Factors Associated with Meeting Current Recommendation for Physical Activity in Scottish Adults with Diabetes

Salman, Ahmad; Ukwaja, Kingsley N; Alkhatib, Ahmad

doi:10.3390/ijerph16203857

Cited by 11 publications

(10 citation statements)

References 41 publications

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“…The differences between the HEBECO and HSE findings could be due to the differences in the measures of MSA and MVPA used, participant characteristics (eg, in comparison to the HSE study,40 the HEBECO sample included more educated adults who may be more aware of the benefits of MSA), or reflect genuine changes to the patterns of physical activity in the UK across time. In line with other studies,40 42 older adults (aged 65+ years), adults who were obese, those with before COVID-19 household income below 50 000 GBP and those who had conditions limiting physical activity were at greater risk of not meeting the WHO recommendations for both MVPA and MSA. These groups should be targeted by future interventions aimed at increasing physical activity.…”

Section: Discussionsupporting

confidence: 89%

Correlates of and changes in aerobic physical activity and strength training before and after the onset of COVID-19 pandemic in the UK: findings from the HEBECO study

et al. 2022

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ObjectivesUnderstanding changes in moderate to vigorous aerobic physical activity (MVPA) and muscle-strengthening activity (MSA) at the start of the COVID-19 pandemic and their correlates (socio-demographics, health characteristics, living and exercise conditions and pre-pandemic MVPA/MSA) can inform interventions.DesignA cross-sectional analysis of retrospective and concurrent data on MVPA/MSA.SettingAn online survey in the UK.Participants2657 adults (weighted n=2442, 53.6% women) participating in the baseline survey (29 April 2020–14 June 2020) of the HEalth BEhaviours during the COVID-19 pandemic (HEBECO) study.Primary and secondary outcome measuresMeeting WHO-recommended levels for MVPA/MSA/both (vs meeting neither) during the first lockdown and changes in MVPA/MSA from before to since the COVID-19 pandemic following stratification for pre-pandemic MVPA/MSA.ResultsA third of adults maintained (30.4%), decreased (36.2%) or increased (33.4%) MVPA. For MSA, the percentages were 61.6%, 18.2% and 20.2%, respectively. MVPA increased or decreased by an average of 150 min/week and 219 min/week, respectively, and MSA by 2 days/week. Meeting both MSA+MVPA recommendations since COVID-19 (vs meeting neither) was positively associated with meeting MVPA+MSA before COVID-19 (adjusted OR (aOR)=16.11, 95% CI 11.24 to 23.07) and education: post-16 years of age (aOR=1.57, 95% CI 1.14 to 2.17), and negatively associated with having obesity (aOR=0.49, 95% CI 0.33 to 0.73), older age (65+ years vs ≤34 years; aOR=0.53, 95% CI 0.32 to 0.87) and annual household income of <50 000 GBP (aOR=0.65, 95% CI 0.46 to 0.91). The odds for decreasing MVPA were lower for white ethnicity (aOR=0.62, 95% CI 0.44 to 0.86), education: post-16 years of age (aOR=0.73, 95% CI 0.58 to 0.91) and access to garden/balcony (aOR=0.75, 95% CI 0.60 to 0.94), and were higher for those living in total isolation (aOR=3.81, 95% CI 2.33 to 6.23), with deteriorated psychological well-being (aOR=1.40, 95% CI 1.15 to 1.71) and conditions limiting physical activity (aOR=1.74, 95% CI 1.27 to 2.39). The odds for decreasing MSA were higher for having overweight (aOR=1.88, 95% CI 1.39 to 2.55), obesity (aOR=23.38, 95% CI 2.23 to 5.14) and being employed (aOR=1.81, 95% CI 1.34 to 2.46).ConclusionAerobic and strength training were differently impacted during the first UK lockdown, with poorer outcomes associated with older age, lower education and higher body mass index. Targeted interventions may be required to avoid pandemic-related inequities in physical activity.

