Italian diabetes exercise study: a 20-center randomised controlled clinical trial designed to evaluate the safety and efficacy of intensive lifestyle intervention on controllable cardiovascular risk factors in type 2 diabetic subjects with metabolic syndrome

ISRCTN	ISRCTN04252749
DOI	https://doi.org/10.1186/ISRCTN04252749
Protocol serial number	N/A
Sponsor	Metabolic Fitness Association (Italy)
Funder	Metabolic Fitness Association (Italy)

Submission date: 04/08/2005
Registration date: 19/09/2005
Last edited: 28/04/2015

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Nutritional, Metabolic, Endocrine

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Stefano Balducci
Scientific

Via Montesanto, snc
Monterotondo, Roma
00016
Italy

Phone	+39 (0)6 9004559
Email	s.balducci@hctdiabete.it

Study information

Primary study design	Interventional
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Study type	Participant information sheet
Scientific title	Italian diabetes exercise study: a 20-center randomised controlled clinical trial designed to evaluate the safety and efficacy of intensive lifestyle intervention on controllable cardiovascular risk factors in type 2 diabetic subjects with metabolic syndrome
Study acronym	IDES
Study objectives	This study is designed to determine whether an intensive lifestyle intervention of exercise training, prescribed and supervised, as well as standard care, improves the controllable cardiovascular risk factors in type 2 diabetic subjects with metabolic syndrome, as compared with simple counselling program.
Ethics approval(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	Diabetes and metabolic syndrome.
Intervention	Patients recruited to the study are assigned randomly to an exercise prescription (aerobic + strength) intervention Control: Exercise counselling
Intervention type	Behavioural
Primary outcome measure(s)	The Primary Endpoint will be to determine the numbers of patients within two groups that after 12 months achieve a % rate reduction of the following parameters: Hba1c = ≥15%, Cholesterol - low density lipoprotein (LDL) = ≥15%, Triglyceride = ≥15%, Cholesterol - high density lipoprotein (HDL) = ≥+15%, Blood Pressure = ≥5 mmHg x diastolic and systolic, BMI = BMI reduction ≥7% for patients with BMI ≥27, Waist ≥-10%
Key secondary outcome measure(s)	Secondary endpoints are the numbers of patients within two groups that after 12 months, achieve set standards of 1. Well-being 2. Dose/response between volume and intensity of exercise training and controllable cardiovascular risk factors 3. Impact of Exercise training on: coagulation and inflammation markers, endothelial function 4. The frequency of medication for three classes of drugs (hypolipemic, hypoglycemic, and antihypertensive therapies) 5. 10-year coronary heart disease (CHD) risk (as calculated from Framingham risk tables) 6. Cost analysis: Direct medical costs and Direct and Indirect social costs
Completion date	31/01/2007

Eligibility

Participant type(s)	Patient
Age group	Adult
Sex	All
Target sample size at registration	500
Key inclusion criteria	Type 2 diabetes patients with metabolic syndrome, age from 40 to 80 years, duration of diabetes >1 year, body mass index (BMI) ≥27, ≤40, sedentary for at least six months, able to walk without assistance and eligible after cardiovascular algorithm evaluation. Of these, only those who give written informed consent.
Key exclusion criteria	Patients having at least one of the following conditions will be excluded from the study: 1. A history or evidence on physical examination of significant central nervous system dysfunction (i.e. hemiparesis, myelopathy, cerebellar ataxia) 2. Significant musculoskeletal deformity (i.e. amputation, scoliosis, abnormality of range of motion [ROM]) that would prevent participation (<90° of humeral abduction, inability to grip, <10° of combined ankle inversion/eversion) 3. Lower extremity arthritis or pain that limits exercise 4. History or clinical evidence of severe cardiovascular diseases that limit or contraindicate the exercise 5. A history or evidence on physical examination of vestibular dysfunction 6. A history of angina or angina equivalent symptoms (i.e. nausea, diaphoresis, shortness of breath with exercise) 7. Symptomatic postural hypotension defined as a fall in blood pressure (i.e. >20 mmHg for systolic or >10 mmHg for diastolic blood pressure) in response to postural change, from supine to standing 8. A history or evidence on physical examination of plantar skin pressure ulcer
Date of first enrolment	30/09/2005
Date of final enrolment	31/01/2007

Locations

Countries of recruitment

Italy

Study participating centre

Via Montesanto, snc

Monterotondo, Roma
00016
Italy

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	01/11/2008		Yes	No
Results article	results	08/11/2010		Yes	No
Results article	results	28/11/2011		Yes	No
Results article	results	01/03/2012		Yes	No
Results article	results	01/06/2012		Yes	No
Results article	results	01/06/2012		Yes	No
Results article	results	01/08/2014		Yes	No
Participant information sheet	Participant information sheet	11/11/2025	11/11/2025	No	Yes