Effectiveness of a Pragmatic Education Program Designed to Promote Walking Activity in Individuals With Impaired Glucose Tolerance

Abstract

OBJECTIVETo investigate whether a pragmatic structured education program with and without pedometer use is effective for promoting physical activity and improving glucose tolerance in those with impaired glucose tolerance (IGT).RESEARCH DESIGN AND METHODSOverweight and obese individuals with IGT were recruited from ongoing screening studies at the University Hospitals of Leicester, U.K. Participants were randomly assigned to one of three groups. Group 1 received a 3-h group-based structured education program designed to promote walking activity using personalized steps-per-day goals and pedometers. Group 2 received a 3-h group-based structured education program designed to promote walking activity using generic time-based goals. Group 3 received a brief information leaflet (control condition). Outcomes included an oral glucose tolerance test, standard anthropometric measures, ambulatory activity, and psychological variables. Follow-up was conducted at 3, 6, and 12 months.RESULTSA total of 87 individuals (66% male, mean age 65 years) were included in this study. At 12 months, significant decreases in 2-h postchallenge glucose and fasting glucose of −1.31 mmol/l (95% CI −2.20 to −0.43) and −0.32 mmol/l (−0.59 to −0.03), respectively, were seen in the pedometer group compared with the control group. No significant improvements in glucose control were seen in those given the standard education program.CONCLUSIONSThis study suggests that a pragmatic structured education program that incorporates pedometer use is effective for improving glucose tolerance in those with IGT. This result is likely to have important implications for future primary care–based diabetes prevention initiatives.

Visceral and Not Subcutaneous Abdominal Adiposity Reduction Drives the Benefits of a 1‐Year Lifestyle Modification Program

“…Indeed, the efficacy of lifestyle modification programs to improve the cardiometabolic risk profile has already been well documented (20)(21)(22)(23)(24). Instead, the present study was designed to test whether a 1-year healthy eating-physical activity/exercise program in viscerally obese men would change the cardiometabolic risk profile through VAT and/or SAT reduction and whether changes in VAT would be related either to changes in global adiposity or to changes in cardiorespiratory fitness or to both.…”

Screening for glucose intolerance and development of a lifestyle education programme for prevention of type 2 diabetes in a population with intellectual disabilities: the STOP Diabetes research project

“…The curriculum was informed by previous prevention programmes that our research group has developed. [240][241][242] Additional qualitative work was undertaken to further inform the content, process and style of delivery.…”

“…[240][241][242] In addition, abstract concepts such as risk and future self were to be developed as activities, games or stories using a concrete kinaesthetic modality. To promote participant engagement in the programme, the educators would use practical and participatory methods, such as food models and images, visual memory aids and short walks using a pedometer.…”

“…241,242 Specific goals included losing weight, reducing consumption of total and saturated fat, increasing dietary fibre consumption, and increasing physical activity and/or reducing sedentary behaviour (Table 28). However, the emphasis of the STOP Diabetes programme was on enabling the individual tailoring of goals, based on a participant's needs and abilities, including potential mobility restrictions, level of independence with food shopping and preparation, potential dietary restrictions, opportunities to access the community, cognitive level, and availability and level of carer support required.…”

A Review of the Role of Exercise and Factors Affecting its Uptake for People with Chronic Kidney Disease (Ckd) not Requiring Renal Replacement Therapy/ Преглед На Улогата На Вежбањето И Факторите Што Влијаат На Неговата Примена Кај Лица Со Хронична Бубрежна Болест (Хбб) За Кои Не Е Потребна Бубрежна Заменска Терапија

“…The research into the effects in CKD and DM remain unclear and the Cochrane review found no improvement in fasting plasma glucose, fasting plasma insulin or glucose disappearance. However Yates [23] et al did show improvements in glucose control in overweight or obese diabetic patients after 12 months of an exercise intervention, which suggests that if positive results can be achieved in patients with DM, further work is required to analyse the effects in those patients with CKD secondary to DM.…”