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Type 2 DiabetesDARE-BandsNCT02009995

The Diabetes Aerobic and Resistance Bands Exercise (DARE-Bands) Trial

A study testing Aerobic Training (AT) and AT plus Primarily Home-Based Resistance Band Training in people with Type 2 Diabetes, run by University of Calgary at 1 site in Canada.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

BACKGROUND Resistance exercise training with free weights or weight machines clearly improves glucose (sugar) control in type 2 diabetes (T2D). However, many patients with T2D would prefer not to attend an exercise facility, for reasons of cost and/or convenience. Read more about this study

Who is it for?
Ages 35 to 75 years
Conditions the study is for
Type 2 Diabetes
What is being tested?
Aerobic Training (AT) and AT plus Primarily Home-Based Resistance Band Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteCanada
Study dates
Feb 2014to Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 35 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged >35 years with T2D as defined by the CDA Expert Committee.
  • A1C values within range of 6.6%-9.9%.
  • Willingness to follow study procedures (e.g. wear the accelerometer for exercise sessions and download them at least weekly, complete exercise logs, attend supervised group-based resistance band sessions, perform resistance bands exercise at home).

Who cannot join

  • Participation in a regular program of physical conditioning or aerobic sports/activities for >150 minutes per week during the 6 months prior to enrolment.
  • Participation in any resistance exercise training during the previous 6 months.
  • Requirement for insulin therapy currently or in the previous 3 months.
  • Uncontrolled hyperglycemia (A1C > 10%), as it would be a clear indication for cointervention.
  • Uncontrolled hypertension: systolic BP >160 mmHg or diastolic BP >100 mmHg, both measured in sitting position. If too-high A1C or BP is the only reason for exclusion, subjects will be asked to see their physicians regarding the hyperglycemia or BP, and invited to re-apply for the study several months later if the problem is under better control.
  • Hypo-glycemia unawareness, or severe hypoglycemia requiring assistance from another person within the previous 3 months.
Show all 13Show fewer
  • Restrictions in physical activity due to disease: unstable cardiac or pulmonary disease, severe aortic stenosis, Marfan's syndrome (risk of aortic dissection from resistance training), intermittent claudication sufficient to interfere with aerobic exercise progression, severe peripheral neuropathy or active proliferative retinopathy, disabling stroke, severe arthritis, musculoskeletal injuries compromising safety of the prescribed exercises, inability to walk 10 minutes.
  • Other illness, judged by the patient or study physician to make participation in this study inadvisable.
  • Inability to understand or comply with instructions.
  • Pregnancy at the start of the study, or intention to become pregnant in the next 6 months.
  • Plans to move to a different city within the next 12 months.
  • Inability to communicate in English or French.
  • Unwillingness to sign informed consent.

Trial locations and contacts

1 site in 1 country.

Canada1 site, 1 recruiting
  • Richmond Road Diagnostic and Treatment Centre

    Calgary, Alberta, T2T 5C7

    Samantha McGinley, BSc, MSc, 403-955-8117, skmcginl@ucalgary.ca

    Ronald Sigal, MPH, MD

    Recruiting

Other trials in Canada

About this study

BACKGROUND Resistance exercise training with free weights or weight machines clearly improves glucose (sugar) control in type 2 diabetes (T2D). However, many patients with T2D would prefer not to attend an exercise facility, for reasons of cost and/or convenience. Coinvestigator Jonathon Fowles has developed and pilot-tested a home-based exercise program for people with T2D using resistance bands. However, the effects of resistance-bands training (on glucose control in T2D have not been evaluated in a high-quality randomized trial.

SPECIFIC AIMS To determine the effects of six months of progressive home-based resistance bands training (RBT) versus no RBT in people with T2D on blood glucose control (HbA1c, primary outcome), waist circumference, heart disease risk factors, and quality of life.

Read more

METHODS A total of 100 T2D participants will be randomized to 2 arms: home-based RBT (RBT-H) or aerobic training only (ATO). Both groups will accumulate 150 minutes per week of aerobic exercise such as walking. The resistance exercise workout includes 12 exercises, targeting all major muscle groups. RBT-H subjects will complete most exercise at home with periodic supervision.

SIGNIFICANCE The global burden of type 2 diabetes is increasing, and complications of the illness occur primarily in those whose glucose control is fair or poor. If exercise training with resistance bands improves glucose control, it could be beneficial to the large numbers of patients who cannot travel to a gym or cannot afford gym membership. If resistance exercise is then adopted by more patients, it is likely that the morbidity associated with type 2 diabetes will be decreased. This is particularly true if such training also improves quality of life, and more people are thus inclined to continue exercising in the long term.

Read the detailed description

BACKGROUND Resistance exercise training with free weights or weight machines clearly improves glycemic control in type 2 diabetes (T2D). However, many patients with T2D would prefer not to, or are not able to attend an exercise facility,for reasons of cost, comfort or convenience. Coinvestigator Dr. Jonathon Fowles developed a home-based exercise program for people with T2D using resistance bands. Before-after studies using this intervention have found improvements in glycemic control, strength, and blood pressure. However, the effects of resistance-bands training (RBT) on glycemic control in T2D have not been evaluated in a high-quality randomized trial.

