Effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in North Karelia, Finland: a register-based evaluation study
OBJECTIVES: Physical activity (PA) plays a significant role in the treatment of type two diabetes (T2D). This study evaluated the effectiveness of PA counselling in primary healthcare (PHC) on clinical outcome measures in patients with T2D, comparing them with a registry-based controls. SETTING: The...
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ftpubmed:oai:pubmedcentral.nih.gov:9255411 2023-05-15T17:00:14+02:00 Effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in North Karelia, Finland: a register-based evaluation study Martiskainen, Tuula Marketta Lamidi, Marja-Leena Venojärvi, Mika Tikkanen, Heikki Laatikainen, Tiina 2022-07-04 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255411/ http://www.ncbi.nlm.nih.gov/pubmed/35788078 https://doi.org/10.1136/bmjopen-2021-058546 en eng BMJ Publishing Group http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255411/ http://www.ncbi.nlm.nih.gov/pubmed/35788078 http://dx.doi.org/10.1136/bmjopen-2021-058546 © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . CC-BY-NC BMJ Open Diabetes and Endocrinology Text 2022 ftpubmed https://doi.org/10.1136/bmjopen-2021-058546 2022-07-31T00:56:17Z OBJECTIVES: Physical activity (PA) plays a significant role in the treatment of type two diabetes (T2D). This study evaluated the effectiveness of PA counselling in primary healthcare (PHC) on clinical outcome measures in patients with T2D, comparing them with a registry-based controls. SETTING: The study was carried out in North Karelia, Finland, among PHC clients who have been diagnosed with T2D in 2016–2018. PARTICIPANTS: The study population consisted of patients aged 19–87 years diagnosed with T2D (n=1803). Altogether 546 patients were referred to the PA educator of whom 521 participated the counselling. In totally 1382 sex, age, time of diagnosis and intervention time-matched controls were used to see the effect of intervention. INTERVENTIONS: Patients with T2D followed up in PHC were offered to participate in PA counselling provided by trained PA educators. The number of counselling sessions and their content were tailored according to patients needs and willingness to participate. To assess the effects of PA to management of T2D clinical outcome measures such as weight and Haemoglobin A1c (HbA1c) and lipid levels were assessed using data from electronic patient records. Each patient was followed up from records at least for a year. RESULTS: Weight and body mass index (BMI) decreased in both groups and mean yearly changes did not differ between the groups. HbA1c levels declined in the intervention and increased in the control group with statistically significant difference in the mean yearly change between the groups (p=0.001). The low-density lipoprotein declined in both groups. The decline was bigger in the intervention group, but the difference did not quite reach the statistical significance (p=0.096). CONCLUSIONS: This study shows that PA counselling in PHC offers significant benefits in the treatment outcomes of T2D although no significant declines were not observed in the weight or BMI. Text karelia* PubMed Central (PMC) BMJ Open 12 7 e058546 |
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Diabetes and Endocrinology |
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Diabetes and Endocrinology Martiskainen, Tuula Marketta Lamidi, Marja-Leena Venojärvi, Mika Tikkanen, Heikki Laatikainen, Tiina Effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in North Karelia, Finland: a register-based evaluation study |
topic_facet |
Diabetes and Endocrinology |
description |
OBJECTIVES: Physical activity (PA) plays a significant role in the treatment of type two diabetes (T2D). This study evaluated the effectiveness of PA counselling in primary healthcare (PHC) on clinical outcome measures in patients with T2D, comparing them with a registry-based controls. SETTING: The study was carried out in North Karelia, Finland, among PHC clients who have been diagnosed with T2D in 2016–2018. PARTICIPANTS: The study population consisted of patients aged 19–87 years diagnosed with T2D (n=1803). Altogether 546 patients were referred to the PA educator of whom 521 participated the counselling. In totally 1382 sex, age, time of diagnosis and intervention time-matched controls were used to see the effect of intervention. INTERVENTIONS: Patients with T2D followed up in PHC were offered to participate in PA counselling provided by trained PA educators. The number of counselling sessions and their content were tailored according to patients needs and willingness to participate. To assess the effects of PA to management of T2D clinical outcome measures such as weight and Haemoglobin A1c (HbA1c) and lipid levels were assessed using data from electronic patient records. Each patient was followed up from records at least for a year. RESULTS: Weight and body mass index (BMI) decreased in both groups and mean yearly changes did not differ between the groups. HbA1c levels declined in the intervention and increased in the control group with statistically significant difference in the mean yearly change between the groups (p=0.001). The low-density lipoprotein declined in both groups. The decline was bigger in the intervention group, but the difference did not quite reach the statistical significance (p=0.096). CONCLUSIONS: This study shows that PA counselling in PHC offers significant benefits in the treatment outcomes of T2D although no significant declines were not observed in the weight or BMI. |
format |
Text |
author |
Martiskainen, Tuula Marketta Lamidi, Marja-Leena Venojärvi, Mika Tikkanen, Heikki Laatikainen, Tiina |
author_facet |
Martiskainen, Tuula Marketta Lamidi, Marja-Leena Venojärvi, Mika Tikkanen, Heikki Laatikainen, Tiina |
author_sort |
Martiskainen, Tuula Marketta |
title |
Effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in North Karelia, Finland: a register-based evaluation study |
title_short |
Effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in North Karelia, Finland: a register-based evaluation study |
title_full |
Effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in North Karelia, Finland: a register-based evaluation study |
title_fullStr |
Effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in North Karelia, Finland: a register-based evaluation study |
title_full_unstemmed |
Effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in North Karelia, Finland: a register-based evaluation study |
title_sort |
effectiveness of physical activity counselling provided for people with type 2 diabetes mellitus in primary healthcare in north karelia, finland: a register-based evaluation study |
publisher |
BMJ Publishing Group |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255411/ http://www.ncbi.nlm.nih.gov/pubmed/35788078 https://doi.org/10.1136/bmjopen-2021-058546 |
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karelia* |
genre_facet |
karelia* |
op_source |
BMJ Open |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255411/ http://www.ncbi.nlm.nih.gov/pubmed/35788078 http://dx.doi.org/10.1136/bmjopen-2021-058546 |
op_rights |
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
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CC-BY-NC |
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https://doi.org/10.1136/bmjopen-2021-058546 |
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BMJ Open |
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12 |
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