Program to Prevent Type 2 Diabetes Using Online and In-Person Exercise and Education for Adults at High Risk
Led by Faculdade de Motricidade Humana · Updated on 2025-07-23
90
Participants Needed
1
Research Sites
20 weeks
Total Duration
AI-Summary
What this Trial Is About
This research aims to prevent type 2 diabetes in people at high risk by comparing the effects of online and in-person exercise and lifestyle education programs. The study addresses the limited evidence on how these different delivery methods affect prediabetic individuals, focusing on both clinical outcomes and cost-effectiveness. Diabetes is a growing health concern with significant economic impact, making effective prevention strategies important for public health.
The study is a randomized controlled trial with three groups an online intervention group receiving online educational sessions and home-based exercises, an in-person group attending supervised exercise and educational sessions, and a control group with no structured exercise or education. The intervention lasts six months with supervised exercise three times a week and educational sessions, followed by a six-month follow-up where exercise is optional.
Participants will undergo various assessments including blood tests 2-hour glucose tolerance test, HbA1c, fasting glucose, body measurements, bioelectrical impedance, DXA scans, exercise testing, handgrip strength, and vascular health evaluations. These are done at the start, after six months, and at one year. Researchers will measure changes in glucose control, body composition, physical fitness, vascular health, and overall program cost-effectiveness over the 12-month period.
CONDITIONS
Brief Title
More Health Less Diabetes
Research Team
J
João Magalhães Associate Professor, Doctor
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High or very high risk of type 2 diabetes according to the FINDRISC questionnaire
Confirmed absence of diabetes diagnosis through risk assessment
Commitment to making lifestyle changes to manage diabetes
Access to the internet
Availability to participate in program activities as scheduled
You will not qualify if you...
Pregnancy (self-report or medical record)
Inability to use digital devices
Abnormalities detected on exercise stress test
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) for risk assessment and baseline testing
Treatment
Duration - 6 months
Participants are randomized into one of three groups: an online intervention group receiving educational sessions and home-based exercises, an in-person intervention group attending educational sessions and supervised physical exercise, or a control group with no structured exercise or educational sessions. The intervention lasts for six months.
Regular visits for assessments and participation depending on group assignment
Follow-up
Duration - 6 months
After the intervention ends, participants are followed for an additional six months without structured educational sessions or exercise requirements. Assessments continue to evaluate long-term effects.
1 follow-up visit at 12 months after baseline
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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Published Research Related To This Trial
Implementing Low-Cost, Community-Based Exercise Programs for Middle-Aged and Older Patients with Type 2 Diabetes: What Are the Benefits for Glycemic Control and Cardiovascular Risk?
Romeu Mendes, Nelson Sousa, Victor Machado Reis...
Effectiveness of high-intensity interval training combined with resistance training versus continuous moderate-intensity training combined with resistance training in patients with type 2 diabetes: A one-year randomized controlled trial.
João P Magalhães, Pedro B Júdice, Rogério Ribeiro...
Interindividual Variability in Fat Mass Response to a 1-Year Randomized Controlled Trial With Different Exercise Intensities in Type 2 Diabetes: Implications on Glycemic Control and Vascular Function.
João P Magalhães, Megan Hetherington-Rauth, Pedro B Júdice...