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| Name | Class |
|---|---|
| Vastra Gotaland Region | OTHER_GOV |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Standard care at yearly check-up by diabetes-nurse in primary care. Handgrip strength measurement bilaterally. Measurement of physical activity level. |
|
| Control group | Active Comparator | Standard care at yearly check-up by diabetes-nurse in primary care. Measurement of physical activity level. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Handgrip strength measurement | Device | Measurement of handgrip strength with Jamar hand-held dynamometer as a complement to standard care of patients with diabetes type 2 by diabetes-nurses. |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Change from baseline at 1 year. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in handgrip strength | Handgrip strength in kg measured with Jamar hand dynamometer | Change from baseline at 1 year. |
| Change in HbA1c | Blood test. HbA1c level measured in mmol/mol |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Margareta Hellgren, PhD | Närhälsan | Study Director |
| Maria EH Larsson, PhD | Närhälsan | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Närhälsan Angered vårdcentral | Angered | Sweden | ||||
| Närhälsan Biskopsgården vårdcentral |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38963325 | Derived | Bornhoft L, Bernhardsson S, Nordeman L, Grimby-Ekman A, Dottori M, Larsson MEH. Monitoring handgrip strength to motivate lifestyle choices for patients with diabetes type 2 - a pragmatic randomised controlled trial. Scand J Prim Health Care. 2024 Dec;42(4):617-632. doi: 10.1080/02813432.2024.2373298. Epub 2024 Jul 4. |
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| Standard care | Other | Standard care of patients with diabetes type 2 by diabetes-nurses. |
|
| Change from baseline at 1 year. |
| Change in waist circumference | Waist circumference in cm measured with tape measure while standing | 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. | Change from baseline at 1 year. |
| 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 |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D009043 | Motor Activity |
| D018908 | Muscle Weakness |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001519 | Behavior |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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