Factors Associated with Physical Activity in Canadian Adults with Diabetes

Plotnikoff, Ronald C.; Taylor, Lorian; Wilson, Philip M.; Courneya, Kerry S.; Sigal, Ronald J.; Birkett, Nicholas; Raine, Kim D.; Svenson, Larry

doi:10.1249/01.mss.0000228937.86539.95

Cited by 181 publications

(203 citation statements)

References 19 publications

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“…Canadian data from Plotnikoff et al (2006) found younger age, being male, higher education, higher income, and lower BMI to be positively associated with MVPA among adults with type 2 diabetes. 13 Our results add to the discussion showing that female sex and increasing BMI are negatively associated with MVPA. We found a negative association between not reporting income and PA. Uniquely, we also found that those who were unemployed were more active relative to those who reported being employed.…”

Section: Discussionsupporting

confidence: 71%

“…Among our sample, 90% did not meet physical activity guidelines. This figure is higher than previous Canadian data from Plotnikoff et al (2006), 13 who reported that among a sample of 1614 adults with type 2 diabetes, 72% were not achieving 150 minutes/week of MVPA based on data collected using a self-reported tool (Godin Leisure-Time Exercise Questionnaire-GLTQ). 25 The disparate results are not surprising given the GLTQ has been shown to have low-to-moderate agreement with objective measures of PA (e.g., CALTRAC accelerometer).…”

Section: Discussioncontrasting

confidence: 61%

“…9 The detrimental effects of long periods of sedentary time appear to persist even after accounting for other forms of physical activity. 10 Despite strong evidence and recommendations for achieving 150 minutes/week of MVPA, many living with type 2 diabetes do not engage in sufficient physical activity [11][12][13] and spend much of their time sedentary. 9 Much of this evidence around physical activity and sedentary behaviour has been gathered via self-report questionnaires.…”

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confidence: 99%

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Correlates of accelerometer-assessed physical activity and sedentary time among adults with type 2 diabetes

Mathe

Boyle

Sayah

et al. 2017

Can J Public Health

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OBJECTIVES:The aims of this study were to describe the volume and patterns of objectively assessed sedentary behaviour, light intensity physical activity (LPA) and moderate-vigorous physical activity (MVPA), and to examine socio-demographic correlates, among adults living with type 2 diabetes.METHODS: Participants (n = 166) wore an accelerometer (Actigraph ® GT3X+) for seven consecutive days during waking hours and completed a questionnaire. Physical activity (PA) and sedentary time were described, and multivariable linear regression was used to estimate associations between sociodemographic characteristics and sedentary time and PA.RESULTS: Participants, 46% of whom were female, had a mean age of 65.4 years (standard deviation (SD) = 9.5), body mass index (BMI) of 31.5 (6.6) kg/m 2 and had been living with diabetes for an average of 13.1 (7.6) years. Participants were sedentary for 543.6 minutes/day, spent 273.4 minutes/day and 22.4 minutes/day in LPA and MVPA respectively. BMI was associated with increased sedentary time and reduced LPA (−2.5 minutes/day, 95% CI: −4.33 to −0.70) and MVPA (−0.62 minutes/day, 95% CI: −1.05 to −0.18) time. Compared with males, females had more LPA (34.4 minutes/day, 95% CI: 10.21-58.49) and less MVPA (−6.2 minutes/day, 95% CI: −12.04 to −0.41) time. Unemployed participants had 30.05 minutes more MVPA (95% CI: 3.35-56.75) than those who were employed or homemakers, and those not reporting income had 13 minutes/day more MVPA time than participants in the lowest income category (95% CI: 3.46-22.40).CONCLUSION: Adults living with type 2 diabetes were not sufficiently active and were highly sedentary. Our results emphasize the need for more research exploring the diabetes-related health outcomes of sedentary behaviour and physical inactivity among people living with type 2 diabetes.KEY WORDS: Accelerometer; sedentary behaviour; physical activity; diabetes mellitus; type 2 La traduction du résumé se trouve à la fin de l'article.

