Targeting Physical Activity to Improve Cardiovascular Health in Type 2 Diabetes

Targeting Physical Activity to Improve Cardiovascular Health in Type 2 Diabetes

This study plans to learn more about physical activity and physical function in sedentary older adults with type 2 diabetes.

The purpose of this study is to conduct a randomized controlled trial with 1:1 patient-level randomization to an evidence-based physical activity program intervention versus usual care in sedentary older adults with type 2 diabetes in two primary care clinic sites.

Inclusion Criteria:

• Diagnosis of type 2 diabetes
• Sedentary individual, performing <20 minutes of physical activity on <3 days/week

Exclusion Criteria:

• Dementia (Folstein Mini-Mental Status Exam <24) or clinical diagnosis
• Excessive fall risk: Can not hold semi-tandem stance for >10 seconds
• Type 2 diabetes-related safety concerns: Prior diabetic foot ulcer, Charcot foot, asymptomatic hypoglycemia
• Severely uncontrolled hypertension (BP >180/100)
• Excessive hearing or visual impairment for counseling
• Limited life expectancy: Active treatment for malignancy
• Performs regular physical activity >20 minutes on >3 days/week