Adopting a Physically Active Lifestyle Through Organized Walk Events Among Joslin Clinic Patients
Study Details
Study Description
Brief Summary
Can participation in group physical activity, such as a community-based organized group walk, help adult diabetes patients develop a physically active lifestyle? Can such engagement ultimately lead to an improvement in hemoglobin A1c? To address this question, the investigators have designed this pilot study with the aim to investigate the effect of community-based group walks among Joslin adults with diabetes on the development of a physically active lifestyle and glycemic level. The investigators hypothesize that participation in group walking events helps Joslin adults with diabetes engage in physical activity and improves glycemic control.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Group Walk First Participants attend a weekly walking group session from weeks 1-6 and are not required to attend from weeks 7-12. |
Behavioral: Group Walk
weekly walking club session on Saturday mornings at Boston Common, lasting 30 min - 1 hour and engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
Behavioral: Individual Walk
engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
|
Experimental: Individual Walk First Participants are not required to attend a weekly group walking sessions from weeks 1-6 and attend a weekly walking group session from weeks 7-12. |
Behavioral: Group Walk
weekly walking club session on Saturday mornings at Boston Common, lasting 30 min - 1 hour and engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
Behavioral: Individual Walk
engage in daily physical activity (aiming for 10,000 steps/day or increase number of steps by 500 every 2 weeks)
|
Outcome Measures
Primary Outcome Measures
- Change in steps/day [Baseline, Week 3, Week 6, Week 9, Week 12]
Secondary Outcome Measures
- Change in BMI [Baseline, Week 3, Week 6, Week 9, Week 12]
- Change in Blood Pressure [Baseline, Week 3, Week 6, Week 9, Week 12]
- Change in Waist Circumference [Baseline, Week 3, Week 6, Week 9, Week 12]
- Hip Circumference [Baseline, Week 3, Week 6, Week 9, Week 12]
- Change in Physical Activity Pattern [Baseline, Week 6, Week 12]
- Change in Food Consumption [Baseline, Week 6, Week 12]
- Change in Fructosamine [Baseline, Week 6, Week 12]
- Change in Pulse [Baseline, Week 3, Week 6, Week 9, Week 12]
- Change in Height [Baseline, Week 3, Week 6, Week 9, Week 12]
- Change in Weight [Baseline, Week 3, Week 6, Week 9, Week 12]
- Change in A1c [Baseline, Week 12]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Joslin Clinic patients
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18 years or older
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A1C between 7.5% - 12.0%
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Received physician clearance indicating safe to participate in the walk club events
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Reside within Boston and Greater Boston Area
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Ability to communicate in English and/or Chinese
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Agree to participate in the intervention walk club for 6 consecutive weeks
Exclusion Criteria:
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Pregnant or breast feeding
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Unstable angina or myocardial infarction within 1 month prior to screening
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Unstable gait, severe neuropathy, or deformed foot.
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Enrolled in another investigational study within 1 month prior to screening for this study
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On medications such as prednisone that will affect blood glucose
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Joslin Diabetes Center | Boston | Massachusetts | United States | 02215 |
Sponsors and Collaborators
- Joslin Diabetes Center
Investigators
- Principal Investigator: William Hsu, MD, Joslin Diabetes Center
Study Documents (Full-Text)
None provided.More Information
Publications
- American Diabetes Association. Executive summary: Standards of medical care in diabetes--2012. Diabetes Care. 2012 Jan;35 Suppl 1:S4-S10. doi: 10.2337/dc12-s004.
- Barrett-Connor E. Nutrition epidemiology: how do we know what they ate? Am J Clin Nutr. 1991 Jul;54(1 Suppl):182S-187S. doi: 10.1093/ajcn/54.1.182S. Review.
- Ford ES, Herman WH. Leisure-time physical activity patterns in the U.S. diabetic population. Findings from the 1990 National Health Interview Survey--Health Promotion and Disease Prevention Supplement. Diabetes Care. 1995 Jan;18(1):27-33.
- Hays LM, Clark DO. Correlates of physical activity in a sample of older adults with type 2 diabetes. Diabetes Care. 1999 May;22(5):706-12.
- Januszewski AS, Karschimkus C, Davis KE, O'Neal D, Ward G, Jenkins AJ. Plasma 1,5 anhydroglucitol levels, a measure of short-term glycaemia: assay assessment and lower levels in diabetic vs. non-diabetic subjects. Diabetes Res Clin Pract. 2012 Jan;95(1):e17-9. doi: 10.1016/j.diabres.2011.09.032. Epub 2011 Oct 22.
- Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, Stone EJ, Rajab MW, Corso P. The effectiveness of interventions to increase physical activity. A systematic review. Am J Prev Med. 2002 May;22(4 Suppl):73-107. Review.
- Kang M, Marshall SJ, Barreira TV, Lee JO. Effect of pedometer-based physical activity interventions: a meta-analysis. Res Q Exerc Sport. 2009 Sep;80(3):648-55.
- Löwe B, Kroenke K, Gräfe K. Detecting and monitoring depression with a two-item questionnaire (PHQ-2). J Psychosom Res. 2005 Feb;58(2):163-71.
- Manson JE, Hu FB, Rich-Edwards JW, Colditz GA, Stampfer MJ, Willett WC, Speizer FE, Hennekens CH. A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. N Engl J Med. 1999 Aug 26;341(9):650-8.
- Merom D, Rissel C, Phongsavan P, Smith BJ, Van Kemenade C, Brown WJ, Bauman AE. Promoting walking with pedometers in the community: the step-by-step trial. Am J Prev Med. 2007 Apr;32(4):290-7. Epub 2007 Feb 15.
- Tudor-Locke C, Bassett DR Jr. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004;34(1):1-8. Review.
- Tudor-Locke C, Bell RC, Myers AM, Harris SB, Ecclestone NA, Lauzon N, Rodger NW. Controlled outcome evaluation of the First Step Program: a daily physical activity intervention for individuals with type II diabetes. Int J Obes Relat Metab Disord. 2004 Jan;28(1):113-9.
- Tudor-Locke CE, Bell RC, Meyers AM. Revisiting the role of physical activity and exercise in the treatment of type 2 diabetes. Can J Appl Physiol. 2000 Dec;25(6):466-92. Review.
- CHS 2012-12