Monitoring handgrip strength to motivate lifestyle choices for patients with diabetes type 2 - a pragmatic randomised controlled trial.

Publisher: Taylor & Francis Country of Publication: United States NLM ID: 8510679 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1502-7724 (Electronic) Linking ISSN: 02813432 NLM ISO Abbreviation: Scand J Prim Health Care Subsets: MEDLINE

Publication: Philadelphia, PA : Taylor & Francis
Original Publication: Stockholm, Sweden : Almqvist & Wiksell Periodical Co., [1983-

Diabetes Mellitus, Type 2* ; Hand Strength* ; Exercise* ; Glycated Hemoglobin*/metabolism ; Glycated Hemoglobin*/analysis ; Waist Circumference* ; Motivation* ; Life Style*; Humans ; Male ; Female ; Middle Aged ; Aged ; Primary Health Care ; Adult ; Sex Factors ; Age Factors ; Surveys and Questionnaires

Methods: Measurement of HGS with Jamar dynamometers was added to annual check-ups for patients with T2DM by diabetes nurses in primary care with feedback about normal values for age and sex in the intervention group. The control group had standard check-ups. Change in self-reported PA level was measured with questionnaires.
Results: Seven clinics and 334 patients participated. The intervention led to similar effects on PA in both groups. Patients with T2DM had comparable HGS to the general public. Regression analyses showed statistically significantly higher HGS in the intervention group than in the control group at follow-up and no improvement in PA, HbA1c, or waist circumference. Increased HGS was found for older people, men, and people with normal-to-high inclusion HGS, while patients with low inclusion HGS reduced their strength levels.
Conclusions: Measuring HGS and giving feedback to patients with T2DM can lead to increased HGS but does not seem to affect general PA level, HbA1c, or waist circumference. People over 65 years, men, and people with normal-to-high HGS were influenced positively by the intervention. Patients with low HGS may need personalised support to increase physical activity and improve function. ClinicalTrials registration:  NCT03693521.

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Keywords: Diabetes mellitus; handgrip strength; health control; physical activity; primary care

ClinicalTrials.gov NCT03693521

0 (Glycated Hemoglobin)

Date Created: 20240704 Date Completed: 20241108 Latest Revision: 20241112

20241112

10.1080/02813432.2024.2373298

38963325