EXTOD: Exploring the barriers and benefits of physical exercise for people with type 1 diabetes

Parth Narendran, Rob Charles Andrews


type 1 diabetes, exercise, beta cell, barriers, education, RCT

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Chimen M, Kennedy A, Nirantharakumar K, Pang TT, Andrews R, Narendran P. What are the health benefits of physical activity in type 1 diabetes mellitus? A literature review. Diabetologia 2012;55:542–51. https://doi.org/10.1007/s00125-011-2403-2

Narendran P, Solomon TP, Kennedy A, Chimen M, Andrews RC. The time has come to test the beta cell preserving effects of exercise in patients with new onset type 1 diabetes. Diabetologia 2015;58:10–18. https://doi.org/10.1007/s00125-014-3412-8

Lascar N, Kennedy A, Jackson N, et al. Exercise to preserve beta cell function in recent-onset type 1 diabetes mellitus (EXTOD): a study protocol for a pilot randomized controlled trial. Trials 2013;14:180. https://doi.org/10.1186/1745-6215-14-180

Narendran P, Jackson N, Daley A, et al. Exercise to preserve β-cell function in recent-onset type 1 diabetes mellitus (EXTOD): a randomized controlled pilot trial. Diabet Med 2017;34:1521–31. https://doi.org/10.1111/dme.13439

Chetan MR, Charlton MH, Thompson C, Dias RP, Andrews RC, Narendran P. The type 1 diabetes 'honeymoon' period is five times longer in men who exercise: a case-control study. Diabet Med 2018 Aug 17. https://doi.org/10.1111/dme.13802

Henshall C, Narendran P, Andrews RC, et al. Qualitative study of barriers to clinical trial retention in adults with recently diagnosed type 1 diabetes. BMJ Open 2018;8(7):e022353. https://doi.org/10.1136/bmjopen-2018-022353

Kennedy A, Narendran P, Andrews RC, Daley A, Greenfield SM; EXTOD Group. Attitudes and barriers to exercise in adults with a recent diagnosis of type 1 diabetes: a qualitative study of participants in the Exercise for Type 1 Diabetes (EXTOD) study. BMJ Open 2018;8(1):e017813. https://doi.org/10.1136/bmjopen-2017-017813

Lascar N, Kennedy A, Hancock B, et al. Attitudes and barriers to exercise in adults with type 1 diabetes (T1DM) and how best to address them: a qualitative study. PLoS One 2014;9(9):e108019. https://doi.org/10.1371/journal.pone.0108019.

Rich R, Thompson C, Forbes A, Andrews RC, Narendran P. Healthcare professionals have poor knowledge but high levels of confidence regarding exercise in type 1 diabetes. Poster at 2015 IDF Conference, Vancover, Canada.

Troughton J, Sorenson J, Doherty Y, et al. Development of an education programme to support patients with type 1 diabetes to exercise safely and effectively: the EXercising for Type One Diabetes education programme (EXTOD). Poster at Diabetes UK Conference, March 2018. Diabet Med 2018;35(S1):129.

American Diabetes Association. Lifestyle management: standards of medical care in diabetes–2018. Diabetes Care 2018;41(Suppl 1):S38–S50. https://doi.org/10.2337/dc18-S004

DOI: https://doi.org/10.15277/bjd.2018.179


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The Journal of the Association of British Clinical Diabetologists