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A multi-disciplinary evaluation of a virtually supervised home-based high-intensity interval training intervention in people with type 1 diabetes

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journal contribution
posted on 12.09.2019, 13:22 by Sam N Scott, Sam O Shepherd, Rob C Andrews, Parth Narendran, Tejpal S Purewal, Florence KinnafickFlorence Kinnafick, Daniel J Cuthbertson, Sandra Atkinson-Goulding, Tom Noon, Anton JM Wagenmakers, Matt Cocks
OBJECTIVE: Adopt a multi-disciplinary approach to evaluate a virtually-supervised home-based high-intensity interval training (Home-HIT) intervention in people with type 1 diabetes. RESEARCH DESIGN AND METHODS: Eleven individuals with type 1 diabetes (7 women; age 30±3 years; V ̇O2peak 2.5±0.2 L/min-1; duration of diabetes 10±2 years) completed six weeks of Home-HIT. A HR monitor and mobile phone application were used to provide feedback to the participants and research team on exercise intensity (compliance) and adherence. RESULTS: Training adherence was 95±2% and compliance was 99±1%. Home-HIT increased V ̇O2peak by 7% (P=0.017) and decreased insulin dose by 13% (P=0.012). Blood glucose concentration did not change from baseline to immediately or 1h post Home-HIT. Qualitative perceptions of Home-HIT and the virtual-monitoring system were positive, supporting that the intervention successfully removed exercise barriers in people with type 1 diabetes. CONCLUSIONS: Virtually-monitored Home-HIT resulted in high adherence alongside increased V ̇O2peak and decreased insulin dose.

History

School

  • Sport, Exercise and Health Sciences

Published in

Diabetes Care

Volume

42

Issue

9

Publisher

American Diabetes Association

Version

AM (Accepted Manuscript)

Rights holder

© American Diabetes Association

Publisher statement

This is an author-created, uncopyedited electronic version of an article accepted for publication in Diabetes Care. The American Diabetes Association (ADA), publisher of Diabetes Care, is not responsible for any errors or omissions in this version of the manuscript or any version derived from it by third parties. The definitive publisher-authenticated version will be available in a future issue of Diabetes Care in print and online at https://care.diabetesjournals.org/.

Acceptance date

27/08/2019

Publication date

2019-09-17

Copyright date

2019

ISSN

0149-5992

eISSN

1935-5548

Language

en

Depositor

Dr Florence Kinnafick

Article number

dc190871

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