Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes

Abstract

Objective: To investigate associations between physical activity, comorbidity severity, depressive symptoms, and health-related quality of life in type 2 diabetes mellitus. Subjects and methods: All individuals, 200 patients and 50 controls, aged from 40 to 60 years, were investigated by interview, and all variables were measured concurrently. Physical activity was evaluated by the International Physical Activity Questionnaire (IPAQ), Health-Related Quality of Life (HRQL) by the Short-Form Health Survey (SF-36), comorbidity severity by the Charlson Comorbidity Index (CCI), and depressive symptoms by the Beck Depression Inventory (BDI-II ≥ 16). Single and multiple regression analysis evaluated the effects of independent variables on physical activity. Results: The patients had more depressive symptoms and greater comorbidity severity (p < 0.005). Diabetic patients showed better activity levels (IPAQ) (p < 0.005). Functional Capacity, General State of Health, and Physical Limitation were the most affected subscales in the SF-36 evaluation of the HRQL. Sedentary diabetic patients had higher waist circumference, waist-to-hip ratios, more depressive symptoms, and worse HRQL. Functional capacity (p = 0.000), followed by General State of Health (p = 0.02), were the health status measure subscales independently associated with physical activity. Conclusions: The findings suggest that increasing patient independence and treating depressive symptoms can promote physical activity for type 2 diabetes mellitus patients. It is suggested that group activities and caregivers/family support might compensate for the patient dependence, and increase adherence to exercise programs in those that are less active. Arq Bras Endocrinol Metab. 2013;57(1):44-50 Keywords Type 2 diabetes; physical activity; quality of life; depressive symptoms; functional capacity RESUMO Objetivo: Investigar as associações entre atividade física, gravidade das comorbidades, sintomas depressivos e qualidade de vida relacionada à saúde em pacientes com diabetes mellitus tipo 2. Sujeitos e métodos: Todos os indivíduos, 200 pacientes e 50 controles, com idades entre 40 e 60 anos, foram analisados por entrevistas, e todas as variáveis foram medidas neste mesmo momento. A atividade física foi avaliada pelo International Physical Activity Questionnaire (IPAQ); a qualidade de vida relacionada à saúde (QVRS), pelo Short-Form Health Survey (SF-36); a gravidade das comorbidades, pelo Índice de Comorbidade de Charlson (CCI); e os sintomas depressivos foram avaliados pelo Inventário de Depressão de Beck (BDI-II ≥ 16). A análise de regressão simples e múltipla avaliou os efeitos das variáveis independentes sobre a atividade física. Resultados: Os pacientes apresentaram mais sintomas depressivos e maior gravidade das comorbidades (p < 0,005). Os pacientes diabéticos apresentaram melhores níveis de atividade (IPAQ) (p < 0,005). A Capacidade Funcional, a Condição Geral de Saúde e a Limitação Física foram as subescalas mais afetadas na avaliação da QVRS no SF-36. Os ...

Nível de atividade física e gasto calórico em atividades de lazer de pacientes com diabetes mellitus

“…In the present study, 11.9% of the patients with DM2 were inactive, 50% were active and 17.9%, very active. is nding is not in accordance with that of another study conducted in the city of Fortaleza, Brazil, in which 40% of the sample was inactive, 20% active and 8% very active 15 . On analyzing distribution by gender according to the IPAQ classi cation, most participants with DM2 were active or very active; speci cally, 57.4% of the men and 60% of the women.…”

“…ese ndings corroborate those of other studies that showed that age was inversely correlated with level of physical activity [13][14][15][16] In this study, the men classified as inactive according to the IPAQ presented poor glycemic control. Of the participants with good glycemic control, regardless of BMI, 68.9% were classi ed as active or very active.…”

The Effect of Diabetes on Life Quality of Individuals with Type 2 Diabetes

“…iabetes mellitus (DM), giderek artan sıklığı ve yüksek mortalitesi ile günümüzün en ciddi sağlık sorunlarından birisini oluştur-maktadır. [1][2][3][4][5][6] 2010 yılı itibarıyla yaş aralığı 20-79 yıl olan erişkin bireylerde dünya diyabet prevalansı %6,4 ile 285 milyon iken, bu oranın 2030 yılında %7,7'lik artış ile 439 milyon yetişkini etkileyeceği tahmin edilmektedir. Bu oran gelişmekte olan ül-kelerde %69 iken gelişmiş ülkelerde %20'dir.…”

What is the contribution of physical activity on outcome in patients with type 2 diabetes mellitus?

“…with a great interest (1). They concluded that functional capacity is independently related to physical activity in diabetic patients, and that increasing patient independence and treating depressive symptoms can promote physical activity.…”

“…Internationally recognized training programs and physical activity assessment scales should be validated before being accepted in each society; especially in T2DM. Before implementation of these programs and scales, community-based assessment is required for suitability, both in this study and in others (1)(2)(3).…”