Enhancing Fitness in Older Pre-diabetic Veterans
Impaired Glucose Tolerance, Obesity, Diabetes
About this trial
This is an interventional prevention trial for Impaired Glucose Tolerance focused on measuring Aging, Exercise, Impaired Glucose Tolerance, Obesity, Functional Status, Disability, Health Services Research, Randomized Controlled Trial, Diabetes, Adaptive Randomization Design
Eligibility Criteria
Inclusion Criteria:
- VA patients followed by the Durham VA Primary Care, Women's Health, and Geriatric clinics
- Must have had more than one visit to the VA in preceding 12 months
- Age 60 and over
- Impaired glucose intolerance documented by recent fasting blood glucose between 100 and 125 mg/dL
- Body mass index between 25-40 kg/m2
- Able to walk 10 meters without human assistance (assistive device acceptable)
- All participants must be assigned a primary care provider and have had more than one visit to the VA in the preceding 12 months
Exclusion Criteria:
- Free of frank diabetes
- Fasting blood sugar above 125 mg/dL
- HbA1c > 7%
- Unstable angina
- Recent history of ventricular tachycardia
- Unstable chronic obstructive pulmonary disease (two hospitalizations within the previous 12 months and/or on oxygen)
- Uncontrolled hypertension (diastolic blood pressure >110 mm/Hg or systolic > 200mm/Hg)
- Stroke with moderate to severe aphasia
- Diagnosis of chronic pain which may interfere with their ability to be physically active
- Diagnosis of unstable mental or behavioral disorder
- Diagnosis of memory loss or dementia
- Visual or hearing loss severe enough to interfere with ability to receive telephone counseling and review written materials
- Active substance abuse
- A terminal diagnosis
- Followed by VA for medications only
- Regularly, vigorously physically active for six months or longer.
Sites / Locations
- Durham VA Medical Center, Durham, NC
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Arm 1 Physical Activity counseling
Arm 2
Physical activity (PA) counseling program with the following components: baseline in-person counseling session; telephone calls, one physician endorsement of PA in a primary care clinic visit, monthly automated telephone calls from the primary care provider encouraging PA; and quarterly mailed materials providing personalized feedback.
Usual care from primary, womens or geriatric clinics