Maria Brännholm Syrjälää´s research

HEALTH EFFECTS OF REDUCED OCCUPATIONAL SITTING IN TYPE 2 DIABETES – A RANDOMIZED MULTICENTER STUDY IN SWEDISH PRIMARY HEALTH CARE

Background
Less than one-third of individuals with type 2 diabetes mellitus (T2DM) are physically active every day. Interventions to increase physical activity in T2DM are costly with uncertain long-term results. Recent research shows beneficial effects on glucose control, quality of life and fatigue from reducing sitting time by regular short bouts of light-intensity physical activity.

The purpuse of this project is to evaluate the health effects of an intervention aiming to reduced sedentary behavior at work through breaking up sedentary behavior with light walking or simple pause gymnastics by using a activity tracker, SMS reminders and telephone follow-up as a complement to health counselling.

Methods
Doctoral studies consist of 3-month pilot study that will test the planned multi-component intervention. Semi-structured interviews of participants and diabetes nurse are analyzed by using qualitative content analysis. Pilot study will be followed by 12-month, randomized multicenter study in 6 primary health-care units as a co-operation between the Departments of Public Health and Clinical Medicine. Participants will be randomized to a multicomponent intervention group (health counselling, activity tracker, telephone follow-up and SMS reminders) or control group (brief health counselling).Accelerometers are used to measure physical activity and sitting time. Cardiometabolic markers,health-related quality of life, fatigue, self-rated health, stages of change and self-efficacy are measured.

Relevance
The project will contribute to an inreased understandning of the sedentary behavior in individuals with T2DM and how it impacts health in these individuals. The project will provide knowledge if the planned multi-component intervention can support long-term behavioural change.