Observational studyBMJ open2024
Analysing physical activity measures and clustering in patients with type 2 diabetes in secondary care: insights from the DIAbetes and LifEstyle Cohort Twente (DIALECT)-an observational cohort study.
Observational study in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Barriers to physical activity and patient profiling in the lifelong maintenance phase of coronary artery disease: a territorial mixed-methods pilot study.Frontiers in rehabilitation sciences · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
objectivesTo analyse variance in accelerometer-based physical activity (PA) measures in patients with type 2 diabetes, identify the most distinctive PA measures and classify patients into different PA clusters based on these measures.
designDIAbetes and LifEstyle Cohort Twente (DIALECT), an observational cohort study.
settingSecondary care in the Netherlands. PARTICIPANT: 253 patients, with three excluded due to insufficient data. The cohort was predominantly male (66%) with an average age of 64.7 years. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcomes of DIALECT were all-cause mortality, microvascular and macrovascular diseases. The secondary outcomes are blood pressure levels, kidney function indicators and albuminuria levels
resultsPrincipal component analysis (PCA) was applied to 53 accelerometer-derived PA measures. Principal components were identified using a scree plot, key measures determining the principal components were derived and
conclusionsPA behaviour in patients can be categorised into three distinct clusters. The identified PA measures and behaviour clusters offer promising opportunities for tailored lifestyle treatment. However, further studies are needed to determine which PA measures are clinically most relevant, validate the usefulness of this classification and evaluate whether tailoring lifestyle advice according to these clusters adds clinical value. TRIAL REGISTRATION NUMBER: NTR5855.
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