A Multidisciplinary Evaluation of a Virtually Supervised Home-Based High-Intensity Interval Training Intervention in People With Type 1 Diabetes | Zendy

Sam N. Scott | Zendy; Sam O. Shepherd | Zendy; Robert Andrews | Zendy; Parth Narendran | Zendy; Tejpal Purewal | Zendy; FlorenceEmilie Kinnafick | Zendy; Daniel J. Cuthbertson | Zendy; Sandra Atkinson-Goulding | Zendy; Tom Noon | Zendy; Anton J. M. Wagenmakers | Zendy; Matt Cocks | Zendy

Open Access

A Multidisciplinary Evaluation of a Virtually Supervised Home-Based High-Intensity Interval Training Intervention in People With Type 1 Diabetes

Author(s) -

Sam N. Scott,

Sam O. Shepherd,

Robert Andrews,

Parth Narendran,

Tejpal Purewal,

FlorenceEmilie Kinnafick,

Daniel J. Cuthbertson,

Sandra Atkinson-Goulding,

Tom Noon,

Anton J. M. Wagenmakers,

Matt Cocks

Publication year - 2019

Publication title -

diabetes care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 6.636

H-Index - 363

eISSN - 1935-5548

pISSN - 0149-5992

DOI - 10.2337/dc19-0871

Subject(s) - medicine , diabetes mellitus , type 2 diabetes , intervention (counseling) , interval training , high intensity interval training , type 1 diabetes , physical therapy , nursing , endocrinology

OBJECTIVE Adopt a multidisciplinary approach to evaluate a virtually supervised home-based high-intensity interval training (Home-HIT) intervention in people with type 1 diabetes. RESEARCH DESIGN AND METHODS Eleven individuals with type 1 diabetes (seven women; age 30 ± 3 years; 2.5 ± 0.2 L/min; duration of diabetes 10 ± 2 years) completed 6 weeks of Home-HIT. A heart rate monitor and mobile phone application were used to provide feedback to the participants and research team on exercise intensity (compliance) and adherence. RESULTS Training adherence was 95 ± 2%, and compliance was 99 ± 1%. Home-HIT increased by 7% (P = 0.017) and decreased insulin dose by 13% (P = 0.012). Blood glucose concentration did not change from baseline to immediately or 1 h post Home-HIT. Qualitative perceptions of Home-HIT and the virtual-monitoring system were positive, supporting that the intervention successfully removed exercise barriers in people with type 1 diabetes. CONCLUSIONS Virtually monitored Home-HIT resulted in high adherence alongside increased and decreased insulin dose.

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