Reduced Occupational Sitting in Type 2 Diabetes Using mHealth (Mobile Health)
- Conditions
- Diabetes Mellitus, Type 2
- Interventions
- Behavioral: Patient-centered counselling and written materialBehavioral: mHealth
- Registration Number
- NCT04219800
- Lead Sponsor
- Umeå University
- Brief Summary
Type 2 diabetes mellitus (T2DM) patients are suboptimal treated due to low uptake of physical activity. Recent research shows promising beneficial health effects from reducing sitting time by regular short bouts of light-intensity physical activity. These findings open up for a new focus in T2DM treatment but conclusive evidence is missing as studies have been short-term trials, mainly conducted in laboratory environments. Recent research suggest that reduced sitting and increased physical activity can be supported at a low cost by mHealth (mobile health) technology such as activity tracker armbands that warns of prolonged sitting and SMS text messages that reminds of activity breaks.
The overarching purpose of the project is to evaluate the effects of an intervention aimed to reduce occupational sitting in T2DM using mHealth (mobile health). It is hypothesized that the intervention will lead to (1) Activity changes - reduced sitting time and/or increased number of steps (primary outcome measures) and (2) Health effects - lower fatigue, improved health-related quality of life, reduced cardiometabolic risk, less sick leave, less medication, less musculoskeletal problems (secondary outcome measures)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 142
- Type 2 Diabetes Melltitus
- 40-64 years
- HbA1c 48-100 mmol/mol
- BMI ≥ 25 kg/m2
- Working at least 75% of full-time in a mainly seated job.
- Pregnancy
- Regular vigorous intensity exercise
- Severe disease or for other reason unable to follow the study protocol
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Patient-centered counselling and written material Patient-centered counselling and written material regarding occupational sedentary behaviour, with telephone follow-ups after 1 and 5 weeks. mHealth Patient-centered counselling and written material 1. Activity tracker armband (Garmin Vivofit); warns of prolonged sitting and counts daily steps. 2. SMS text messages; reminds of activity breaks. 3. Mobile video instruction for standing pause gymnastics. mHealth mHealth 1. Activity tracker armband (Garmin Vivofit); warns of prolonged sitting and counts daily steps. 2. SMS text messages; reminds of activity breaks. 3. Mobile video instruction for standing pause gymnastics.
- Primary Outcome Measures
Name Time Method Sitting time 12 months Assessed by activPAL3 thigh-worn accelerometer
- Secondary Outcome Measures
Name Time Method Fatigue 12 months MFI-20 questionnaire
Health-related quality of life 12 months RAND-36 questionnaire
Steps 12 months Assessed by activPAL3 thigh-worn accelerometer
Medications 12 months Total use of medications
Cardiometabolic composite score (CCMR) 12 months Will be determined by summing z-scores (\[value-mean\]/SD) of waist circumference (cm), mean arterial pressure (mmHg), HbA1c (mmol/mol), the inverse of HDL (mmol/L) and triglycerides (mmol/L), using sex-specific means and SDs
Sick leave 12 months Assessed by diary
Musculoskeletal problems 12 months NRS questionnaire
Trial Locations
- Locations (5)
Clinical Research Centre
🇸🇪Östersund, Sweden
Hallsbergs hälsocentral
🇸🇪Hallsberg, Sweden
Björkskatans Hälsocentral
🇸🇪Luleå, Norrbotten, Sweden
Kärna Vårdcentral
🇸🇪Linköping, Sweden
Torsviks Vårdcentral
🇸🇪Stockholm, Sweden