The effect of tele-monitoring on exercise training adherence, functional capacity, quality of life and glycemic control in patients with type II diabetes

Tracy Marios, Sara Dalton, Neil A. Smart

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13 Citations (Scopus)


We used tele-monitoring to attempt to improve exercise adherence (number of hours of exercise completed), peak VO 2, HbA1c% and quality of life in an unsupervised, home based exercise program in people with type II diabetes, a cost analysis was also conducted. Thirty-nine patients with type II diabetes were randomized to tele-monitoring (TELE) or control (CON) groups. All patients were asked to complete 6 months exercise training and complete an exercise activity diary. The TELE group was instructed to record their exercise heart rates using a monitor and received weekly telephone calls from an exercise physiologist. Six TELE patients and seven CON patients did not complete the 6 month testing. TELE patients completed a mean weekly volume of 138 minutes, moderate intensity exercise, while CON patients completed 58 minutes weekly (p < 0.02). Neither group achieved the American Heart Association statement guideline for weekly exercise volume of 150 minutes. TELE patients improved peak VO 2 (5.5%), but neither group improved HbA1c% or quality of life. The CON group showed a 4.9% reduction in peak VO 2. While tele-monitored patients completed more hours of exercise and demonstrated improved peak VO 2 compared to controls, the exercise volume completed was insufficient to improve glycemic control. There is the potential via tele-monitoring to enable people with diabetes to meet exercise training guidelines.

Original languageEnglish
Pages (from-to)51-56
Number of pages6
JournalJournal of Sports Science and Medicine
Issue number1
Publication statusPublished - Mar 2012


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