Evidence map›Paper›PMID 30634923›Full record

ArticleBMC geriatrics2019

Discontinuously supervised aerobic training vs. physical activity promotion in the self-management of type 2 diabetes in older Italian patients: design and methods of the 'TRIPL-A' randomized controlled trial.

Francesco Lucertini, Carlo Ferri Marini, Davide Sisti, Vilberto Stocchi, Ario Federici, Franco Gregorio, Donata Piangerelli, Carlos Chiatti, Antonio Cherubini, Massimo Boemi and 5 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

15 authors at 3 institutions in 1 country.

Francesco LucertiniDepartment of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Via I Maggetti, 26/2 -61029, Urbino, PU, Italy. francesco.lucertini@uniurb.it.ORCID 0000-0003-3134-4511
Carlo Ferri MariniDepartment of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Via I Maggetti, 26/2 -61029, Urbino, PU, Italy.
Davide SistiDepartment of Biomolecular Sciences - Unit of Medical Statistic and Biometry, University of Urbino Carlo Bo, Piazza Rinascimento, 7-61029, Urbino, PU, Italy.
Vilberto StocchiDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, Via I Maggetti, 26/2-61029, Urbino, PU, Italy.
Ario FedericiDepartment of Biomolecular Sciences - Division of Exercise and Health Sciences, University of Urbino Carlo Bo, Via I Maggetti, 26/2 -61029, Urbino, PU, Italy.
Franco GregorioASUR Marche - Diabetology Unit, Via Montello, 4-60035, Jesi, Italy.
Donata PiangerelliIRCCS INRCA, Scientific Direction, Via della Montagnola, 81-60127, Ancona, Italy.
Carlos ChiattiIRCCS INRCA, Scientific Direction, Via della Montagnola, 81-60127, Ancona, Italy.
Antonio CherubiniIRCCS INRCA, Geriatria, Accettazione Geriatrica, Centro di Ricerca per l'Invecchiamento, Via della Montagnola, 81-60127, Ancona, Italy.
Massimo BoemiIRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy.
Fabio RomagnoliIRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy.
Michela CucchiIRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy.
Federica D'AngeloIRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy.
Maria Paola LuconiIRCCS INRCA, Diabetology Unit, Via della Montagnola, 81-60127, Ancona, Italy.
Anna Rita BonfigliIRCCS INRCA, Scientific Direction, Via della Montagnola, 81-60127, Ancona, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Urbino · ITOspedale degli Infermi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity (PA) has health benefits for people with type 2 diabetes (T2D). Indeed, regular PA is considered an important part of any T2D management plan, yet most patients adopt a sedentary lifestyle. Exercise referral schemes (ERS) have the potential to effectively promote physical activity among T2D patients, and their effectiveness may be enhanced when they are supported by computer-based technologies. The 'TRIPL-A' study (i.e., a TRIal to promote PhysicaL Activity among patients in the young-old age affected by T2D) aims to assess if realizing an innovative ERS, based on a strong partnership among general practitioners, specialist physicians, exercise specialists, and patients, and supported by a web-based application (WBA), can effectively lead sedentary older T2D patients to adopt an active lifestyle.

methodsA randomized controlled design will be used, and an ERS, supported by a WBA, will be implemented. 300 physically inactive T2D patients (aged 65-74 years) will be assigned to either an intervention or control arm. Control arm patients will only receive behavioral counseling on physical activity and diet, while intervention arm patients will also undergo an 18-month (3 day/week), discontinuously supervised aerobic exercise training program. The trial will be divided into six three-month periods: during first, third and fifth period, an exercise specialist will supervise the training sessions and, using the WBA, prescribe exercise progression and monitor exercise adherence. Patients will exercise on their own in the other periods. Patients' sedentary behaviors (primary outcome), PA level, fitness status, metabolic profile, psychological well-being, quality of life, and use of health care services (secondary outcomes) will be assessed at baseline and at 6, 12, and 18 months from baseline. Repeated measure ANCOVAs will be used to compare the intervention and control arm with respect to each study outcome measure. DISCUSSION: Primary and secondary outcome results will allow us to evaluate the effectiveness of an ERS, specifically designed for the management of T2D clinical conditions and supported by a WBA, in promoting PA within Italian primary care settings.

trial registrationThis trial is retrospectively registered under the Australian New Zealand Clinical Trials Registry (reference number: ACTRN12618001164280 ; registered 13 July 2018).

Indexed as

AgedDiabetes Mellitus, Type 2ExerciseFemaleHealthy LifestyleHumansItalyMaleMulticenter Studies as TopicPrimary Health CareQuality of LifeRandomized Controlled Trials as TopicRetrospective StudiesSedentary BehaviorSelf-ManagementComputer-based interventionDiabetes mellitus type 2Exercise referral schemeExercise trainingHabitsOlderPatient complianceQuality of lifeRandomized controlled trialSedentary lifestyle

Identifiers

PMID30634923
PMCPMC6330458
OpenAlexW2941411562

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.