Impact of Screening and Multicomponent Exercise on Fall Rates, Fractures, and Cardiovascular Health in Diabetes

Launched by AALBORG UNIVERSITY HOSPITAL · Dec 19, 2024

Keywords

ClinConnect Summary

The DIACTIVE study is a clinical trial looking at how a combination of health screenings and exercise can help prevent falls, fractures, and heart problems in older adults with diabetes. Specifically, it focuses on people aged 65 and older who have been living with diabetes for at least a year. The study aims to reduce fall rates by at least 30%, improve bone health, and enhance nerve function while also addressing heart health. Participants will go through various assessments to understand their health risks and will be assigned to personalized exercise programs that include strength and balance training, as well as medication when necessary.

To be eligible for the trial, participants need to be men or women aged 65 or older with either type 1 or type 2 diabetes. They should live independently and not have serious neurological or orthopedic conditions that would limit their ability to participate. Throughout the study, participants can expect regular follow-ups over five years to monitor their progress and the benefits of the program. The goal of this research is to improve the overall health and quality of life for older adults with diabetes and to gather insights that can shape future healthcare strategies for this population.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Men and women with either T1D or T2D with a minimum of 65 years of age with no upper limit.
• • 2. Living in their own home
• • 3. A diagnosis of diabetes at least one year prior to inclusion of the study to avoid honeymoon diabetes.
• • 4. Signed the informed consent.
• Exclusion Criteria:
• • 1. No previous experience with rhythm-based multitask exercise.
• • 2. Having significant neurological diseases (e.g., Parkinson's and Multiple Sclerosis), vestibular diseases, or orthopedic surgeries (e.g., hip/knee replacement) affecting their ability to participate in the study.
• • 3. Having severely impaired cognitive function, defined as a score below 8 on the cognitive assessment "the short orientation-memory-concentration test."
• • 4. Being fully dependent on walking aids.
• • 5. Pregnancy or breast feeding
• • 6. Active malignancy or terminally ill.
• • 7. Not being able to understand Danish written and/or verbally.
• • 8. Participating in other interventional clinical studies within the last six months
• • 9. People with a weekly exercise activity above 5 hours a week