Type 2 diabetes is on the increase worldwide. Two major risk factors have been identified: overweight and physical inactivity. National and international recommendations encourage general practitioner to guide patients in changing their lifestyle. As regards physical activity in France, general practitioner have been able to prescribe adapted physical activity (APA) for their patients since 2016. In type 2 diabetes, it is known that physical activity interventions are cost-effective. However, these interventions are often too expensive and far removed from real life. It is also known that the benefits of intervention increase up to 18 months, then diminish to zero at 36 months. In Nouvelle-Aquitaine, France, the "PEPS Sport-santé network", offers physical activity coaching for patients who are not sufficiently active: the "Passerelle" program. Patients can benefit from a weekly physical activity session for 6 months.
The investigators would therefore like to assess whether extending the existing "Passerelle program" by 6 months, with one session every 15 days, is effective in maintaining the volume of physical activity 12 months after the end of the intervention.
Patients with type 2 diabetes with initial diagnosis of fasting blood glucose > 1.26 g/l on 2 occasions
Patient aged 18 or over
Patient with a Marshall score ≤ 3
Patient residing in the Nouvelle-Aquitaine region
Cardiovascular: unstable angina, stress angina, malignant hypertension, recent myocardial infarction, unstabilized heart disease
Pulmonary: uncontrolled asthma, COPD exacerbation
Endocrine: diabetes with HbA1c > 9%, plantar perforator disease
Pregnant patient
Parallel
Adapted physical activity for 12 months
Other intervention6 additional months of adapted physical activity after the 6 first months
Adapted physical activity for 6 months
Other interventionstandard 6-month prescription for adapted physical activity
ONAPS-PAQ questionnaire,
Measurement of weekly physical activity volume using the " national observatory on physical activity and sedentariness - physical activity questionnaire" (ONAPS-PAQ), score given in minutes per week : under 150 min/week : Higher early mortality risk, associated with a sharp increase in the risk of chronic diseases above 150min/week : reduced risk of early mortality risk of developing chronic diseases
Physical activity
changes in physical activity volume at baseline and then every 6 months until the end of the study
Sedentariness
ONAPS PAQ sedentariness score : score in minutes of activity : under 150 min/week : Higher early mortality risk, associated with a sharp increase in the risk of chronic diseases above 150min/week : reduced risk of early mortality risk of developing chronic diseases
Weight change
Difference in weight change between the two groups
Walk test
6-minute walk test
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