RESEARCH QUESTIONS To determine the effects of six months of progressive home-based RBT plus aerobic exercise, versus home-based aerobic exercise alone, in previously-sedentary people with T2D.

METHODS After a 2-week run-in period to assess adherence, 100 T2D subjects not currently engaging in regular exercise will be randomized in equal numbers to 2 arms: primarily home-based RBT (RBT-H) or aerobic only control (ATO) . Both groups will complete aerobic training: accumulation of 150 minutes per week of walking or jogging, measured by accelerometers. The RBT workout will include 12 distinctive exercises, targeting all major muscle groups. Subjects will be trained in groups led by a Kinesiologist (exercise specialist) twice per week for two weeks during run-in. After randomization, the RBT-H group will perform RBT three times per week. RBT-H participants will perform RBT three times per week primarily at home, with supervised group sessions weekly in weeks 1-4, every 2 weeks in weeks 5-8, and every 4 weeks thereafter to ensure proper form and appropriate progression. Adherence to RBT will be verified through direct supervision of group sessions, and completion of detailed exercise logs for home-based and group sessions. Participants will photograph the log after each session and email the photo to a designated email address. Study outcomes will be assessed at baseline, 12 and 24 weeks post-randomization. Dietary advice will be standardized through repeated sessions with a dietician, and doses of medications altering glucose, lipids and BP will be held constant unless change is medically urgent. Primary analyses will be intention-to-treat, using repeated measures mixed modeling. Per-protocol analyses will be done including only subjects who completed >70% of prescribed exercise sessions and all end-of-study outcome measures.

SIGNIFICANCE The global burden of type 2 diabetes is increasing, and complications of the illness occur primarily in those whose glycemic control is fair or poor. If home-based exercise training with resistance bands improves glycemic control and other vascular risk factors, it could be beneficial to the large numbers of patients who prefer not to have to travel to a gym or cannot afford gym membership. If resistance exercise is then adopted by more patients, it is likely that the morbidity associated with type 2 diabetes will be decreased. This is particularly true if such training also improves quality of life, and more people are thus inclined to continue exercising in the long term.

Conditions
Type 2 Diabetes
Being tested
Aerobic Training (AT), AT plus Primarily Home-Based Resistance Band Training
Keywords
Diabetes Mellitus, Type 2 Diabetes Mellitus, Resistance Training, Resistance Exercise, Resistance Band, Thera-band, elastic band, exercise band
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aerobic Training (AT)Behavioural

    All subjects will participate in a 10-week ramp-in period with the goal of achieving 150 minutes of moderate-to-vigorous physical activity per week. Walking and jogging will be the primary modes of achieving the prescribed aerobic activity as these are the modes of aerobic exercise that are most accurately recorded by an accelerometer. Subjects will use the Rate of Perceived Exertion (RPE) to guide aerobic exercise intensity. Aerobic activity will be objectively monitored by the Technogym MyWellness Key (MWK) accelerometer, which is a lightweight device worn on the waistband.

  • AT plus Primarily Home-Based Resistance Band TrainingBehavioural

    The bands + AT group will engage in RBT 3 times per week, progressing to 3 sets of 10-15 repetitions of 12 exercises. The exercises will be: chair squat, sitting chest press, seated rear fly, seated row, overhead press, lateral raise, biceps curl, triceps extension, leg extension, hamstring curl, gluteal extension, and abdominals. The resistance band exercise sessions will be between 25-60 minutes.

    Participants in this group will attend supervised group sessions weekly in weeks 1-4, every 2 weeks in weeks 5-8, and every 4 weeks thereafter to ensure proper form and appropriate progression. Participants in this group will be responsible to complete all remaining sessions (a total of 3 per week, including supervised sessions) at home on their own time.

Study groups in NCT02009995
Study groupRoleWhat they receive
Aerobic Training (AT) onlyActive comparatorAll subjects will participate in a 10-week ramp-in period with the goal of achieving 150 minutes of moderate-to-vigorous physical activity per week. Walking and jogging will be the primary modes of achieving the prescribed aerobic activity as these are the modes of aerobic exercise that are most accurately recorded by an accelerometer. Subjects will use the Rate of Perceived Exertion (RPE) to guide aerobic exercise intensity. Aerobic activity will be objectively monitored by the Technogym MyWellness Key (MWK) accelerometer, which is a lightweight device worn on the waistband.
Receives: Behavioral: Aerobic Training (AT)
AT plus Primarily Home-Based Resistance Band TrainingExperimentalBoth of the bands + AT groups will engage in RBT 3 times per week, progressing to 3 sets of 8-12 repetitions of 12 exercises. The exercises will be: chair squat, sitting chest press, seated rear fly, seated row, overhead press, lateral raise, biceps curl, triceps extension, leg extension, hamstring curl, gluteal extension, and abdominals. The resistance band exercise sessions will be between 25-60 minutes. Participants in this group will attend supervised group sessions weekly in weeks 1-4, every 2 weeks in weeks 5-8, and every 4 weeks thereafter to ensure proper form and appropriate progression. Participants in this group will be responsible to complete all remaining sessions (a total of 3 per week, including supervised sessions) at home on their own time.
Receives: Behavioral: Aerobic Training (AT); Behavioral: AT plus Primarily Home-Based Resistance Band Training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Testing of Strength

    The maximum weight that can be lifted 8 times while maintaining proper form (8RM) will be determined for chest press (upper body) and leg press (lower body).

