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Can an Exercise-Based Educational and Motivational Intervention be Durably Effective in Changing Compliance to Physical Activity and Anthropometric Risk in People with Type 2 Diabetes? A Follow-Up Study

Author

Listed:
  • Francesca Gallè

    (Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, 80133 Naples, Italy)

  • Jesse C. Krakauer

    (Metro Detroit Diabetes and Endocrinology, Southfield, MI 48034, USA)

  • Nir Y. Krakauer

    (Department of Civil Engineering, The City College of New York, New York, NY 10031, USA)

  • Giuliana Valerio

    (Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, 80133 Naples, Italy)

  • Giorgio Liguori

    (Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, 80133 Naples, Italy)

Abstract

Aims. A nine-month motivational exercise-based intervention was previously offered to subjects with type 2 diabetes (T2D). A year after the end of the intervention, compliance to physical activity (PA) and anthropometric indices of participants were analyzed to evaluate the durability of its effects. Methods. PA levels, expressed as total energy expenditure per week, were assessed with the International Physical Activity Questionnaire (IPAQ). Changes in Body Mass Index (BMI), A Body Shape Index (ABSI), Hip Index (HI) z-scores, the relative mortality risk related to each of these measures, and a combined Anthropometric Risk Index (ARI) were also evaluated. Results. Of a total of the 52 subjects examined (67.9% males, mean age 61.8 ± 6.0), 46 (88.4%) were still sufficiently active as defined by IPAQ thresholds at follow-up. PA levels, anthropometric indices and related risks improved at follow-up in respect to the baseline and to the end of the intervention, although only PA levels, BMI and related measures, and ARI risk changed significantly. Habitual PA increased significantly after the intervention ( p < 0.01) and this increase correlated with changes in BMI z-scores ( r = −0.29, p = 0.04). BMI risk was significantly lower ( p < 0.01) in participants still active at follow-up. Conclusions. This study testifies to the persistence of compliance to PA and health benefits of a combined exercise-based and motivational intervention in subjects with T2D.

Suggested Citation

  • Francesca Gallè & Jesse C. Krakauer & Nir Y. Krakauer & Giuliana Valerio & Giorgio Liguori, 2019. "Can an Exercise-Based Educational and Motivational Intervention be Durably Effective in Changing Compliance to Physical Activity and Anthropometric Risk in People with Type 2 Diabetes? A Follow-Up Stu," IJERPH, MDPI, vol. 16(5), pages 1-9, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:701-:d:209412
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    References listed on IDEAS

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    1. Halfdan Petursson & Johann A Sigurdsson & Calle Bengtsson & Tom I L Nilsen & Linn Getz, 2011. "Body Configuration as a Predictor of Mortality: Comparison of Five Anthropometric Measures in a 12 Year Follow-Up of the Norwegian HUNT 2 Study," PLOS ONE, Public Library of Science, vol. 6(10), pages 1-10, October.
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