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. 2018 Oct 31;6(1):e000605.
doi: 10.1136/bmjdrc-2018-000605. eCollection 2018.

'MOVEdiabetes': a cluster randomized controlled trial to increase physical activity in adults with type 2 diabetes in primary health in Oman

Thamra S Alghafri  1   2 , Saud Mohamed Alharthi  1   2 , Yahya Al-Farsi  3 , Abdul Hakeem Alrawahi  4 , Elaine Bannerman  5 , Angela M Craigie  5 , Annie S Anderson  5
Affiliations

'MOVEdiabetes': a cluster randomized controlled trial to increase physical activity in adults with type 2 diabetes in primary health in Oman

Thamra S Alghafri et al. BMJ Open Diabetes Res Care. .

Abstract

Objective: This study examined the impact of a multicomponent intervention to increase physical activity (PA) in adults with type 2 diabetes (T2D) in Oman.

Research design and methods: This is a cluster randomized controlled trial in eight primary health centers. Participants were physically inactive, aged ≥18 years, and with no contraindication to PA. Patients attending intervention health centers (n=4) received the 'MOVEdiabetes' intervention, which consisted of personalized, individual face-to-face consultations by dietitians. Pedometers and monthly telephone WhatsApp messages were also used. Patients attending comparison health centers received usual care. The primary outcome was change in PA [Metabolic Equivalent(MET).min/week] after 12 months assessed by the Global Physical Activity Questionnaire. The secondary outcomes were changes in daily step counts, sitting time, weight, body mass index, glycated hemoglobin, blood pressure and lipids.

Results: Of the 232 participants (59.1% female, mean (SD) age 44.2 (8.1) years), 75% completed the study. At 12 months, the mean change in MET.min/week was +631.3 (95% CI 369.4 to 893.2) in the intervention group (IG) vs +183.2 (95% CI 83.3 to 283.0) in the comparison group, with a significant between-group difference of +447.4 (95% CI 150.7 to 744.1). The odds of meeting PA recommendations were 1.9 times higher in the IG (95% CI 1.2 to 3.3). Significant between-group differences in favor of IG were detected for mean steps/day (+757, 95% CI 18 to 1531) and sitting time hours/ per day (-1.5, 95% CI -2.4 to -0.7). Clinical measures of systolic and diastolic blood pressure and triglycerides also showed significant intervention effects.

Conclusions: 'MOVEdiabetes' was effective in increasing PA, the likelihood of meeting PA recommendations, and providing cardioprotective benefits in adults with T2D attending primary care.

Keywords: intervention; physical activity; primary health care; type 2 diabetes.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Content of the face-to-face personalized physical activity (PA) consultations.
Figure 2
Figure 2
Consolidated Standards of Reporting Trials flow chart describing progress of participants through the 12-month follow-up study.
Figure 3
Figure 3
Change in physical activity (PA) levels from baseline at 3 and 12 months by treatment group. MET, Metabolic Equivalent.
Figure 4
Figure 4
Mean (SE) change in mean physical activity levels (MET.min/week) in the treatment groups over 12 months. MET, Metabolic Equivalent..
See this image and copyright information in PMC

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