Motivational profiles, accelerometer-derived physical activity, and acute diabetes-related symptoms in adults with type 2 diabetes

Abstract

BackgroundUsing self-determination theory, the objective of this study was to examine, over a one-month period, how physical activity (PA) motivation would influence accelerometer-derived PA behavior, and ultimately, acute diabetes-related symptoms burden among adults with type 2 diabetes (T2D adults). Using both a person and variable-centered approach, this objective was attained by means of: 1) investigating the indirect effect of PA participation on the relationship between PA motivation and acute diabetes-related symptom burden and 2) examining whether participants who met PA recommendations (i.e., 150 min of moderate-to-vigorous PA per week) would experience less acute diabetes-related symptom burden over a one-month period.MethodsA two-wave prospective longitudinal design was used. At time 1, participants completed a questionnaire assessing their PA motivation and were asked to wear an ActiGraph GT3x accelerometer for four consecutive weeks. At time 2, they completed a short questionnaire assessing their acute diabetes-related symptoms (i.e., symptoms related to fatigue, cognitive distress, hyperglycemia, and hypoglycemia). The final sample includes 165 adults (89 or 53.61% women) aged from 26 to 75 years (M = 62.05, SD = 8.75) with T2D, which provided at least 21 valid days of accelerometer-derived data.ResultsFirst, results of a path analysis demonstrated that over a one-month period, the average number of minutes spent practicing moderate to vigorous PA per week mediated the relationship between intrinsic and external PA motivation and the level of burden associated with the following diabetes-related symptoms: fatigue, cognitive distress, and hyperglycemia. In addition, results of covariance analyses showed that participants meeting PA recommendations also reported significantly less burden associated with these three symptoms over a month period. Then, the existence of four motivational profiles (Self-Determined, High Introjected, Low Motivation, and Non-Self-Determined) was confirmed using a k-means analysis. Results of covariance and chi-square analyses further showed, respectively, that compared to other motivational profiles, the Self-Determined profile was associated with a higher score on weekly PA participation and meeting PA recommendations.ConclusionsThe results highlight the importance of promoting autonomous motives for PA participation among T2D adults. They also suggest that T2D adults meeting PA recommendations experience less acute diabetes-related symptoms burden, which further support the importance of their PA motivation.

Fatigue in Adults with Type 2 Diabetes: A Systematic Review and Meta-analysis

“…Among the remaining eight studies, various factors have been reported. Specifically, BMI was positively related to fatigue (r = 0.17, p < 0.05; Castonguay & Miquelon, 2018), and females had higher fatigue than males (Kirk et al, 2015). Comorbidity was also related to fatigue.…”

“…Adjusting for covariates, fatigue was a significant predictor of diabetes self-care behaviors (b = −0.05, standard error = 0.02; coefficient = −0.29, p = 0.039; Kirk et al, 2015; Zhu et al, 2018). Two studies (Castonguay & Miquelon, 2018; Miquelon & Castonguay, 2016) reported that higher fatigue was associated with lower levels of physical activity motivational profiles (r = −0.16 to −0.23, p < 0.05) and actual physical activity (r = −0.16 to −0.26). Even after controlling for covariates, fatigue was a significant predictor of physical activity (Miquelon & Castonguay, 2016).…”

Self‐Efficacy and Social Support are Associated with Disability for Ambulatory Prosthesis Users After Lower‐Limb Amputation

“…Prediction inconsistency is likely owing to complex mechanisms of self‐efficacy, perceived behavioral benefits, social environment, or motivation type that influence the transition from motivation to action 17,21,45,46 . For example, Castonguay and Miquelon analyzed the relationships among motivation types, minutes of moderate‐vigorous physical activity (MVPA), and acute diabetes‐related symptoms in a sample of 165 adults with type 2 DM 47 . Findings indicated that there was a significant indirect effect of intrinsic and extrinsic motivation to acute diabetes‐related symptoms, mediated through MVPA 47 .…”

“…For example, Castonguay and Miquelon analyzed the relationships among motivation types, minutes of moderate‐vigorous physical activity (MVPA), and acute diabetes‐related symptoms in a sample of 165 adults with type 2 DM 47 . Findings indicated that there was a significant indirect effect of intrinsic and extrinsic motivation to acute diabetes‐related symptoms, mediated through MVPA 47 . Relationships between other motivation types (eg, amotivation) and MVPA were not identified.…”

Escala de Motivação Académica: Validação no Ensino Superior Público Português

“…Nestes casos, o indivíduo tende a manifestar sentimentos positivos, como forma de evitar sentimentos negativos de indignidade, vergonha ou culpa (Gustafsson et al, 2018;Vanhalst et al, 2018). Quanto à regulação identificada, o indivíduo pode sentir-se autónomo mesmo quando externamente motivado, uma vez que este se identifica com o propósito da atividade (Castonguay & Miquelon, 2018;Haerens et al, 2018;Sheehan et al, 2018). Neste sentido, tal implica a prévia avaliação das condições contextuais de forma a avaliar a conveniência da execução da ação (Deci & Gagné, 2005;Rigby & Ryan, 2018).…”