NMES, Exercise, and Glycemic Control in Older Adults With Type 2 Diabetes
NCT06856720 · Status: ENROLLING_BY_INVITATION · Phase: NA · Type: INTERVENTIONAL · Enrollment: 75
Last updated 2026-05-13
Summary
Adults aged 60 years and older with type 2 diabetes living in nursing homes may experience difficulty participating in conventional exercise programs because of frailty, mobility limitations, or chronic health conditions. This randomized controlled trial compares three 12-week non-pharmacological interventions for glycemic management: neuromuscular electrical stimulation (NMES), supervised combined aerobic and resistance exercise, and a structured health literacy intervention. Participants will be randomly assigned to one of the three groups. The primary outcome is weekly mean fasting capillary glucose. Secondary outcomes include health-related quality of life, treatment satisfaction, adherence, and safety. The study aims to identify feasible and clinically relevant strategies for improving diabetes management in institutionalized older adults.
Conditions
- Type 2 Diabetes Mellitus
- Hyperglycemia Due to Type 2 Diabetes Mellitus
- Aging
Interventions
- DEVICE
-
Neuromuscular Electrical Stimulation
Bilateral quadriceps neuromuscular electrical stimulation delivered three times per week for 12 weeks. Sessions last 30 minutes using surface electrodes with progressive intensity to the maximum tolerable level.
- BEHAVIORAL
-
Combined Aerobic and Resistance Exercise
Supervised combined aerobic and resistance exercise delivered three times per week for 12 weeks. Each 30-minute session includes warm-up, aerobic training, resistance exercises, and cool-down.
- BEHAVIORAL
-
Health Literacy Education
Structured education sessions delivered three times per week for 12 weeks focused on diabetes self-management, nutrition, physical activity, medication adherence, and glucose monitoring.
Sponsors & Collaborators
-
University of Salamanca
lead OTHER
Principal Investigators
-
Carlos Tavares, PT, MSc · University of Salamanca
-
Rui Gonçalves, PhD · Polytechnic University of Coimbra
-
Rocío Llamas-Ramos, PhD · University of Salamanca
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-10-27
- Primary Completion
- 2026-08-30
- Completion
- 2026-08-30
Countries
- Portugal
Study Locations
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