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Section: Discussionsupporting

confidence: 71%

Section: Discussioncontrasting

confidence: 61%

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confidence: 99%

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Correlates of accelerometer-assessed physical activity and sedentary time among adults with type 2 diabetes

Mathe

Boyle

Sayah

et al. 2017

Can J Public Health

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“…Given that, and despite frequent physicians recommendation of a physically active lifestyle, patient adherence is still low. It needs to be strengthened by the investigation of factors influencing adherence to physical activity, which can possibly lead to measures for improvement exercise programs effectiveness (28).…”

Section: Introductionmentioning

confidence: 99%

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

Daniele

Oliveira

Pompeu

et al. 2013

Arq Bras Endocrinol Metab

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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 ...

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“…12 However, a recent population-based study found that only 28 % of people with type 2 diabetes achieve these recommendations. 13 The majority of people with type 2 diabetes have low PA. As a proof of this statement, a US study of 23,263 adults found that 39 % of adults with type 2 diabetes were physically active versus 58 % of adults without type 2 diabetes.…”

mentioning

confidence: 99%

Exercise is Medicine—The Importance of Physical Activity, Exercise Training, Cardiorespiratory Fitness and Obesity in the Prevention and Treatment of Type 2 Diabetes

Lavie¹,

Johannsen

Swift

et al. 2014

European Endocrinology

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Type 2 diabetes has reached epidemic proportions worldwide and is associated with increased risk of cardiovascular diseases and premature mortality. Diet and physical activity (PA)-based lifestyle interventions have been shown to prevent progression to type 2 diabetes in patients at high risk. Regular PA substantially reduces the risk of type 2 diabetes and a high level of PA is associated with a substantial reduction in type 2 diabetes risk. In addition, there is strong evidence suggesting a steep inverse relationship between both PA and cardiorespiratory fitness (CRF) and mortality in patients with type 2 diabetes. Of particular concern is the dramatic, steep increase in mortality among patients with low CRF. An important point is that obese individuals who are at least moderately fit have a lower mortality risk than those who are normal weight but unfit. A large body of evidence demonstrates that exercise improves glycaemic control in type 2 diabetes; the greatest improvements are achieved with combined aerobic and resistance training. A primary goal of public health strategies is to promote PA and move patients out of the least fit, highrisk cohort by increasing PA among the least active. Any plan to deal with the global epidemic of type 2 diabetes must give major attention to low PA and how this can be reversed in the general population. KeywordsFitness, mortality, physical activity, exercise, type 2 diabetes 1 In 2012, type 2 diabetes imposed direct and indirect costs of an estimated $245 billion in the US.2 It is estimated that low levels of physical activity (PA) causes 7 % of the global burden of disease from type 2 diabetes, and that inactivity causes more deaths than smoking. 3In addition to type 2 diabetes, low PA has been demonstrated to contribute to obesity, coronary heart disease (CHD)/myocardial infarction (MI), stroke, hypertension (HTN), dyslipidaemia, osteoporosis and cancer (colon, breast and bowel). 4,5 As a result, sedentary lifestyles are one of the most significant public health problems of the 21st century. Low PA was directly responsible for 3 % of disability adjusted life-years in the UK in 2002.6 Furthermore, it has been estimated that low cardiorespiratory fitness (CRF) was the cause of approximately 16 % of deaths in the Aerobics Center Longitudinal Study, which was more than the combined number of deaths due to smoking, obesity and diabetes in this population.7 Despite the known risks of low PA, there have been substantial declines in PA over the past decades. Over the last 50 years in the US, it has been estimated that daily occupation-related PA has decreased by more than 100 calories, 8 and household management PA has fallen by well over this amount.9 In addition to the effects of PA on morbidity and mortality, there are clear economic reasons to improve PA: a US cohort study (8,000 health plan members and national population percentage estimates derived from the National Health Interview Survey) found that low PA, overweight and obesity were associated with 23 % of ...

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Factors Associated with Physical Activity in Canadian Adults with Diabetes

Cited by 181 publications

References 19 publications

Correlates of accelerometer-assessed physical activity and sedentary time among adults with type 2 diabetes

Correlates of accelerometer-assessed physical activity and sedentary time among adults with type 2 diabetes

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

Exercise is Medicine—The Importance of Physical Activity, Exercise Training, Cardiorespiratory Fitness and Obesity in the Prevention and Treatment of Type 2 Diabetes

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