Impact of Structured Physical Activity Education Delivery in Patients With Type 2 Diabetes Mellitus

Not Applicable

Completed

Interventions: Behavioral: Unstructured Physical Activity and Exercise Education
Behavioral: Physical activity and exercise education and behaviour counseling from a Registered Kinesiologist and a YMCA Wellness Coach

Brief Summary: The objective of this study is to assess whether a structured exercise program compared to routine recommendation for exercise has any positive impact on disease outcome in patients with type 2 diabetes.

This study aims to assess whether a structured exercise program has an impact on the following determinants of the disease in type 2 diabetes: HbA1C, blood pressure, lipids, body mass index and waist circumference. It also aims to assess the compliance and retention of patients with type 2 diabetes in a structured exercise program.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Any vascular disease
Exhibits symptoms of coronary artery disease (CAD)
History of losing balance because of dizziness
History of losing consciousness
Has a bone or joint problem that could be made worse by a change in physical activity
Pregnant
Has been excluded by the Patient's Physician for any other health-related reason not stated under these exclusion criteria.

Arm && Interventions

Group	Intervention	Description
Unstructured Physical Activity and Exercise Education Delivery	Unstructured Physical Activity and Exercise Education	50 subjects will receive the standard approach to physical activity and exercise education from a Certified Diabetes Educator.
Structured Physical Activity and Exercise Education Delivery	Physical activity and exercise education and behaviour counseling from a Registered Kinesiologist and a YMCA Wellness Coach	50 subjects will receive physical activity and exercise education and behaviour counseling from a qualified Exercise Specialist (Registered Kinesiologist). These subjects will receive access to a community health and fitness centre as well as exercise instruction and on-going support and motivation from a YMCA Wellness Coach who focuses on establishing healthy behaviors towards the attainment of personal goals. Subjects will be requested to complete a lifestyle questionnaire at each appointment with their Wellness Coach. Subjects will receive a Physical Activity and Exercise Journal that will help them keep track of their weekly physical activity and exercise activities.

Primary Outcome Measures

Name	Time	Method
Mean Change in Hemoglobin A1c (HbA1c) Levels	Baseline and 12 months
Mean Change in Systolic Blood Pressure	Baseline and 12 months
Mean Change in Waist Circumference	Baseline and 12 months
Mean Change in Body Mass Index	Baseline and 12 months
Mean Change in Serum Total Cholesterol	Baseline and 12 months
Mean Change in HDL-C	Baseline and 12 months
Mean Change in LDL-C	Baseline and 12 months
Mean Change in Total Cholesterol: HDL-C Ratio	Baseline and 12 months
Mean Change in Triglycerides (TGs)	Baseline and 12 months
Mean Change in Diastolic Blood Pressure	Baseline and 12 months

Secondary Outcome Measures

Name	Time	Method
Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Resistance Exercise Recommendations	Baseline and 12 months	The Canadian Diabetes Association's Clinical Practice Guidelines recommends at least 2 sessions per week of resistance exercise.
Mean Change in Adherence to the Canadian Diabetes Association's Clinical Practice Guidelines Aerobic Exercise Recommendations	Baseline and 12 months	The Canadian Diabetes Association's Clinical Practice Guidelines recommends at least 150 minutes per week of aerobic exercise.