Meta-analysis of the effect of exercise interventions on fitness outcomes among adults with type 1 and type 2 diabetes

Nielsen, Paul J.; Hafdahl, Adam R.; Conn, Vicki S.; LeMaster, Joseph W.; Brown, Sharon A.

doi:10.1016/j.diabres.2006.03.033

Cited by 51 publications

(31 citation statements)

References 50 publications

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“…Further details about subjects with diabetes, cancer, arthritis, and cardiac disease are available in previous publications reporting on health outcomes among these studies [30,31,35,[218][219][220].…”

Section: Resultsmentioning

confidence: 99%

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Conn

Hafdahl²,

Brown

et al. 2008

Patient Education and Counseling

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231

177

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Objective-This meta-analysis integrates primary research testing the effect of patient education to increase physical activity (PA) on behavior outcomes among adults with diverse chronic illnesses.Methods-Extensive literature searching strategies located published and unpublished intervention studies that measured PA behavior outcomes. Primary study results were coded. Fixed-and randomeffects meta-analytic procedures included moderator analyses.Results-Data were synthesized across 22,527 subjects from 213 samples in 163 reports. The overall mean weighted effect size for two-group comparisons was 0.45 (higher mean for treatment than control). This effect size is consistent with a difference of 48 minutes of PA per week or 945 steps per day. Preliminary moderator analyses suggest interventions were most effective when they targeted only PA behavior, used behavioral strategies (vs. cognitive strategies), and encouraged PA self-monitoring. Differences among chronic illnesses were documented. Individual strategies unrelated to PA outcomes included supervised exercise sessions, exercise prescription, fitness testing, goal setting, contracting, problem solving, barriers management, and stimulus/cues. PA outcomes were unrelated to gender, age, ethnicity, or socioeconomic distribution among samples.Conclusion-These findings suggest that some patient education interventions to increase PA are effective, despite considerable heterogeneity in the magnitude of intervention effect.Practice Implications-Moderator analyses are preliminary and provide suggestive evidence for further testing of interventions to inform practice.

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Section: Resultsmentioning

confidence: 99%

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Conn

Hafdahl²,

Brown

et al. 2008

Patient Education and Counseling

Self Cite

231

177

View full text Add to dashboard Cite

show abstract

“…Many exercise programmes have tried to improve the metabolic dysfunction of patients with type 2 DM by regular physical exercise 34 35 36. Although these studies have been meta-analysed for their effects on physical fitness or HbA1c improvement,35 36 very few studies to date have investigated how regular exercise can improve both glucose metabolism and immune function.…”

Section: Discussionmentioning

confidence: 99%

Regular Tai Chi Chuan exercise improves T cell helper function of patients with type 2 diabetes mellitus with an increase in T-bet transcription factor and IL-12 production

et al. 2008

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“…This is important because lifestyle modification through nutrition and exercise can improve diabetes outcomes, [11][12][13] and there is some evidence that primary care-based counseling can enhance lifestyle modification. 14 Yet, studies have documented the underuse of lifestyle modification counseling in ambulatory care settings.…”

Section: Introductionmentioning

confidence: 99%

National Prevalence of Lifestyle Counseling or Referral Among African-Americans and Whites with Diabetes

et al. 2008

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Meta-analysis of the effect of exercise interventions on fitness outcomes among adults with type 1 and type 2 diabetes

Cited by 51 publications

References 50 publications

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Regular Tai Chi Chuan exercise improves T cell helper function of patients with type 2 diabetes mellitus with an increase in T-bet transcription factor and IL-12 production

National Prevalence of Lifestyle Counseling or Referral Among African-Americans and Whites with Diabetes

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