212 Physical Exercise In Diabetic Patients In Primary Care

Caetano I, Castro C, Rodrigues M, Miranda P, Constantino L, Matias C, Simões AR, Neto M, Santiago LM, Teixeira Verissimo M
Aim(s) and background: Diabetes is a Public Health issue and physical exercise is part of its non-pharmacological intervention. The Family doctor/General Practitioner has a leading role in exercise motivation in diabetic patients. A study was made to verify the metabolic and anthropometric impact in diabetic patients after 6 month exercise counselling based in their motivation stage in the Health Centre consultation.
Material and methods: Longitudinal intervention study. Population: diabetic patients in follow up in the Health Centre that came to consultation between 10th September 2009 and 15th November 2010, randomised as case or control. Variables studied: gender, age, Body Mass Index (BMI), Abdominal Perimeter (AP), Fasting Glucose (FG), A1c Glycosylated Haemoglobin (HbA1c), Physical Exercise Level (validated questionnaire). Consultations 3/3 months. Intervention: PACE instrument used (Provider Assessment and Counselling for Exercise) based in motivation level stratification to exercise and a protocol was applied. Control group: usual counselling in consultation. Approved by ethics committee. Descriptive and inferential statistics with t student and Wilcoxon tests.
Results: 88 diabetic patients with mean age 64,06 +/- 11,10 years old (between 36 and 88), 50% female, after 12 drop-outs. After 6 months of intervention, the physical activity increased in the intervention group (ns) and decreased in the control group (ns). The weight decreased in both groups (intervention ns and control p=0,005) and the AP decreased in the intervention group and had no change in the control group (ns). The FG decreased in both groups (ns) and HbA1c increased in both groups (intervention pConclusions: Although there was no statistical significance, there was a positive evolution in the physical activity level practised by diabetic patients after intervention vs control group. The intervention group also had a weight and AP reduction. Perhaps the statistical significance was not reached because of the small sample size.
Physical exercise in diabetic patients in primary care