Background: It is recommended that patients with diabetes type 2 keep themselves physically active and it is known that good muscular strength has a positive effect on these patients. Aim: To determine whether physical activity level increases and whether other risk factors for cardiovascular disease are positively affected by including measurement of handgrip strength as part of the regular care program for patients with diabetes type 2 in primary care. Method: Patients with diabetes type 2 who go to regular check-ups by participating diabetes-nurses in primary care are randomized to either intervention or control group. In the intervention group, handgrip strength is measured in addition to standard care. the control group receives standard care at inclusion. Handgrip strength is measured in both groups at 1 year follow-up. Physical activity level is measured in both groups at inclusion and 1 year follow-up with a questionnaire. Measurement of other risk factors for cardiovascular morbidity are measured at both inclusion and follow-up in both groups as dictated by standard care routines. Expected results: Measurement of handgrip strength can give health care personnel greater possibilities to identify those patients with diabetes type 2 who need to increase their activity level and to give them more concrete support. It is possible that the attention given to handgrip strength and physical activity may motivate patients to increase their activity level, become stronger and eventually reduce other risk factors for cardiovascular morbidity.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
334
Measurement of handgrip strength with Jamar hand-held dynamometer as a complement to standard care of patients with diabetes type 2 by diabetes-nurses.
Standard care of patients with diabetes type 2 by diabetes-nurses.
Närhälsan Angered vårdcentral
Angered, Sweden
Närhälsan Biskopsgården vårdcentral
Gothenburg, Sweden
Närhälsan Brämaregården vårdcentral
Gothenburg, Sweden
Närhälsan Gamlestaden vårdcentral
Gothenburg, Sweden
Närhälsan Kärra vårdcentral
Gothenburg, Sweden
Närhälsan Tuve vårdcentral
Gothenburg, Sweden
Närhälsan Stenungsund vårdcentral
Stenungsund, Sweden
Change in physical activity level
Two questions evaluating frequency and intensity of physical activity according to recommendations by the American College of Sports Medicine and the American Heart Association.
Time frame: Change from baseline at 1 year.
Change in handgrip strength
Handgrip strength in kg measured with Jamar hand dynamometer
Time frame: Change from baseline at 1 year.
Change in HbA1c
Blood test. HbA1c level measured in mmol/mol
Time frame: Change from baseline at 1 year.
Change in waist circumference
Waist circumference in cm measured with tape measure while standing
Time frame: Change from baseline at 1 year.
Physical Activity on Prescription
Total number of prescriptions for physical activity issued by participating diabetes-nurses. Differences measured between groups.
Time frame: Change from baseline at 1 year.
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