PT  - JOURNAL ARTICLE
AU  - Ayorinde F Fayehun
AU  - Olufemi O Olowookere
AU  - Adetola M Ogunbode
AU  - Adedotun A Adetunji
AU  - Arinola Esan
TI  - Walking prescription of 10 000 steps per day in patients with type 2 diabetes mellitus: a randomised trial in Nigerian general practice
AID  - 10.3399/bjgp18X694613
DP  - 2018 Feb 01
TA  - British Journal of General Practice
PG  - e139--e145
VI  - 68
IP  - 667
4099  - http://bjgp.org/content/68/667/e139.short
4100  - http://bjgp.org/content/68/667/e139.full
SO  - Br J Gen Pract2018 Feb 01; 68
AB  - Background In clinical practice, translating the benefits of a sustained physically active lifestyle on glycaemic control in patients with type 2 diabetes mellitus (T2DM) is difficult. A walking prescription may be an effective alternative.Aim To examine the effect of a 10 000 steps per day prescription on glycaemic control of patients with T2DM.Design and setting Forty-six adults with T2DM attending a general outpatient clinic were randomised into two equal groups. The intervention group was given goals to accumulate 10 000 steps per day for 10 weeks, whereas the control group maintained their normal activity habits.Method Daily step count was measured with waist-mounted pedometer and baseline and endline average steps per day. Glycosylated haemoglobin (HbA1c), anthropometric, and cardiovascular measurements were also obtained. An intention-to-treat analysis was done.Results The average baseline step count was 4505 steps per day for all participants, and the average step count in the intervention group for the last 4 weeks of the study period was higher by 2913 steps per day (95% confidence interval [CI] = 1274 to 4551, F (2, 37.7) = 18.90, P<0.001). Only 6.1% of the intervention group participants achieved the 10 000 steps per day goal. The mean baseline HbA1c was 6.6% (range = 5.3 to 9.0). Endline HbA1c was lower in the intervention group than in the control group (mean difference −0.74%, 95% CI = −1.32 to −0.02, F = 12.92, P = 0.015) after adjusting for baseline HbA1c. There was no change in anthropometric and cardiovascular indices.Conclusion Adherence to 10 000 steps per day prescription is low but may still be associated with improved glycaemic control in T2DM. Motivational strategies for better adherence would improve glycaemic control.