Active Breaks in People With Type 1 Diabetes
EXTOD-Active
The Effect of Interrupting Sitting With Regular Active Breaks on Glycaemia and Daily Insulin Dose in Sedentary People With Type 1 Diabetes
1 other identifier
interventional
118
1 country
1
Brief Summary
the investigators aim to determine the effect of 4 weeks of frequent active breaks from prolonged sitting on time in target glycaemic range in people with type 1 diabetes with high habitual sedentary behaviour.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 7, 2022
CompletedFirst Submitted
Initial submission to the registry
December 21, 2022
CompletedFirst Posted
Study publicly available on registry
January 31, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2024
CompletedOctober 10, 2023
October 1, 2023
1.7 years
December 21, 2022
October 9, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Change in time in target glycaemic range
flash glucose monitoring
change from baseline to final week of the intervention
Secondary Outcomes (16)
Change in glycaemic variability (coefficient of variation)
change from baseline to final week of the intervention
Change in insulin dose
change from baseline to final week of the intervention
Change in Concentration of Hba1c
change from baseline to post intervention (4 weeks)
Change Insulin to CHO ratio
change from baseline to post intervention (4 weeks)
Change in Anxiety and depression
change from baseline to post intervention (4 weeks)
- +11 more secondary outcomes
Study Arms (2)
Habitual lifestyle
NO INTERVENTIONParticipants in the control group will be asked to maintain their habitual lifestyle.
Active breaks
EXPERIMENTALParticipants will be asked to interrupt sitting with 3 min bouts of walking every 30 min (16 bouts per day, equalling 48 min of walking) from 9am-5pm every day throughout the 4 week period. To improve adherence should participants miss a bout of walking they will be asked to do 6 min during the next bout.
Interventions
Participants will be asked to interrupt sitting with 3 min bouts of walking every 30 min from 9am-5pm
Eligibility Criteria
You may qualify if:
- T1D diagnosis more than 3 years ago
- Sedentary (\> 10h per waking day sedentary (sitting or lying)
- Using insulin therapy with multiple daily injections or insulin pump
- Aged 18-66 (UK retirement age)
- Use of Abbot FreeStyle Libre 2 fGM (\>6 weeks to avoid potential lifestyle changes as a result of sensor use)
You may not qualify if:
- Engaged in structured planned exercise (e.g. running, cycling, gym, or sports)
- Pregnancy or planning to become pregnant
- \<6 months postpartum or stopped breastfeeding \<1 month before recruitment
- Existing cerebrovascular or cardiovascular disease
- Significant history of hyperglycaemia (HbA1c \>85 mmol/mol)
- History of severe hypoglycaemia requiring third party assistance within the last 3 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Liverpool John Moores University
Liverpool, L33AF, United Kingdom
Related Publications (1)
Jenkins JG, Cocks M, Narendran P, Andrews RC, Shields BM, Scott SN, Lucas SJE, Rendeiro C, Hesketh K. Can 4 weeks of real-world active breaks improve glycaemic management in sedentary adults with type 1 diabetes? The EXTOD-Active randomised control trial protocol. BMJ Open Sport Exerc Med. 2025 Apr 5;11(2):e002594. doi: 10.1136/bmjsem-2025-002594. eCollection 2025.
PMID: 40195972DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 21, 2022
First Posted
January 31, 2023
Study Start
December 7, 2022
Primary Completion
August 1, 2024
Study Completion
August 1, 2024
Last Updated
October 10, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share