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Section: Discussionsupporting

confidence: 89%

Correlates of and changes in aerobic physical activity and strength training before and after the onset of COVID-19 pandemic in the UK: findings from the HEBECO study

et al. 2022

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“…Third, exercise contributes to achieve better glycemic metabolism in type II diabetes, as it reduces insulin resistance and HbA1c levels [ 69 , 78 , 79 , 80 ]. Physical activity also ameliorates the lipid profile: it reduces triglyceride levels, while increasing HDL levels [ 69 ].…”

Section: Physical Activity May Narrow the Mortality Gap Of Depressmentioning

confidence: 99%

Physical Activity Promotes Health and Reduces Cardiovascular Mortality in Depressed Populations: A Literature Overview

Murri

Folesani

Zerbinati

et al. 2020

IJERPH

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Major depression is associated with premature mortality, largely explained by heightened cardiovascular burden. This narrative review summarizes secondary literature (i.e., reviews and meta-analyses) on this topic, considering physical exercise as a potential tool to counteract this alarming phenomenon. Compared to healthy controls, individuals with depression consistently present heightened cardiovascular risk, including “classical” risk factors and dysregulation of pertinent homeostatic systems (immune system, hypothalamic–pituitary–adrenal axis and autonomic nervous system). Ultimately, both genetic background and behavioral abnormalities contribute to explain the link between depression and cardiovascular mortality. Physical inactivity is particularly common in depressed populations and may represent an elective therapeutic target to address premature mortality. Exercise-based interventions, in fact, have proven effective reducing cardiovascular risk and mortality through different mechanisms, although evidence still needs to be replicated in depressed populations. Notably, exercise also directly improves depressive symptoms. Despite its potential, however, exercise remains under-prescribed to depressed individuals. Public health may be the ideal setting to develop and disseminate initiatives that promote the prescription and delivery of exercise-based interventions, with a particular focus on their cost-effectiveness.

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“…In healthy elderly persons, it is believed that physical, social, environmental, and psychological factors interact in a complex, multidimensional manner [9,10]. It has been reported that in addition to factors similar to those in healthy elderly people, there are also disease-speci c factors in patients with chronic diseases [11,12].…”

Section: Introductionmentioning

confidence: 99%

Dyspnea And Outcome Expectations Are Associated With Physical Activity In Persons With Pneumoconiosis: A Cross-Sectional Study

kawaji

Hasegawa

Uchiyama

2021

Preprint

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Background: There are various reports on factors associated with physical activity in patients with chronic respiratory diseases. However, there are no studies on the relationship between physical activity and psychological or environmental factors. In this study, we investigated the relationship between physical activity and psychological and environmental factors using questionnaires for patients with pneumoconiosis.Methods: The present study was a cross-sectional study of patients with pneumoconiosis who underwent pneumoconiosis health examination in 2019. A self-administered questionnaire was used to conduct the study. Physical activity was evaluated using the International Physical Activity Questionnaire, and subjective symptoms (dyspnea and quality of life [QOL]), environmental factors (environment around home and life space), psychological factors (depression, stage of change, self-efficacy, decisional balance, and outcome expectations), and others (e.g., experience with pulmonary rehabilitation) were investigated.Results: The number of respondents in the study was 185 (men: 171, women: 14). Age, dyspnea, stage of change, self-efficacy, outcome expectations, QOL, depression, decisional balance, and life space were significantly correlated with physical activity. In the multivariate analysis, outcome expectations and dyspnea were extracted as independent factors. In the path analysis, outcome expectations and dyspnea had a direct influence on physical activity. Dyspnea directly impacted not only physical activity but also outcome expectations, stage of change, QOL, life space, and depression.Conclusions: Dyspnea and outcome expectations were associated with physical activity in patients with pneumoconiosis. To improve the physical activity of patients with pneumoconiosis, it is necessary not only to improve dyspnea but also to promote an understanding of physical activity.

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Factors Associated with Meeting Current Recommendation for Physical Activity in Scottish Adults with Diabetes

Cited by 11 publications

References 41 publications

Correlates of and changes in aerobic physical activity and strength training before and after the onset of COVID-19 pandemic in the UK: findings from the HEBECO study

Correlates of and changes in aerobic physical activity and strength training before and after the onset of COVID-19 pandemic in the UK: findings from the HEBECO study

Physical Activity Promotes Health and Reduces Cardiovascular Mortality in Depressed Populations: A Literature Overview

Dyspnea And Outcome Expectations Are Associated With Physical Activity In Persons With Pneumoconiosis: A Cross-Sectional Study

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