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Effects of a Three-armed Randomised Controlled Trial Using Self-monitoring of Daily Steps with and Without Counselling in Prediabetes and Type 2 Diabetes-the Sophia Step Study

Overview
Journal Int J Behav Nutr Phys Act
Publisher Biomed Central
Specialties Nutritional Sciences
Orthopedics
Social Sciences
Date 2021 Sep 9
PMID 34496859
Citations 10
Authors
Jenny Rossen
Kristina Larsson
Maria Hagstromer
Agneta Yngve
Kerstin Brismar
Barbara Ainsworth
Linda Aberg
Unn-Britt Johansson
Affiliations
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Abstract

Background: This aimed to evaluate the effects of self-monitoring of daily steps with or without counselling support on HbA1c, other cardiometabolic risk factors and objectively measured physical activity (PA) during a 2-year intervention in a population with prediabetes or type 2 diabetes.

Methods: The Sophia Step Study was a three-armed parallel randomised controlled trial. Participants with prediabetes or type 2 diabetes were recruited in a primary care setting. Allocation (1:1:1) was made to a multi-component intervention (self-monitoring of steps with counselling support), a single-component intervention (self-monitoring of steps without counselling support) or standard care. Data were collected for primary outcome HbA1c at baseline and month 6, 12, 18 and 24. Physical activity was assessed as an intermediate outcome by accelerometer (ActiGraph GT1M) for 1 week at baseline and the 6-, 12-, 18- and 24-month follow-up visits. The intervention effects were evaluated by a robust linear mixed model.

Results: In total, 188 subjects (64, 59, 65 in each group) were included. The mean (SD) age was 64 (7.7) years, BMI was 30.0 (4.4) kg/m and HbA1c was 50 (11) mmol/mol, 21% had prediabetes and 40% were female. The dropout rate was 11% at 24 months. Effect size (CI) for the primary outcome (HbA1c) ranged from -1.3 (-4.8 to 2.2) to 1.1 (-2.4 to 4.6) mmol/mol for the multi-component vs control group and from 0.3 (-3.3 to 3.9) to 3.1 (-0.5 to 6.7) mmol/mol for the single-component vs control group. Effect size (CI) for moderate-to-vigorous physical activity ranged from 8.0 (0.4 to 15.7) to 11.1 (3.3 to 19.0) min/day for the multi-component vs control group and from 7.6 (-0.4 to 15.6) to 9.4 (1.4 to 17.4) min/day for the single-component group vs control group.

Conclusion: This 2-year intervention, including self-monitoring of steps with or without counselling, prevented a decrease in PA but did not provide evidence for improved metabolic control and cardiometabolic risk factors in a population with prediabetes or type 2 diabetes.

Trial Registration: ClinicalTrials.gov, NCT02374788 . Registered 2 March 2015-Retrospectively registered.

Citing Articles

Predictors associated with an increase in daily steps among people with prediabetes or type 2 diabetes participating in a two-year pedometer intervention.

Larsson K, Rossen J, Norman A, Johansson U, Hagstromer M BMC Public Health. 2024; 24(1):1290.

PMID: 38734659 PMC: 11088056. DOI: 10.1186/s12889-024-18766-6.

Association between Weather and Self-Monitored Steps in Individuals with Prediabetes and Type 2 Diabetes in Sweden over Two Years.

Woldamanuel Y, Bergman P, Von Rosen P, Johansson U, Hagstromer M, Rossen J Int J Environ Res Public Health. 2024; 21(4).

PMID: 38673292 PMC: 11050403. DOI: 10.3390/ijerph21040379.

Effectiveness of a Smartphone App to Promote Physical Activity Among Persons With Type 2 Diabetes: Randomized Controlled Trial.

Bonn S, Hummel M, Peveri G, Eke H, Alexandrou C, Bellocco R Interact J Med Res. 2024; 13:e53054.

PMID: 38512333 PMC: 10995783. DOI: 10.2196/53054.

Effect of Exercise Therapy on Incident Admission in Patients with Type 2Diabetes Mellitus Undergoing Inpatient Diabetes Self-manageme ntEducation and Support.

Masuda H, Iwashima F, Ishiyama D, Nakajima H, Kimura Y, Otobe Y Curr Diabetes Rev. 2023; 20(9):e211123223677.

PMID: 37990899 DOI: 10.2174/0115733998269490231106190128.

Development of a 24-hour movement behaviors questionnaire (24HMBQ) for Chinese college students: validity and reliability testing.

Zheng J, Tan T, Zheng K, Huang T BMC Public Health. 2023; 23(1):752.

PMID: 37095458 PMC: 10124027. DOI: 10.1186/s12889-023-15393-5.

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