Interdisciplinary Counselling in DIAbetes

A total of 123 participants, all voluntary and at no cost, will be recruited from the Diabetology clinics of the Complex Structure of Endocrinology and Metabolic Diseases in Perugia. The recruitment process will employ a randomized, non-blinded methodology, enabling the formation of three distinct groups for comparison.

Group 1 will consist of 41 people who have been diagnosed with diabetes mellitus for a minimum of three months. This cohort will receive standard medical care, which encompasses routine monitoring and management of their condition. Alongside this, participants will complete questionnaires designed to assess their health status and lifestyle, as well as undergo evaluations of their functional abilities, which may include tests of strength, mobility, and overall physical capacity. Importantly, members of this group will not receive specific recommendations for engaging in daily physical activity from healthcare providers or kinesiologists. Instead, the guidance provided will be solely theoretical, with no practical motor counseling offered to enhance their physical activity levels.

Group 2 will similarly include 41 people meeting the same three-month diagnostic criteria for diabetes mellitus. These participants will also benefit from standard care, complete questionnaires, and undergo assessments of their functional abilities. However, a key distinction for Group 2 is the provision of recommendations for daily physical activity from both healthcare professionals and kinesiologists. While this group will receive theoretical guidance on the importance of physical activity, they will not receive practical motor counseling to help them implement these recommendations in their daily lives.

Group 3 will feature another set of 41 people, again fulfilling the condition of having a diabetes mellitus diagnosis for no less than three months. In addition to receiving the same standard care, questionnaire administration, and assessments of functional capabilities, participants in this group will also receive recommendations for daily physical activity from their healthcare and kinesiology teams. What sets Group 3 apart is the inclusion of 24 biweekly sessions focused on practical motor counseling, where individuals will engage in structured physical activity programs. This component is designed to provide hands-on, practical guidance that enables participants to actively incorporate physical exercise into their routines, aiming to enhance their overall health and functional abilities.

Through this detailed approach, the study aims to explore the impact of differing levels of prescribed physical activity and support on the functional outcomes of individuals living with diabetes mellitus, contributing valuable insights to the management practices in diabetic care.

• Total weekly walking physical activity time [Срок оценки: At the time of enrollment and follow-up (6 and 12 months).]
• Total weekly moderate physical activity time [Срок оценки: At the time of enrollment and follow-up (6 and 12 months).]
• Total weekly vigorous physical activity time [Срок оценки: At the time of enrollment and follow-up (6 and 12 months).]
• Sedentary time [Срок оценки: At the time of enrollment and follow-up (6 and 12 months).]
• Age [Срок оценки: At the time of enrollment.]
• Body weight [Срок оценки: At the time of enrollment and follow-up (6 and 12 months).]
• Height [Срок оценки: At the enrollment, and during follow up (6 and 12 months)]
• Waist circumference [Срок оценки: At the enrollment, and during follow up (6 and 12 months)]
• Body mass index (BMI) [Срок оценки: At the time of enrollment and follow-up (6 and 12 months).]
• Fasting glucose [Срок оценки: At the enrollment, and during follow up (6 and 12 months)]
• Glycated hemoglobin (HbA1c) [Срок оценки: At the enrollment, and during follow up (6 and 12 months)]
• Total blood cholesterol value [Срок оценки: At the enrollment, and during follow up (6 and 12 months)]