Improving Arterial Health Step by Step: The SMARTER Study

The SMARTER study (whose results were recently published in Diabetes, Obesity and Metabolism) examined the effects of physician-delivered step count prescriptions and monitoring in patients with type 2 diabetes and hypertension with the goal of enhancing physical activity and cardiometabolic profiles over a one-year period using pedometers and written step count prescriptions at each visit. The study showed that the step count prescription strategy led to a net 20% increase in step counts and improvements in both haemoglobin A1c and insulin sensitivity. Future studies will evaluate an amplified intervention to increase impact.

IBTN Co-Chair Dr. Simon Bacon was involved in this study.

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