A 12-month intensive supervised exercise intervention and counselling reduces HbA1c, blood pressure and other modifiable cardiovascular risk factors in people with type 2 diabetes
- New York University College of Nursing, New York, USA
- Correspondence to: Gail D’Eramo Melkus
726 Broadway, 10th Floor, New York, NY 10003, USA;
Implications for nursing practice and research
▪ Physical activity (PA), exercise performance and counselling require demonstration, supervision and support similar to other self-management behaviour for day-to-day chronic illness management.
▪ Structured individual PA counselling should acknowledge the benefit and importance of occupational, home, leisure time and commuting PA.
▪ Healthcare providers and settings should consider partnering with fitness centres/exercise facilities for structured, supervised exercise interventions for chronic illness prevention and management.
▪ Further research is needed to develop and utilise more objective measures of PA than self-report accounts. Programmable pedometers or accelerometers for non-supervised PA, in combination with supervised PA training, may be options for further research to more accurately account for total PA.
▪ Electronic PA metres should be studied for non-supervised PA in combination with structured individual exercise counselling to determine feasibility and efficacy.
Diabetes and its related complications continue to be a global health concern. More than 285 million individuals worldwide have diabetes; a number that is growing due to increasing rates of sedentary lifestyle, fast-food consumption and obesity. The purpose of the study was to test the effect of an intensive, structured, supervised exercise programme plus individual counselling intervention on metabolic control (haemoglobin A1c (HbA1c)) and cardiovascular (CV) risk factors in sedentary adults with type 2 …