Evidence map›Paper›PMID 23011489›Full record

Trial reportJournal of cardiopulmonary rehabilitation and prevention

Predictors of exercise intervention dropout in sedentary individuals with type 2 diabetes.

Soohyun Nam, Devon A Dobrosielski, Kerry J Stewart

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiopulmonary rehabilitation and prevention. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 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

24 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  3. Walking for hypertension.The Cochrane database of systematic reviews · 2021
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  4. Physical Fitness, Exercise Self-Efficacy, and Quality of Life in Adulthood: A Systematic Review.International journal of environmental research and public health · 2020
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  11. Effects of exercise during chemotherapy on chemotherapy-induced peripheral neuropathy: a multicenter, randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Soohyun NamSchool of Nursing, Yale University, New Haven, Connecticut 06519, USA. soohnam@gmail.com
Devon A Dobrosielski
Kerry J Stewart

Funding

Exercise training in type 2 diabetes and hypertensionR01DK062368 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI STEWART, KERRY J. · 2004 to 2008
$2.5M
NIDDK NIH HHS 5R01DK062368NIDDK NIH HHS R01 DK062368
6 · The paper itself

Abstract

purposeWhile the benefits of exercise in people with type 2 diabetes mellitus is well-known, knowledge of factors associated with dropouts of exercise intervention trials is limited. Examining clinical and psychosocial factors related to dropout is a necessary first step to developing an effective exercise program. We examined the predictors of a randomized trial of exercise intervention dropout among sedentary individuals with type 2 diabetes mellitus.

methodsParticipants (n = 140) were randomly allocated to a 6-month, 3 times per week exercise intervention, or to a control group. Psychological well-being was assessed using a 36-item Short Form Health Survey, the Profile of Mood States questionnaire, and an Exercise Self-Efficacy scale. Total percent body fat and abdominal subcutaneous and visceral fat were measured. Insulin resistance was assessed with the quantitative insulin sensitivity check index. Fitness was expressed as VO2 peak during treadmill testing.

resultsThere were significantly more dropouts in the exercise group than in the control group (r = 20.220; P < .01). Those who dropped out of the study had less exercise self-efficacy for lifting weight (r = 0.187; P < .05). Physiological parameters associated with dropouts included low fitness (r = 0.255; P < .01), higher insulin resistance (r = 0.167; P < .05), higher total percent body fat (r = 20.213; P < .05), and higher subcutaneous abdominal fat (r = 20.220; P < .05). In the multiple logistic regression model, exercise group assignment, insulin resistance, and fitness remained significant predictors of dropouts.

conclusionsSpecial attention to the sedentary individuals with high insulin resistance and poor fitness should be incorporated into implementing exercise programs to improve diabetes treatment.

Indexed as

ExerciseSedentary BehaviorAnthropometryBlood PressureDiabetes Mellitus, Type 2FemaleHumansInsulin ResistanceMaleMiddle AgedMultivariate AnalysisPatient DropoutsPhysical FitnessQuality of LifeSurveys and Questionnaires

Identifiers

PMID23011489
PMCPMC3496000

What OpenQuestion holds

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Registered trials

None linked

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.