Resumen de Investigación
Analyzed using Evidence Intelligence™

Telehealth Exercise Improves Function and Sleep in Type 2 Diabetes

Última actualización 12 de julio de 2026

Key finding

The INT showed reductions in post-session capillary blood glucose across mesocycles 1, 2, and 4 (p = 0.03).

This study evaluated a synchronous telehealth exercise program's impact on adults with Type 2 diabetes, finding significant improvements in various functional outcomes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated a synchronous telehealth exercise program's impact on adults with Type 2 diabetes, finding significant improvements in various functional outcomes.

Clinical relevance

Improving functional outcomes in adults with Type 2 diabetes can enhance their quality of life and independence. Telehealth programs offer a convenient way to engage patients in physical activity, which is crucial for managing diabetes and preventing complications.

Keep in mind

No significant change in HbA1c levels (p > 0.05) Limited generalizability due to specific participant characteristics Potential unmeasured confounders affecting outcomes

Published in

Referencia de la Revista

Publication details and source links for this paper.

Samara NR, Bruno VG, Maurício TXC, Rodrigo SD, Cristine LA, Pedro M. Effects of a Synchronous Telehealth Exercise Program on Clinical, Functional, and Psychosocial Outcomes in Adults with Type 2 Diabetes: A Randomized Clinical Trial. International Journal of Environmental Research and Public Health. 2026;23(6):773. doi:10.3390/ijerph23060773

Efectos Principales

Significant improvement in the 30 s Chair Stand (p = 0.02)

Significant improvement in the Arm Curl (p < 0.001)

Significant improvement in the Timed Up and Go (p = 0.01)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Synchronous telehealth exercise program and Blood glucose, Depression score, Functional Performance Measured by Arm Curl Test, and 5 more.

Primary intervention

Synchronous telehealth exercise program

Primary outcomes

  • Blood glucose
  • Depression score
  • Functional Performance Measured by Arm Curl Test

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

2

Related topics

8

Evidence pairs

376

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

Glycemic Control

matched_outcome

Evidencia relacionada

Tema de evidencia

HbA1c Reduction

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Blood glucose

Synchronous telehealth exercise program → Blood glucose

Synchronous telehealth exercise program → Blood glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Depression score

Synchronous telehealth exercise program → Depression score

Synchronous telehealth exercise program → Depression score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Functional Performance Measured by Arm Curl Test

Synchronous telehealth exercise program → Functional Performance Measured by Arm Curl Test

Synchronous telehealth exercise program → Functional Performance Measured by Arm Curl Test

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Functional performance measured by the 2-Minute Step Test

Synchronous telehealth exercise program → Functional performance measured by the 2-Minute Step Test

Synchronous telehealth exercise program → Functional performance measured by the 2-Minute Step Test

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Functional performance measured by the 30 s Chair Stand test

Synchronous telehealth exercise program → Functional performance measured by the 30 s Chair Stand test

Synchronous telehealth exercise program → Functional performance measured by the 30 s Chair Stand test

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Functional performance measured by the Timed Up and Go test

Synchronous telehealth exercise program → Functional performance measured by the Timed Up and Go test

Synchronous telehealth exercise program → Functional performance measured by the Timed Up and Go test

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Synchronous telehealth exercise program → HbA1c

Synchronous telehealth exercise program → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Sleep quality

Synchronous telehealth exercise program → Sleep quality

Synchronous telehealth exercise program → Sleep quality

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Post-session capillary blood glucose decreased (p = 0.03)
  • Sleep quality improved significantly (p < 0.001)
  • Depressive symptoms decreased over time (p = 0.03)
who this applies

A quién se aplica

  • Adults diagnosed with Type 2 diabetes
  • Individuals seeking remote exercise solutions
keep in mind

Tener en Cuenta

  • Results may not apply to all demographics of Type 2 diabetes patients
  • The study did not assess long-term effects beyond the intervention period
  • Functional improvements do not necessarily translate to metabolic control
between the lines

Entre Líneas

  • No significant change in HbA1c levels (p > 0.05)
  • Limited generalizability due to specific participant characteristics
  • Potential unmeasured confounders affecting outcomes

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Synchronous telehealth exercise program and Functional performance measured by the 2-Minute Step Test, Synchronous telehealth exercise program and Functional performance measured by the 30 s Chair Stand test.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Incluido en estas colecciones de evidencia

Curated evidence collections and hubs this study is part of.

Explora más en Evidence Explorer

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Synchronous telehealth exercise program improve blood glucose?

Emerging Evidence

Synchronous telehealth exercise program appears to improve Blood glucose.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Synchronous telehealth exercise program improve depression score?

Emerging Evidence

Synchronous telehealth exercise program appears to improve Depression score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Depression score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Synchronous telehealth exercise program improve functional performance measured by arm curl test?

Emerging Evidence

Synchronous telehealth exercise program appears to improve Functional Performance Measured by Arm Curl Test.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Functional Performance Measured by Arm Curl Test

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Synchronous telehealth exercise program improve functional performance measured by the 2-minute step test?

Emerging Evidence

Synchronous telehealth exercise program appears to improve Functional performance measured by the 2-Minute Step Test.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Functional performance measured by the 2-Minute Step Test

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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