Research
Adherence
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.
Self-reported exercise improvements may not always reflect objective changes in daily movement. However, even modest objective increases in activity, if sustained, can contribute to cardiovascular benefits, suggesting that any increase in movement is valuable even if it doesn't meet high-intensity targets.
GoodQualifiesMEDIUM confidence
Non variazioni significative delle misure con accelerometro, nei soggetti in cui queste misure erano disponibili (n=1978)... Nel complesso, dunque, questo ampio e prolungato studio suggerisce che la modifica dello stile di vita possa avere effetti cardiovascolari benefici... anche se tale conclusione poggia su analisi post-hoc, di misure ottenute precocemente rispetto alla conclusione del trial
Why this rating
Based on a large RCT (Look AHEAD) with objective sub-cohort data, though the finding is from a post-hoc analysis.
Source
Possiamo ottenere un cambiamento dello stile di vita significativo e stabile nel tempo?
Paolo Moghetti · il Diabete · 2023
DOI 10.30682/ildia2301a
narrative_review
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
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
- 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.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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