Getting Competitive Boosted Physical Activity in Diabetes

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Turning a lifestyle intervention for type 2 diabetes into a game significantly increased participants' physical activity, especially if an element of competition was introduced, the randomized iDiabetes trial found.
In this 1-year trial of an intervention that included a wrist device to track steps and game elements such as points and levels, participants randomized to small teams in which they competed for leaderboard status significantly increased their mean daily step count relative to a control group (606 more steps, 95% CI 201 to 1,011,
P=0.003), noted Mitesh Patel, MD, MBA, of the Crescenz Veterans Affairs Medical Center in Philadelphia, and colleagues of the Penn Medicine Nudge Unit.

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