Primary Care-Based Physical Activity for Diabetic Latinas

Studies show that adoption of regular physical activity (PA) can greatly enhance diabetes
management and prevention. Individuals who adopt a PA routine show significant improvements
in clinical markers of diabetes, including HbA1c, glucose tolerance, insulin sensitivity,
weight and waist circumference, and significant reductions in medication use, and also show
reductions in cardiovascular risk factors and other related co-morbidities. Incorporation of
cost-effective PA interventions into primary care for diabetes treatment could therefore
enhance overall health and quality of life and significantly reduce healthcare costs. The
primary aim of this study is to conduct a small randomized trial (N=80) to test the efficacy
of an individually tailored culturally adapted print-based physical activity intervention
integrated into primary care to increase weekly moderate-to-vigorous physical activity in
Latinas with type II diabetes, compared to those receiving standard of care.

Inclusion Criteria:

- Have received a physician's diagnosis of type II diabetes and are currently being seen
by a primary care physician

- Currently inactive, defined as participating in at least moderate intensity physical
activity for less than 60 minutes per week

Exclusion Criteria:

- Medical condition that may make exercise unsafe, including congestive heart failure,
severe musculoskeletal problems or pulmonary conditions, or other conditions
determined by the referring physician to preclude unsupervised exercise

- Unable to receive mailed materials (do not have a mailing address)

- Unable to engage in physical activity for at least 30 minutes

- Have a current or planned pregnancy

- Planning to move from the area within the next year