The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients.
OBJECTIVE
Effectiveness of a behavioral modification program on physical activity (PA) and sedentary behavior in diabetes patients.


METHODS
Ninety-two patients were randomly assigned to an intervention or control group. The 24-weeks intervention consisted of a face-to-face session, pedometer and seven telephone follow-ups. Mean selection criteria were 35-75 years; 25-35 kg/m(2); ≤ 12% HbA1c, treated for type 2 diabetes; no PA limitations. PA and sedentary behavior were measured by pedometer, accelerometer and questionnaire over the short- (24 weeks) and intermediate- (1 year) term.


RESULTS
The intervention group increased their steps/day by 2744, their total PA by 23 min/day (p<0.001) and decreased their sedentary behavior by 23 min/day (p<0.05) post-intervention. After 1 year the intervention group still had an increase of 1872 steps/day, 11 min/day total PA and a decrease of 12 min/day in sedentary behavior (p<0.001).


CONCLUSIONS
This pedometer-based behavioral modification program with telephone support showed lasting positive effects on steps/day, PA and sedentary behavior.


CONCLUSIONS
This study tested a convenient way to increase PA among type 2 diabetes patients.
De Greef
Karlijn P
KP
Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium. karlijndegreef@telenet.be
Deforche
Benedicte I
BI
Ruige
Johannes B
JB
Bouckaert
Jacques J
JJ
Tudor-Locke
Catrine E
CE
Kaufman
Jean-Marc
JM
De Bourdeaudhuij
Ilse M
IM
D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D017010:Reminder Systems / Q000295:instrumentation; D057185:Sedentary Behavior; D012944:Social Support; D011795:Surveys and Questionnaires; D013689:Telephone; D016138:Walking