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Sedentary Behavior Counseling Intervention in Aging People With Type 2 Diabetes: A Feasibility Study.
Shaima Alothman1,2, Aqeel M Alenazi3, Mohammed M Alshehri4
1Lifestyle and Health Research Center, Health Science Research Center, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Sedentary behavior counseling effectively reduced sitting time and improved glycemic control in adults with type 2 diabetes. This intervention, using activity monitors, proved feasible for this population.
Area of Science:
- Endocrinology
- Public Health
- Behavioral Medicine
Background:
- Sedentary behavior (SB) is prevalent in adults with type 2 diabetes (T2D), negatively impacting glycemic control.
- Reducing total sitting time (TST) is a potential strategy to improve health outcomes in T2D.
Purpose of the Study:
- To assess the feasibility and effectiveness of SB counseling on TST and glycemic control in sedentary adults with T2D.
- To evaluate the impact of a vibrotactile-enhanced activity monitor on SB reduction.
Main Methods:
- A cohort of 10 sedentary adults with T2D received SB counseling informed by motivational interviewing.
- Participants wore an activity monitor (activPAL3TM) for 7 days at baseline, weeks 5 & 9 (with vibrotactile feedback), and week 13.
- Feasibility was measured by study retention and monitor tolerability; effectiveness by changes in TST and HbA1c.
Main Results:
- High study retention (100%) and acceptable monitor tolerability (80% reported no/minor issues).
- TST significantly decreased from 11.8 to 10.29 hours/day (P < .05) with a large effect size (Cohen's d = 0.88).
- HbA1c levels decreased by 0.51% (P < .05) post-intervention.
Conclusions:
- SB counseling, supported by activity monitors, is a feasible intervention for reducing sedentary time in adults with T2D.
- This approach demonstrates potential for improving glycemic control in this population.
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