    Measured: Baseline, 12 weeks, 24 weeks

Secondary outcomes (18)
  1. Blood Pressure

    Three measures of systolic and diastolic blood pressure (BP) will be taken at 2-minute intervals using a BP-Tru automated BP monitor (BP-Tru, Coquitlam, BC), with the subject sitting with back supported; the mean of the lower two measures will be taken as the true BP.

    Measured: Baseline, 12 weeks, 24 weeks

  2. Smoking

    will be assessed by self-report (number of cigarettes/day). The smoking rate is expected to be low and we do not expect intergroup differences. We will gather this information because smoking, an important predictor of diabetic complications including CVD, is used in the UKPDS Outcomes Model.

    Measured: baseline

  3. Traditional lipids

    Total cholesterol, HDL-Cholesterol and triglycerides will be measured by enzymatic colorimetric assays, and LDL-C calculated using the Friedewald equations. Total cholesterol/HDL-cholesterol ratio will be calculated.

    Measured: Baseline, 12 weeks, 24 weeks

  4. Apolipoproteins

    Apolipoprotein B (ApoB), Apolipoprotein A-1 (ApoA1), ApoB/ApoA1 ratio.

    Measured: Baseline, 12 weeks, 24 weeks

  5. HSCRP

    Addition of HSCRP (High-sensitivity C-reactive Protein) levels to cardiac risk prediction equations can provide incremental risk discrimination beyond that provided by age, sex, smoking, BP, and diabetes.

    Measured: Baseline, 12 weeks, 24 weeks

  6. Moderate-vigourous aerobic exercise

    Weekly time spent in moderate-to-vigourous intensity physical activity (i.e. greater than 3 METs) as measured by the MyWellness Key accelerometer will be collected via the web-based interface.

    Measured: every week from baseline to 24 weeks

  7. The UKPDS Outcomes Model

    is a computer simulation model for forecasting the occurrence of seven diabetes-related complications.

    Measured: Baseline, 12 weeks, 24 weeks

  8. Satisfaction with the exercise program

    Structured interview.

    Measured: 12 and 24 weeks

  9. Continued participation in exercise after end of intervention

    telephone interviews every 3 months for 2 years after the end of the intervention period.

    Measured: 3, 6, 9, 12, 15, 18, 21, 24 months after completion of the intervention

  10. Medication Changes

    Medication and doses will be assessed. Changes (start/increased dose; stop/decreased dose) in medications altering glucose, lipids or blood pressure will be considered secondary outcomes.

    Measured: Baseline, 12 weeks, 24 weeks

  11. Adverse Events

    Participants will be questioned regularly at each clinic visit regarding adverse events, which will be tracked systematically using standard forms.

    Measured: Baseline, 12 weeks, 24 weeks

  12. Hemoglobin A1c (A1C)

    A1C reflects average blood glucose over the previous 2-3 months and is expressed as a percent (normal A1C 4-6%, target A1C in diabetes <7%). A 1% absolute decrement in A1C (e.g. from 8.0% to 7.0%) is associated with a 37% lower risk of microvascular complications of diabetes. In epidemiological analyses, lower A1C was also associated with lower risk of CVD. There has never been a negative impact of A1C-lowering in exercise trials.

    Measured: Baseline, 12 weeks, 24 weeks

  13. Weight

    Taken in light clothing without shoes.

    Measured: Baseline, 12 weeks, 24 weeks

  14. Waist circumference

    Measured midway between the lowest rib and the top of the iliac crest.

    Measured: Baseline, 12 weeks, 24 weeks

  15. Hip circumference

    Measured around the widest portion of the buttocks.

    Measured: Baseline, 12 weeks, 24 weeks

  16. SF-36 questionnaire

    Used to assess health related quality of life.

    Measured: Baseline, 12 weeks, 24 weeks

  17. Diabetes Distress Scale Questionnaire

    Assesses emotional distress and functioning specific to living with diabetes.

    Measured: Baseline, 12 weeks, 24 weeks

  18. EuroQOL EQ-5D questionnaire

    Assesses five core domains of quality of life (mobility, self-care, ability to conduct usual activities, pain and discomfort, and anxiety and depression).

    Measured: Baseline, 12 weeks, 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Dec 2013 (estimated)
  2. Study startFeb 2014
  3. Primary completionDec 2019 (estimated)
  4. Study completionDec 2019 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02009995
Sponsor's protocol ID
1026315
Acronym
DARE-Bands
Status last verified
Oct 2016
First submitted
9 Dec 2013
Last updated
25 Oct 2016
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Aerobic Training (AT) and AT plus Primarily Home-Based Resistance Band Training in people with Type 2 Diabetes, run by University of Calgary at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 25 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Testing of Strength (time frame: Baseline, 12 weeks, 24 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Oct 2016.

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