Evidence map›Paper›PMID 21349603›Full record

Trial reportAtencion primaria2011

[Improvement of control in subjects with type 2 diabetes after a joint intervention: diabetes education and physical activity].

Consuelo Ariza Copado, Vicente Gavara Palomar, Alfonso Muñoz Ureña, Fuensanta Aguera Mengual, Magdalena Soto Martínez, José Ramón Lorca Serralta

Abstract readEnglish AbstractRandomized Controlled Trial
In one paragraph

Trial report in Atencion primaria, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Community Activities in Primary Care: A Literature Review.Journal of primary care & community health
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Consuelo Ariza CopadoCentro de Salud Isaac Peral, Cartagena, Murcia, España. cheloariza@yahoo.es
Vicente Gavara Palomar
Alfonso Muñoz Ureña
Fuensanta Aguera Mengual
Magdalena Soto Martínez
José Ramón Lorca Serralta

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the improvement of metabolic control and cardiovascular risk factors, adherence, self-monitoring, self-care, attitudes and motivation in subjects with Type 2 Diabetes (DM2) in a specific Health Care Area after group intervention through the community: diabetes education (DE) and physical exercise (PE).

designA single blind, randomised controlled clinical trial.

interventiongroup 1: DE; group 2: ED and PE; group 3: only PE, and "control" group-4: Individual consultations. LOCATION: Urban health centre/municipal sports centre.

participants108 DM2, age: 40-70, glycated haemoglobin (HbA(1)c) ≤ 8.5%, blood pressure (BP)<160/90 and body mass index (BMI)<45, excluding those with chronic complications and/or acute decompensation.

interventionsDuring 6 months, 8 workshops were held for group education and monitored aerobic physical exercise of moderate intensity (3 hours a week). MAIN MEASUREMENTS: Primary variable pre- and post- intervention: reduction in HbA(1)c; other variables: examination and analytical data, therapeutic compliance, self-monitoring, self-care, attitudes and motivation (DAS-3SP survey).

resultsAfter intervention, more diabetics had a lower HbA(1)c following a full intervention: "DE" and "PE", RR: 1.93 (0.85-4.40) and exercise, RR: 1.56 (0.65-3.76). With simultaneous DE and PE, the BMI, RR: 1.61 (0.85-3.03) and LDL cholesterol, RR: 1.82 (0.99-3.36), of many subjects decreased. Dietary compliance, RR: 1.29 (0.32-5.22) and exercise, RR: 1.93 (0.76-4.91) also increased, more patients performing their own checks, RR: 3.86 (0.90-16.55) and improving motivation/attitudes in "strict control management", RR: 1.48 (0.94-2.34). With PE, systolic and diastolic BP decreased in more patients RR: 1.35 (0.72-2.52), 1.87 (0.72-4.84) while in the DE group only diastolic values decreased 1.80 (0.69-4.67).

conclusionsPatient conditions improve more with the combination of DE and PE, though the results are not statistically significant, probably due to insufficient sample size.

Indexed as

Motor ActivityPatient Education as TopicAdultAgedDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedSingle-Blind Method

Identifiers

PMID21349603
PMCPMC7025064

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.