21 days 41 to 3 years 31 . Further characteristics of selected studies are shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies used supervised training, 37,41 and three used unsupervised training 36,38,40 such as the use of a home‐based video training program, 36 one study used both supervised and unsupervised training 39 . Two studies used in‐person education 31,33 and two used remote education 32,34 .…”

Section: Resultsmentioning

confidence: 99%

“…The rigour of what qualified as adherence varied greatly between studies with some studies having very specific and challenging expectations and others less so. In one study, participants participated in supervised training for a total of eight sessions in which they completed ten 60‐s exercise sprints on an indoor cycling ergometer three times per week, corresponding to 90% of maximum heart rate, interspersed by 60 s of recovery 41 . Another study defined being adherent as doing any level of exercise during a typical week 31 .…”

Section: Resultsmentioning

confidence: 99%

“…In addition, the methods for the data collection on adherence varied significantly. One study collected objective data using an app, 32 in three studies attendance was registered by study personnel 35,37,41 and five studies relied on self‐reported data. Furthermore, two studies 31,40 based adherence on habitual physical activity data whereas the rest based the adherence rate on exercise data only.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of adherence to physical activity interventions in individuals with type 2 diabetes

MacDonald

Ried‐Larsen

Soleimani

et al. 2021

Diabetes Metabolism Res

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Lifestyle interventions are pivotal for successful management of type 2 diabetes (T2D), however, the proportion of people with T2D adhering to physical activity advice has not been thoroughly studied. The purpose of this systematic review was to summarise the evidence on adherence to exercise or physical activity components in lifestyle interventions in those with T2D. We searched MEDLINE EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and Scopus on 12 November 2019. Eligible studies enrolled adults with T2D and reported the proportion of adherence to lifestyle interventions as a primary or secondary outcome. We included 11 studies (nine randomised controlled trials (RCTs) enrolling 1717 patients and two nonrandomised studies enrolling 62 patients). Only one of the studies had low risk of bias. The proportion of participants adhering to physical activity varied from 32% to 100% with a median of 58%. Adherence was higher in interventions using supervised training and lowest in interventions using remote coaching and the adherence rate in observational studies was higher compared to RCTs (92% vs. 55%; p < 0.01). Study duration, risk of bias, or participants' sex, were not associated with adherence to physical activity. The proportion of those with T2D adhering to physical activity interventions for T2D varies widely and most of the included studies had a high risk of bias. These findings have important implications for planning and power analysis of future trials and when counselling patients about lifestyle interventions including physical activity or exercise components.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of adherence to physical activity interventions in individuals with type 2 diabetes

MacDonald

Ried‐Larsen

Soleimani

et al. 2021

Diabetes Metabolism Res

View full text Add to dashboard Cite

show abstract

Analysing cognitive reasoning of individuals type 1 Diabetes Mellitus to resolve hypoglycaemia

Leyer

Iloska

2021

Obesity Medicine

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Rates of compliance and adherence to high-intensity interval training: a systematic review and Meta-analyses

Santos,

Braaten,

MacPherson

et al. 2023

Int J Behav Nutr Phys Act

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Background To determine rates of compliance (i.e., supervised intervention attendance) and adherence (i.e., unsupervised physical activity completion) to high-intensity interval training (HIIT) among insufficiently active adults and adults with a medical condition, and determine whether compliance and adherence rates were different between HIIT and moderate-intensity continuous training (MICT). Methods Articles on adults in a HIIT intervention and who were either insufficiently active or had a medical condition were included. MEDLINE, EMBASE, PsychINFO, SPORTDiscus, CINAHL, and Web of Science were searched. Article screening and data extraction were completed by two independent reviewers. Risk of bias was assessed using RoB 2.0 or ROBINS-I. Meta-analyses were conducted to discern differences in compliance and adherence between HIIT vs. MICT. Sensitivity analyses, publication bias, sub-group analyses, and quality appraisal were conducted for each meta-analysis. Results One hundred eighty-eight unique studies were included (n = 8928 participants). Compliance to HIIT interventions averaged 89.4% (SD:11.8%), while adherence to HIIT averaged 63% (SD: 21.1%). Compliance and adherence to MICT averaged 92.5% (SD:10.6%) and 68.2% (SD:16.2%), respectively. Based on 65 studies included in the meta-analysis, compliance rates were not different between supervised HIIT and MICT interventions [Hedge’s g = 0.015 (95%CI: − 0.088–0.118), p = .78]. Results were robust and low risk of publication bias was detected. No differences were detected based on sub-group analyses comparing medical conditions or risk of bias of studies. Quality of the evidence was rated as moderate over concerns in the directness of the evidence. Based on 10 studies, adherence rates were not different between unsupervised HIIT and MICT interventions [Hedge’s g = − 0.313 (95%CI: − 0.681–0.056), p = .096]. Sub-group analysis points to differences in adherence rates dependent on the method of outcome measurement. Adherence results should be interpreted with caution due to very low quality of evidence. Conclusions Compliance to HIIT and MICT was high among insufficiently active adults and adults with a medical condition. Adherence to HIIT and MICT was relatively moderate, although there was high heterogeneity and very low quality of evidence. Further research should take into consideration exercise protocols employed, methods of outcome measurement, and measurement timepoints. Registration This review was registered in the PROSPERO database and given the identifier CRD42019103313.

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A self-monitoring approach for evaluating the effect of 3 weeks of high-intensity training in patients with type 2 diabetes mellitus. An intervention study

Abstract: , O. K. (2019). A self-monitoring approach for evaluating the effect of 3 weeks of high-intensity training in patients with type 2 diabetes mellitus: An intervention study.

Cited by 3 publications

References 29 publications

A systematic review of adherence to physical activity interventions in individuals with type 2 diabetes

A systematic review of adherence to physical activity interventions in individuals with type 2 diabetes

Analysing cognitive reasoning of individuals type 1 Diabetes Mellitus to resolve hypoglycaemia

Rates of compliance and adherence to high-intensity interval training: a systematic review and Meta-analyses

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