Walking downhill may boost heart health and strength in type 2 diabetes
NCT ID NCT07693296
First seen Jul 09, 2026 · Last updated Jul 10, 2026 · Updated 1 time
Summary
This study compares two types of walking exercise for people with type 2 diabetes: walking on a downhill slope versus walking on flat ground. Over 8 weeks, participants will walk twice a week on a treadmill under supervision. Researchers will measure changes in walking distance, muscle strength, heart rate variability, fatigue, and blood sugar control. The goal is to see if downhill walking offers extra benefits for functional capacity and cardiovascular health.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- downhill walking training
- What this could lead to
- If downhill walking proves more effective than level walking, it could offer a simple, low-cost exercise option to help people with type 2 diabetes improve their physical fitness and heart health.
- What could go wrong
- This is a small, early-stage study with only 34 participants, so results may not apply to everyone. The benefits of downhill walking may turn out to be no better than walking on flat ground.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 34 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Have been diagnosed with Type 2 diabetes mellitus according to the American Diabetes Association (ADA) diagnostic criteria * Be able to walk independently and be physically capable of walking on a treadmill * Have no acute cardiovascular, neurological, or orthopedic conditions that would prevent participation in the exercise program * No major changes to antidiabetic or cardiometabolic treatments within the last 3 months * To be under regular follow-up and in a stable clinical condition * To have been informed about the study and to provide written informed consent Exclusion Criteria: * Patients with severe peripheral neuropathy or a lack of protective sensation * Lower extremity amputation * Diabetic foot ulcer or the presence of severe skin lesions that impair walking * Proliferative diabetic retinopathy or advanced retinopathy that could pose a risk of complications during exercise * Severe diabetic nephropathy (eGFR \<30 mL/min/1.73 m² or macroalbuminuria \>300 mg/g) * Uncontrolled hypertension (systolic blood pressure \>200 mmHg and/or diastolic blood pressure \>110 mmHg) * Fasting blood glucose level \>250 mg/dL with signs of ketosis * Unstable angina pectoris, a history of myocardial infarction within the past 6 months, or a history of clinically significant severe arrhythmia * Advanced heart failure (NYHA Class III-IV) * Having a chronic respiratory disease * Having participated in a regular exercise, sports, or physical therapy program within the past 6 months
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Bezmialem Vakıf University Dragos Hospital
RECRUITINGIstanbul, Maltepe, Turkey (Türkiye)
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