Effects of an Exercise and Lifestyle Education Program in Brazilians living with prediabetes or diabetes: study protocol for a multicenter randomized controlled trial

被引:0
作者
da Silva, Lilian Pinto [1 ,2 ]
Batalha, Ana Paula Delgado Bomtempo [2 ]
Ghisi, Gabriela Lima de Melo [3 ]
Seixas, Mariana Balbi [1 ]
Cisneros, Ligia Loiola [4 ]
Jansen, Ann Kristine [5 ]
Moreira, Ana Paula Boroni [6 ]
Pereira, Daniele Sirineu [4 ]
Britto, Raquel Rodrigues [4 ]
Pereira, Danielle Aparecida Gomes [4 ]
Trevizan, Patricia Fernandes [4 ]
Oh, Paul [3 ,7 ]
机构
[1] Univ Fed Juiz de Fora, Fac Phys Therapy, Juiz De Fora, Brazil
[2] Univ Fed Juiz de Fora, Fac Phys Educ & Sports, Grad Program Phys Educ, Juiz De Fora, Brazil
[3] Univ Toronto, Univ Hlth Network, KITE Res Inst, Toronto, ON, Canada
[4] Univ Fed Minas Gerais, Dept Phys Therapy, Belo Horizonte, Brazil
[5] Univ Fed Minas Gerais, Dept Nutr, Belo Horizonte, Brazil
[6] Univ Fed Juiz de Fora, Dept Nutr, Juiz De Fora, Brazil
[7] Univ Hlth Network, Toronto Rehabil Inst, Cardiovasc Rehabil & Prevent Program, Toronto, ON, Canada
关键词
Diabetes mellitus; Prediabetes; Health education; Patient education; Exercise training; Randomized controlled trial; TYPE-2; CAPACITY; ASSOCIATION; DISABILITY; KNOWLEDGE; VALIDITY;
D O I
10.1186/s13063-024-08535-6
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
BackgroundPatient education is a crucial strategy for promoting prevention and diabetes self-management since glycemic control achievement involves taking medications, medical nutrition therapy, physical exercise, and behavior changes. However, patient education programs are still barely implemented in low- and middle-income countries. This trial aims to investigate whether a lifestyle education intervention added to physical exercising is superior to sole physical exercising regarding functional capacity, disease-related knowledge, health behaviors, cardiometabolic health parameters, quality of life, depression, and diet quality in individuals with prediabetes or diabetes.MethodsMulticenter double-blinded randomized controlled trial with two parallel arms involving 12-week intervention and 6-month follow-up. The eligible individuals (>= 18 years, living with prediabetes or diabetes, literate, no clinical decompensation and/or physical and/or mental limitations that contraindicate physical exercising, written physician permission for exercise, no cognitive impairment, no vision limitations for reading, no confirmed diagnosis of unstable coronary disease or heart failure, no pacemaker and/or implantable cardioverter-defibrillator, no complex ventricular arrhythmias, no intermittent claudication, no recent cardiovascular event or cardiac surgery, and no currently enrolled in a structured exercise program) were recruited from two Brazilian cities and randomized to either (1) an Exercise and Lifestyle Education Program (ExLE) or (2) an Exercise Program (Ex), which can be delivered on-site or remotely based on the participants' internet access and technology literacy. The primary outcomes will be changes in functional capacity and disease-related knowledge. The secondary outcomes will involve changes in health behaviors (health literacy, physical activity level, exercise self-efficacy, and medication adherence) and cardiometabolic health parameters (glycemic control, anthropometric measures, and cardiac autonomic control). Program adherence, satisfaction with the program, diabetes-related morbidity, and changes in quality of life, depression, and diet quality will be the tertiary outcomes. Assessments will occur at baseline, post-intervention, and after 6-month follow-up.DiscussionIf superior effectiveness of ExLE compared to Ex program to improve the outcomes measures is found, this program could be delivered broadly in the Brazilian health system, especially in the primary care facilities where most individuals living with prediabetes and diabetes in our country are assisted.Trial registrationClinicalTrials.gov, NCT03914924. Registered on April 16, 2019.
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页数:13
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