Adherence
Intensive, long-term lifestyle interventions involving structured counseling and physical activity can achieve significant and sustained increases in physical activity levels and weight loss in patients with type 2 diabetes, although adherence to high-intensity protocols often declines over time.
Sustained lifestyle change in type 2 diabetes is possible with intensive, long-term support. Focus on consistent, moderate-to-vigorous aerobic and resistance exercise (targeting 150+ minutes/week) combined with dietary changes. While maintaining the highest intensity of initial programs is difficult, even modest, sustained increases in activity and breaking up sedentary time yield significant long-term cardiovascular and metabolic benefits.
L’intervento intensivo prevedeva, in aggiunta a questo, una sessione supplementare di counseling strutturato sull’attività fisica... L’outcome primario dello studio era il raggiungimento di una spesa energetica, con l’attività fisica volontaria, di almeno 10 MET-h/settimana... Al termine di 2 anni di follow-up, la quota di soggetti che raggiungeva questo obiettivo era del 69% nel gruppo di intervento intensivo, valore significativamente superiore al 18% registrato nel gruppo di controllo.
Why this rating
Based on multiple Randomized Controlled Trials (RCTs) with long follow-ups (2-10 years) and large sample sizes (up to 5000+).
Source
Possiamo ottenere un cambiamento dello stile di vita significativo e stabile nel tempo?
Paolo Moghetti · il Diabete · 2023
DOI 10.30682/ildia2301a
More from this paper
- People with type 2 diabetes have objectively lower physical activity levels and exercise capacity compared to the general population, with adherence to recommended exercise guidelines being significantly lower in diabetic and prediabetic groups.Strong
- Objective measures of physical activity (via accelerometers) in long-term lifestyle intervention trials often show no significant difference between intensive and control groups, despite self-reported improvements and weight loss benefits.Good
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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