Effects of Nordic Walking and Exercise on Glucose Metabolism in Type 2 Diabetes Mellitus: A Randomized Controlled Trial

This study has been completed.
Sponsor:
Collaborator:
University of Southern Denmark
Information provided by:
Hospital of South West Denmark
ClinicalTrials.gov Identifier:
NCT01085773
First received: March 11, 2010
Last updated: NA
Last verified: January 2005
History: No changes posted

March 11, 2010
March 11, 2010
February 2005
October 2006   (final data collection date for primary outcome measure)
Glycated hemoglobin (HbA1c). [ Time Frame: Baseline, after 4 months, after 1 year ] [ Designated as safety issue: No ]
Same as current
No Changes Posted
Adherence, Anthropometry,Blood pressure, Lipid profile, VO2max and quality of life. [ Time Frame: Baseline, after 4 months, after 1 year ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Effects of Nordic Walking and Exercise on Glucose Metabolism in Type 2 Diabetes Mellitus: A Randomized Controlled Trial
Effects of Nordic Walking and Exercise on Prescription on Glucose Metabolism in Type 2 Diabetes Mellitus: A Randomized Controlled Trial

The objective of this randomized controlled trial was to evaluate the effects of two different physical exercise programs aimed at long-term lifestyle changes in physical activity in patients with Type 2 Diabetes, with glucose metabolism evaluated by HbA1c as the primary outcome.

Physical training and exercise is considered a cornerstone in the treatment of Type 2 Diabetes Mellitus.

Programs which include physical activity as a component in the treatment of Type 2 Diabetes as well as other chronic diseases have in Denmark and other countries been based on "Exercise on Prescription schemes". In Denmark, these schemes have focused on individual behavioral change and an exercise program for 16 weeks. No studies have documented whether "Exercise on Prescription" helps patients with Type 2 Diabetes to change their lifestyle behavior or whether it has a positive impact on measurements for physical capacity and glucose metabolism.

Nordic Walking is a fitness type of walking; incorporating the use of specially designed walking sticks. Nordic Walking focuses on aerobic training where the additional activity of the arms increases a person's oxygen uptake and energy expenditure.

In Denmark, many activity programs and concepts such as Exercise on Prescription and Nordic Walking are recommended to patients with Type 2 Diabetes but their efficacy has not been demonstrated.

It is unknown whether one specific type of physical training program is more suitable than another, when comparing the physical effects as well as the ability to induce good compliance and change in lifestyle.

The aim of this randomized, controlled trial was to evaluate the effect of two different physical exercise programs lasting 4 months aiming at introducing long term life style changes in physical activity with a follow-up period of 8 months in patients with type 2 diabetes.

Interventional
Phase 2
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
  • Type 2 Diabetes
  • Exercise
  • Behavioral: Exercise on Prescription
    The physical training consisted of both aerobic and strength training and took place in supervised groups.
    Other Name: Exercise on Prescription
  • Behavioral: Nordic Walking
    Nordic Walking is a fitness type of walking; incorporating the use of specially designed walking sticks. Nordic Walking focuses on aerobic training where the additional activity of the arms increases a person's oxygen uptake and energy expenditure.
    Other Name: Nordic Walking
  • No Intervention: Standard written information on exercise
    The Control group got the diabetes outpatients clinics standard written information on exercise as a part of the treatment for Type 2 Diabetes and were, like other Type 2 Diabetes patients in the clinic, advised at inclusion to be physically active.
  • Experimental: Exercise on Prescription
    In Denmark, Exercise on Prescription have focused on individual behavioral change and an exercise program for 16 weeks. The physical training consisted of both aerobic and strength training and took place in supervised groups
    Intervention: Behavioral: Exercise on Prescription
  • Experimental: Nordic Walking
    Nordic Walking is a fitness type of walking; incorporating the use of specially designed walking sticks. Nordic Walking focuses on aerobic training where the additional activity of the arms increases a person's oxygen uptake and energy expenditure.
    Intervention: Behavioral: Nordic Walking
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
68
December 2007
October 2006   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Type 2 Diabetes for more than one year,
  • HbA1c in the range of 7-10 %,
  • BMI > 25 kg/m2,
  • Age 25-80 years
  • Stable antidiabetic treatment for at least 3 month before inclusion.

Exclusion Criteria:

  • Participants with symptomatic heart disease (NYHA 2-4)
  • Ischemia in lower extremities,
  • Myocardial infarction within the previous 3 months
  • Lung disease
Both
20 Years to 80 Years
No
Contact information is only displayed when the study is recruiting subjects
Denmark
 
NCT01085773
2628-04
No
Not Provided
Hospital of South West Denmark
University of Southern Denmark
Principal Investigator: Bibi Gram, Ph.d student University of Southern Denmark
Study Chair: Jeppe Gram, MD, Ph.d. Hospital of Southwest Denamark
Hospital of South West Denmark
January 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP