Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial

Kristian Karstoft, Kamilla Winding, Sine H. Knudsen, Jens Steen Nielsen, Carsten Thomsen, Bente K. Pedersen, Thomas P. J. Solomon

Publikation: Konferencebidrag uden forlag/tidsskriftKonferenceabstrakt til konferenceForskning

Resumé

Formål: To evaluate the feasibility of free-living walking training in type 2 diabetes patients, and to investigate the effects of interval-walking training (IWT) versus continuous-walking training (CWT) upon self reported health, physical fitness, body composition and glycemic control.
Metoder: Subjects with type 2 diabetes were randomized to a control (n = 8), CWT (n = 12), or IWT group (n = 12). Training groups were prescribed five sessions per week (60 min/session) and were controlled with an accelerometer and a heart-rate monitor. CWT performed all training at moderate intensity, whereas IWT alternated 3-min repetitions at low and high intensity. Before and after the 4-month intervention, the following variables were measured: Self-reported health, Physical fitness (VO2max), body composition, and glycemic control (fasting glucose, HbA1c, oral glucose tolerance test, continuous glucose monitoring [CGM]).
Resultater: Training adherence was high (89 + 4%), and training energy expenditure and mean intensity were comparable between training groups. Nine and four of the subjects reported “Improved Health” in the IWT and CWT group, respectively. VO2max increased 16.1 + 3.7% in the IWT group (P<0.05), whereas no changes were observed in the CWT or control group. Body mass and adiposity (fat mass and visceral fat) decreased in the IWT group only (P<0.05). Glycemic control (elevated mean CGM glucose levels and increased fasting insulin) worsened in the control group (P<0.05), whereas mean (P=0.05) and maximum (P<0.05) CGM glucose levels decreased in the IWT group. The CWT group showed no changes in glycemic control.
Konklusion: Free-living walking training is feasible in type 2 diabetes patients. CWT offsets the deterioration in glycemia seen in the control group, and IWT is superior to energy expenditure–matched CWT for improving self-reported health, physical fitness, body composition and glycemic control.
OriginalsprogEngelsk
Publikationsdato18. jan. 2013
StatusUdgivet - 18. jan. 2013
BegivenhedDansk Endokrinologisk Selskabs Årsmøde 2013 - Aalborg, Danmark
Varighed: 18. jan. 201319. jan. 2013

Konference

KonferenceDansk Endokrinologisk Selskabs Årsmøde 2013
LandDanmark
ByAalborg
Periode18/01/201319/01/2013

Citer dette

Karstoft, K., Winding, K., Knudsen, S. H., Nielsen, J. S., Thomsen, C., Pedersen, B. K., & Solomon, T. P. J. (2013). Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial. Abstract fra Dansk Endokrinologisk Selskabs Årsmøde 2013, Aalborg, Danmark.
Karstoft, Kristian ; Winding, Kamilla ; Knudsen, Sine H. ; Nielsen, Jens Steen ; Thomsen, Carsten ; Pedersen, Bente K. ; Solomon, Thomas P. J. . / Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial. Abstract fra Dansk Endokrinologisk Selskabs Årsmøde 2013, Aalborg, Danmark.
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title = "Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial",
abstract = "Form{\aa}l: To evaluate the feasibility of free-living walking training in type 2 diabetes patients, and to investigate the effects of interval-walking training (IWT) versus continuous-walking training (CWT) upon self reported health, physical fitness, body composition and glycemic control.Metoder: Subjects with type 2 diabetes were randomized to a control (n = 8), CWT (n = 12), or IWT group (n = 12). Training groups were prescribed five sessions per week (60 min/session) and were controlled with an accelerometer and a heart-rate monitor. CWT performed all training at moderate intensity, whereas IWT alternated 3-min repetitions at low and high intensity. Before and after the 4-month intervention, the following variables were measured: Self-reported health, Physical fitness (VO2max), body composition, and glycemic control (fasting glucose, HbA1c, oral glucose tolerance test, continuous glucose monitoring [CGM]).Resultater: Training adherence was high (89 + 4{\%}), and training energy expenditure and mean intensity were comparable between training groups. Nine and four of the subjects reported “Improved Health” in the IWT and CWT group, respectively. VO2max increased 16.1 + 3.7{\%} in the IWT group (P<0.05), whereas no changes were observed in the CWT or control group. Body mass and adiposity (fat mass and visceral fat) decreased in the IWT group only (P<0.05). Glycemic control (elevated mean CGM glucose levels and increased fasting insulin) worsened in the control group (P<0.05), whereas mean (P=0.05) and maximum (P<0.05) CGM glucose levels decreased in the IWT group. The CWT group showed no changes in glycemic control.Konklusion: Free-living walking training is feasible in type 2 diabetes patients. CWT offsets the deterioration in glycemia seen in the control group, and IWT is superior to energy expenditure–matched CWT for improving self-reported health, physical fitness, body composition and glycemic control.",
author = "Kristian Karstoft and Kamilla Winding and Knudsen, {Sine H.} and Nielsen, {Jens Steen} and Carsten Thomsen and Pedersen, {Bente K.} and Solomon, {Thomas P. J.}",
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note = "null ; Conference date: 18-01-2013 Through 19-01-2013",

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Karstoft, K, Winding, K, Knudsen, SH, Nielsen, JS, Thomsen, C, Pedersen, BK & Solomon, TPJ 2013, 'Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial', Dansk Endokrinologisk Selskabs Årsmøde 2013, Aalborg, Danmark, 18/01/2013 - 19/01/2013.

Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial. / Karstoft, Kristian; Winding, Kamilla ; Knudsen, Sine H. ; Nielsen, Jens Steen; Thomsen, Carsten ; Pedersen, Bente K. ; Solomon, Thomas P. J. .

2013. Abstract fra Dansk Endokrinologisk Selskabs Årsmøde 2013, Aalborg, Danmark.

Publikation: Konferencebidrag uden forlag/tidsskriftKonferenceabstrakt til konferenceForskning

TY - ABST

T1 - Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial

AU - Karstoft, Kristian

AU - Winding, Kamilla

AU - Knudsen, Sine H.

AU - Nielsen, Jens Steen

AU - Thomsen, Carsten

AU - Pedersen, Bente K.

AU - Solomon, Thomas P. J.

PY - 2013/1/18

Y1 - 2013/1/18

N2 - Formål: To evaluate the feasibility of free-living walking training in type 2 diabetes patients, and to investigate the effects of interval-walking training (IWT) versus continuous-walking training (CWT) upon self reported health, physical fitness, body composition and glycemic control.Metoder: Subjects with type 2 diabetes were randomized to a control (n = 8), CWT (n = 12), or IWT group (n = 12). Training groups were prescribed five sessions per week (60 min/session) and were controlled with an accelerometer and a heart-rate monitor. CWT performed all training at moderate intensity, whereas IWT alternated 3-min repetitions at low and high intensity. Before and after the 4-month intervention, the following variables were measured: Self-reported health, Physical fitness (VO2max), body composition, and glycemic control (fasting glucose, HbA1c, oral glucose tolerance test, continuous glucose monitoring [CGM]).Resultater: Training adherence was high (89 + 4%), and training energy expenditure and mean intensity were comparable between training groups. Nine and four of the subjects reported “Improved Health” in the IWT and CWT group, respectively. VO2max increased 16.1 + 3.7% in the IWT group (P<0.05), whereas no changes were observed in the CWT or control group. Body mass and adiposity (fat mass and visceral fat) decreased in the IWT group only (P<0.05). Glycemic control (elevated mean CGM glucose levels and increased fasting insulin) worsened in the control group (P<0.05), whereas mean (P=0.05) and maximum (P<0.05) CGM glucose levels decreased in the IWT group. The CWT group showed no changes in glycemic control.Konklusion: Free-living walking training is feasible in type 2 diabetes patients. CWT offsets the deterioration in glycemia seen in the control group, and IWT is superior to energy expenditure–matched CWT for improving self-reported health, physical fitness, body composition and glycemic control.

AB - Formål: To evaluate the feasibility of free-living walking training in type 2 diabetes patients, and to investigate the effects of interval-walking training (IWT) versus continuous-walking training (CWT) upon self reported health, physical fitness, body composition and glycemic control.Metoder: Subjects with type 2 diabetes were randomized to a control (n = 8), CWT (n = 12), or IWT group (n = 12). Training groups were prescribed five sessions per week (60 min/session) and were controlled with an accelerometer and a heart-rate monitor. CWT performed all training at moderate intensity, whereas IWT alternated 3-min repetitions at low and high intensity. Before and after the 4-month intervention, the following variables were measured: Self-reported health, Physical fitness (VO2max), body composition, and glycemic control (fasting glucose, HbA1c, oral glucose tolerance test, continuous glucose monitoring [CGM]).Resultater: Training adherence was high (89 + 4%), and training energy expenditure and mean intensity were comparable between training groups. Nine and four of the subjects reported “Improved Health” in the IWT and CWT group, respectively. VO2max increased 16.1 + 3.7% in the IWT group (P<0.05), whereas no changes were observed in the CWT or control group. Body mass and adiposity (fat mass and visceral fat) decreased in the IWT group only (P<0.05). Glycemic control (elevated mean CGM glucose levels and increased fasting insulin) worsened in the control group (P<0.05), whereas mean (P=0.05) and maximum (P<0.05) CGM glucose levels decreased in the IWT group. The CWT group showed no changes in glycemic control.Konklusion: Free-living walking training is feasible in type 2 diabetes patients. CWT offsets the deterioration in glycemia seen in the control group, and IWT is superior to energy expenditure–matched CWT for improving self-reported health, physical fitness, body composition and glycemic control.

M3 - Conference abstract for conference

ER -

Karstoft K, Winding K, Knudsen SH, Nielsen JS, Thomsen C, Pedersen BK et al. Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial. 2013. Abstract fra Dansk Endokrinologisk Selskabs Årsmøde 2013, Aalborg, Danmark.