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  • 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

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Adult Nursing
Randomised controlled trial
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
  1. Gail D'Eramo Melkus
  1. New York University College of Nursing, New York, USA
  1. Correspondence to Gail D'Eramo Melkus
    726 Broadway, 10th Floor, New York, NY 10003, USA; gail.melkus{at}nyu.edu

https://doi.org/10.1136/ebn1159

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    Commentary on: Balducci S, Zanuso S, Nicolucci A, et al; Italian Diabetes Exercise Study (IDES) Investigators. Effect of an intensive exercise intervention strategy on modifiable cardiovascular risk factors in subjects with type 2 diabetes mellitus: a randomized controlled trial: the Italian Diabetes and Exercise Study (IDES). Arch Intern Med 2010;170:1794–803OpenUrlCrossRefPubMedWeb of Science.

    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.

    Context

    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 …

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    Footnotes

    • Competing interests None.