Research Summary
Analyzed using Evidence Intelligence™

Home-based physical activity improves psychological wellbeing in type 2 diabetes

Last updated September 12, 2026

Key finding

No significant alterations in HbA1c levels between trial arms.

This study evaluated the impact of a home-based physical activity program on health outcomes in Saudi adults with type 2 diabetes. It found significant improvements in psychological wellbeing but no changes in HbA1c levels.

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 the impact of a home-based physical activity program on health outcomes in Saudi adults with type 2 diabetes. It found significant improvements in psychological wellbeing but no changes in HbA1c levels.

Clinical relevance

Improving psychological wellbeing is crucial for managing chronic conditions like diabetes. While blood sugar control is essential, enhancing mental health can lead to better overall health outcomes and adherence to diabetes management strategies.

Keep in mind

Unclear effectiveness of the interventions due to lack of significant findings. Limited generalizability as the study focused on a specific population in Saudi Arabia. Potential confounding factors not measured in the study.

Published in

Journal Reference

Publication details and source links for this paper.

Jonathan S, Hussein A, Mohamed SM, et al. Effects of a Home-Based Physical Activity Program on Health-Related Indices in Saudi Arabian Adults with Type 2 Diabetes: A Randomized Controlled Trial. Life. 2023;13(6):1413. doi:10.3390/life13061413

Main Effects

No significant alterations in HbA1c levels between trial arms.

Improvements in psychological wellbeing at follow-up were significantly greater in the home-based physical activity group.

No significant alterations in psychological wellbeing in the control group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Control Group Usual Activity, Exercise therapy and Depression severity measured by PHQ-9, Hemoglobin A1c (HbA1c) with AST.

Primary intervention

Control Group Usual Activity

Primary outcomes

  • Depression severity measured by PHQ-9
  • Hemoglobin A1c (HbA1c) with AST

Evidence relationships

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

4
Evidence pairs
4
Relationships
0
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: 50

0

Related topics

4

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Depression severity measured by PHQ-9

Control Group Usual Activity → Depression severity measured by PHQ-9

Control Group Usual Activity → Depression severity measured by PHQ-9

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

Hemoglobin A1c (HbA1c) with AST

Control Group Usual Activity → Hemoglobin A1c (HbA1c) with AST

Control Group Usual Activity → Hemoglobin A1c (HbA1c) with AST

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

Depression severity measured by PHQ-9

Exercise therapy → Depression severity measured by PHQ-9

Exercise therapy → Depression severity measured by PHQ-9

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

Hemoglobin A1c (HbA1c) with AST

Exercise therapy → Hemoglobin A1c (HbA1c) with AST

Exercise therapy → Hemoglobin A1c (HbA1c) with AST

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

Evidence Library

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evidence suggest

Evidence Suggest

  • Home-based physical activity improved psychological wellbeing significantly.
  • No changes in HbA1c levels were observed between the intervention and control groups.
  • Control group showed no significant improvements in psychological wellbeing.
who this applies

Who this applies to

  • Adults with type 2 diabetes.
  • Individuals living in Saudi Arabia.
keep in mind

Keep in Mind

  • The study's findings may not apply to populations outside Saudi Arabia.
  • The lack of significant HbA1c changes suggests further research is needed.
  • Psychological wellbeing improvements may vary based on individual circumstances.
between the lines

Between the Lines

  • Unclear effectiveness of the interventions due to lack of significant findings.
  • Limited generalizability as the study focused on a specific population in Saudi Arabia.
  • Potential confounding factors not measured in the study.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Control Group Usual Activity and Depression severity measured by PHQ-9, Control Group Usual Activity and Hemoglobin A1c (HbA1c) with AST.

Related evidence relationships

Explore in Evidence Explorer

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

Questions answered by this study

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

Does Exercise therapy improve depression severity measured by phq-9?

Emerging Evidence

Exercise therapy appears to improve depression severity measured by phq-9.

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

Ranked evidence signals

  1. 1

    Depression severity measured by PHQ-9

    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.
1 supporting study

Does Control Group Usual Activity improve depression severity measured by phq-9?

Emerging Evidence

Current evidence does not show a clear benefit of Control Group Usual Activity for depression severity measured by phq-9.

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

Ranked evidence signals

  1. 1

    Depression severity measured by PHQ-9

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Control Group Usual Activity improve hemoglobin a1c (HbA1c) with ast?

Emerging Evidence

Current evidence does not show a clear benefit of Control Group Usual Activity for hemoglobin a1c (HbA1c) with ast.

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

Ranked evidence signals

  1. 1

    Hemoglobin A1c (HbA1c) with AST

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Exercise therapy improve hemoglobin a1c (HbA1c) with ast?

Emerging Evidence

Current evidence does not show a clear benefit of Exercise therapy for hemoglobin a1c (HbA1c) with ast.

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

Ranked evidence signals

  1. 1

    Hemoglobin A1c (HbA1c) with AST

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study
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