Adoption and maintenance of gym-based strength training in the community setting in adults with excess weight or type 2 diabetes: a randomized controlled trial

Citation data:

International Journal of Behavioral Nutrition and Physical Activity, ISSN: 1479-5868, Vol: 12, Issue: 1, Page: 1-9

Publication Year:
2015
Usage 1281
Abstract Views 779
Full Text Views 444
Link-outs 58
Captures 143
Exports-Saves 117
Readers 26
Social Media 14
Tweets 14
Citations 3
Citation Indexes 3
Repository URL:
https://research-repository.uwa.edu.au/en/publications/bb964db2-21dc-4b04-8be6-0af6812448d3; http://researchbank.acu.edu.au/fhs_pub/6677
PMID:
26303505
DOI:
10.1186/s12966-015-0266-5
PMCID:
PMC4549007
Author(s):
Teychenne, Megan; Ball, Kylie; Salmon, Jo; Daly, Rob M.; Crawford, David A.; Sethi, Parneet; Jorna, Michelle; Dunstan, David Wayne
Publisher(s):
Springer Nature; Biomed Central Ltd
Tags:
Medicine; Health Professions; Nursing; Strength training; Behavioral counselling; Intervention; Adherence; Type 2 diabetes; Epidemiology
Most Recent Tweet View All Tweets
article description
Background Participant adoption and maintenance is a major challenge in strength training (ST) programs in the community-setting. In adults who were overweight or with type 2 diabetes (T2DM), the aim of this study was to compare the effectiveness of a standard ST program (SST) to an enhanced program (EST) on the adoption and maintenance of ST and cardio-metabolic risk factors and muscle strength. Methods A 12-month cluster-randomized controlled trial consisting of a 6-month adoption phase followed by a 6-month maintenance phase. In 2008–2009, men and women aged 40–75 years (n = 318) with T2DM (n = 117) or a BMI >25 (n = 201) who had not participated in ST previously were randomized into either a SST or an EST program (which included additional motivationally-tailored behavioral counselling). Adoption and maintenance were defined as undertaking ≥ 3 weekly gym-based exercise sessions during the first 6-months and from 6–12 months respectively and were assessed using a modified version of the CHAMPS (Community Healthy Activity Models Program for Seniors) instrument. Results Relative to the SST group, the adjusted odds ratio (OR) of adopting ST for all participants in the EST group was 3.3 (95 % CI 1.2 to 9.4). In stratified analyses including only those with T2DM, relative to the SST group, the adjusted OR of adopting ST in the EST group was 8.2 (95 % CI 1.5–45.5). No significant between-group differences were observed for maintenance of ST in either pooled or stratified analyses. In those with T2DM, there was a significant reduction in HbA1c in the EST compared to SST group during the adoption phase (net difference, -0.13 % [-0.26 to -0.01]), which persisted after 12-months (-0.17 % [-0.3 to -0.05]). Conclusions A behaviorally-focused community-based EST intervention was more effective than a SST program for the adoption of ST in adults with excess weight or T2DM and led to greater improvements in glycemic control in those with T2DM.