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


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.
Department of Internal Medicine, Slotervaarthospital, Amsterdam, The Netherlands.
Willeke
W
Wisse
Maaike
M
Boer Rookhuizen
Martijn D
MD
de Kruif
Janny
J
van Rossum
Inge
I
Jordans
Hugo
H
ten Cate
Luc J C
LJ
van Loon
Eelco W
EW
Meesters
D001786:Blood Glucose; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005081:Exercise Therapy; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010349:Patient Compliance; D017211:Treatment Failure
D001786:Blood Glucose