Home Exercise to Enhance Mobility for Older Diabetics
| Status: | Completed |
|---|---|
| Conditions: | Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 60 - Any |
| Updated: | 11/10/2018 |
| Start Date: | November 2011 |
| End Date: | August 2017 |
Home Program to Enhance Mobility in Older Veteran Diabetics
The goal of the proposed research is to test whether a long-term exercise program in
sedentary Veterans with diabetes will produce sustained improvement in mobility performance
and physical activity. In this proposed research, 240 sedentary older adult diabetics (aged
60 and over) will be randomly allocated into a customized, primarily home-based,
functionally-oriented exercise program with nurse support intervention (I) group versus a
flexibility and toning, health education control (C) group, and test outcomes in functional
mobility and physical activity at 4 weeks, 6 months and one year. This research can lead to
an exercise/PA enhancement program that can coordinate with VA outreach programs, targeting
older Veterans who are not in the immediate vicinity of a major VA site. Ultimately, this
should create a model to which physicians and other providers could refer comorbid diabetes
patients.
sedentary Veterans with diabetes will produce sustained improvement in mobility performance
and physical activity. In this proposed research, 240 sedentary older adult diabetics (aged
60 and over) will be randomly allocated into a customized, primarily home-based,
functionally-oriented exercise program with nurse support intervention (I) group versus a
flexibility and toning, health education control (C) group, and test outcomes in functional
mobility and physical activity at 4 weeks, 6 months and one year. This research can lead to
an exercise/PA enhancement program that can coordinate with VA outreach programs, targeting
older Veterans who are not in the immediate vicinity of a major VA site. Ultimately, this
should create a model to which physicians and other providers could refer comorbid diabetes
patients.
The goal of the proposed research is to test whether a long-term exercise program in
sedentary Veterans with diabetes will produce sustained improvement in mobility performance
and physical activity. To facilitate adherence to a long-term program, the investigators plan
an individualized, home exercise/physical activity (PA) enhancement program with behavioral
support. The rationale for this program is based on: 1) the feasibility of a previously
funded VA RR&D controlled trial (led by the present research team) in sedentary older adults
with diabetes that improved mobility performance, specifically usual gait speed; 2) the need
for longer term and functionally-relevant interventions (specifically mobility-oriented) for
older adult diabetics; 3) the potential to use telephonic nurse support to assist in
overcoming barriers to exercise and in dealing with intercurrent illness, factors that are
key in this comorbid patient group; and 4) the potential to increase the focus on objectively
measured physical activity. In this proposed research, 240 sedentary older adult diabetics
(aged 60 and over) will be randomly allocated into a customized, primarily home-based,
functionally-oriented exercise program with nurse support intervention (I) group versus a
flexibility and toning, health education control (C) group, and test outcomes in functional
mobility and physical activity at 4 weeks, 6 months and one year.
sedentary Veterans with diabetes will produce sustained improvement in mobility performance
and physical activity. To facilitate adherence to a long-term program, the investigators plan
an individualized, home exercise/physical activity (PA) enhancement program with behavioral
support. The rationale for this program is based on: 1) the feasibility of a previously
funded VA RR&D controlled trial (led by the present research team) in sedentary older adults
with diabetes that improved mobility performance, specifically usual gait speed; 2) the need
for longer term and functionally-relevant interventions (specifically mobility-oriented) for
older adult diabetics; 3) the potential to use telephonic nurse support to assist in
overcoming barriers to exercise and in dealing with intercurrent illness, factors that are
key in this comorbid patient group; and 4) the potential to increase the focus on objectively
measured physical activity. In this proposed research, 240 sedentary older adult diabetics
(aged 60 and over) will be randomly allocated into a customized, primarily home-based,
functionally-oriented exercise program with nurse support intervention (I) group versus a
flexibility and toning, health education control (C) group, and test outcomes in functional
mobility and physical activity at 4 weeks, 6 months and one year.
Inclusion Criteria:
- Sedentary
- Type 2 Diabetes
- No medical contraindications to exercise
Exclusion Criteria:
- Enrolled in intensive exercise program
- Unable to cooperate with protocol (e.g. cognitive impairment)
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