Prescription of physical activity is not sufficient to change sedentary behavior and improve glycemic control in type 2 diabetes patients

Wisse, Willeke; Rookhuizen, Maaike Boer; de Kruif, Martijn D.; van Rossum, Janny; Jordans, Inge; ten Cate, Hugo; van Loon, Luc J.C.; Meesters, Eelco W.

doi:10.1016/j.diabres.2010.01.015

« Previous Next »Diabetes Research and Clinical Practice
Volume 88, Issue 2 , Pages e10-e13, May 2010

Prescription of physical activity is not sufficient to change sedentary behavior and improve glycemic control in type 2 diabetes patients ☆☆

Willeke Wisse
- Department of Internal Medicine, Slotervaarthospital, Amsterdam, The Netherlands
Maaike Boer Rookhuizen
- Department of Internal Medicine, Slotervaarthospital, Amsterdam, The Netherlands
Martijn D. de Kruif
- Department of Internal Medicine, Slotervaarthospital, Amsterdam, The Netherlands
Janny van Rossum
- Physical Therapy Department, Slotervaarthospital, Amsterdam, The Netherlands
Inge Jordans
- Department of Internal Medicine, Slotervaarthospital, Amsterdam, The Netherlands
Hugo ten Cate
- Department of Internal Medicine, Academic Hospital Maastricht, Maastricht, The Netherlands
Luc J.C. van Loon
- Department of Human Movement Sciences, Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands
- Corresponding author. Tel.: +31 43 3881397; fax: +31 43 3670976.
Eelco W. Meesters
- Department of Internal Medicine, Slotervaarthospital, Amsterdam, The Netherlands

Received 24 June 2009; received in revised form 16 October 2009; accepted 13 January 2010. published online 08 February 2010.

Abstract

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.

Abbreviations: BP, blood pressure, BMI, body mass index, HbA1c, glycosylated hemoglobin, MET, metabolic equivalent, equivalent to a metabolic rate consuming 1kcal/kg of body weight/h, min, minutes, wk, week, y, years