Educational Program for Type 2 Diabetes Prevention With Integrated Physical Exercise: Digital and In-Person Approach

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.

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