Diabetes complications

DiaActive protocol: A randomized controlled trial of cognitive‐motor multicomponent exercise to reduce fall rate in older adults with diabetes

Diabet MedPublished Randomised controlled trial protocol

Study context

Population
Adults aged ≥65 years with T1D or T2D and low-to-moderate fall risk220 T1D, 220 T2D
Participants
440 adults
Planned comparison
Cognitive-motor multicomponent exercise vs usual care
Primary endpoint
Fall rate during the intervention, assessed using weekly fall calendars
Follow-up
26 weeks
Methodological detailssingle-centre, stratified, parallel-group, randomized 1:1 within diabetes type, Follow-up to 104 weeks; registry-based outcomes at 5 years, Planned secondary outcomes: balance, fall-related outcomes, BMD, fractures, neuropathy progression, cardiovascular risk markers, muscle strength, cognitive function
  • Single-centre
  • Stratified
  • Parallel-group
  • Randomized 1:1 within diabetes type
  • Follow-up to 104 weeks; registry-based outcomes at 5 years
  • Planned secondary outcomes: balance, fall-related outcomes, BMD, fractures, neuropathy progression, cardiovascular risk markers, muscle strength, cognitive function

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

DiaActive protocol: A randomized controlled trial of cognitive‐motor multicomponent exercise to reduce fall rate in older adults with diabetes. Diabet Med. Published 30 August 2026. doi:10.1111/dme.70461

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