Monitoring handgrip strength to motivate lifestyle choices for patients with diabetes type 2 – a pragmatic randomised controlled trial.

Autor:	Bornhöft, Lena, Bernhardsson, Susanne, Nordeman, Lena, Grimby-Ekman, Anna, Dottori, Maria, Larsson, Maria E. H.
Předmět:	LIFESTYLES NURSES TREATMENT of diabetes GLYCOSYLATED hemoglobin STATISTICAL sampling PRIMARY health care RANDOMIZED controlled trials WAIST circumference MOTIVATION (Psychology) TYPE 2 diabetes HEALTH behavior PATIENT monitoring EXERCISE tests GRIP strength PHYSICAL activity MUSCLE contraction REGRESSION analysis
Zdroj:	Scandinavian Journal of Primary Health Care; Dec2024, Vol. 42 Issue 4, p617-632, 16p
Abstrakt:	Physical strength can be an important parameter to monitor for patients with diabetes mellitus type 2 (T2DM) to promote healthy lifestyle choices. Functional measurements can contribute to healthcare advice and possibly motivate more active lifestyles. The aim of the study was to investigate whether adding measurement and feedback concerning handgrip strength (HGS) to the parameters measured for patients with T2DM at annual check-ups leads to change in physical activity (PA) level, HGS, HbA1c or waist circumference. Methods: Measurement of HGS with Jamar dynamometers was added to annual check-ups for patients with T2DM by diabetes nurses in primary care with feedback about normal values for age and sex in the intervention group. The control group had standard check-ups. Change in self-reported PA level was measured with questionnaires. Results: Seven clinics and 334 patients participated. The intervention led to similar effects on PA in both groups. Patients with T2DM had comparable HGS to the general public. Regression analyses showed statistically significantly higher HGS in the intervention group than in the control group at follow-up and no improvement in PA, HbA1c, or waist circumference. Increased HGS was found for older people, men, and people with normal-to-high inclusion HGS, while patients with low inclusion HGS reduced their strength levels. Conclusions: Measuring HGS and giving feedback to patients with T2DM can lead to increased HGS but does not seem to affect general PA level, HbA1c, or waist circumference. People over 65 years, men, and people with normal-to-high HGS were influenced positively by the intervention. Patients with low HGS may need personalised support to increase physical activity and improve function. ClinicalTrials registration: NCT03693521 [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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