Adherence
A telemedical lifestyle intervention combining individualized endurance/strength exercise and energy-density-based nutritional counseling improves HbA1c, physical activity, and health literacy in patients with chronic ischaemic heart disease and type 2 diabetes compared to usual care.
For patients with both heart disease and diabetes, standard care may not be enough. This protocol suggests using a structured app-based program that combines personalized exercise (both cardio and strength) with dietary advice focused on food density (choosing foods that fill you up with fewer calories). Regular check-ins via phone and app help keep patients motivated and on track for at least 6 months.
We hypothesise that patients with CIHD and T2DM receiving a telemedical lifestyle intervention programme including exercise training and nutritional advice will show significant improvements in cardiovascular risk factors, PA, health literacy, health economic data and clinical events when assessed after 6 and 12 months, as compared with patients assigned to UC.
Why this rating
This is a study protocol; no results are reported, only the hypothesis and design.
Source
Lifestyle Intervention in Chronic Ischaemic Heart Disease and Type 2 Diabetes (the LeIKD study): study protocol of a prospective, multicentre, randomised, controlled trial
Pia von Korn et al. · BMJ Open · 2021
DOI 10.1136/bmjopen-2020-042818
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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