Motivators and barriers to exercise among adults with a high risk of type 2 diabetes – a qualitative study

Korkiakangas, Eveliina; Alahuhta, Maija; Husman, Päivi; Keinänen‐Kiukaanniemi, Sirkka; Taanila, Anja; Laitinen, Jaana

doi:10.1111/j.1471-6712.2010.00791.x

Cited by 67 publications

(111 citation statements)

References 48 publications

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“…These findings are in accordance with a qualitative study by Korkiakangas et al. (47), which indicated that adults with high risk of type 2 diabetes experienced few barriers to exercise and highlighted the motivators. However, it should be noted that although the participants in our study reported an overall positive level of exercise expectancies, as well as a low negative value related to exercise, they generally reported low exercise activity.…”

Section: Discussionsupporting

confidence: 92%

Motivation for diet and exercise management among adults with type 2 diabetes

Oftedal

Bru

Karlsen

2011

Scandinavian Caring Sciences

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Scand J Caring Sci; 2011; 25; 735-744 Motivation for diet and exercise management among adults with type 2 diabetes Aim: The aim of this study was to investigate diet and exercise management and how indicators of intrinsic motivation such as ability expectations and values are associated with diet and exercise management among adults with type 2 diabetes. Background: Motivational problems are probably one of the main reasons for poor diabetes management. However, the mechanisms involved in the motivation for adequate selfmanagement are still unclear. Design and methods: A cross-sectional design including a postal questionnaire that investigated diet and exercise management as well as intrinsic motivational factors such as ability expectations and values related to these behaviours was used to collect the data. A sample comprising 425 adults with type 2 diabetes aged between 30 and 70 completed the questionnaire. Results: Reported diet management was more in accordance with recommendations than reported exercise management. Yet results indicated equally high ability expectations and positive values for exercise and diet management. Moreover, results demonstrated that ability expectations and values explained more variance in exercise (21.6%) than in diet management (7.6%). Conclusions: The modest association between intrinsic motivational factors and diet management may imply that there are important extrinsic factors that play a significant role in determining dietary behaviour. The combination of lower exercise activity than recommended and high ability expectations and values for such activity may reflect that subjective exercise norms are formed individually in accordance with what most people recognise as the appropriate level of physical activity. Finally, results may indicate that there is potential for improving exercise management by stimulating intrinsic motivation as well as by more clearly communicating recommendations for such management.

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Section: Discussionsupporting

confidence: 92%

Motivation for diet and exercise management among adults with type 2 diabetes

Oftedal

Bru

Karlsen

2011

Scandinavian Caring Sciences

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“…Improved health, the desire to have more energy, and personal appearance have been found to be motivators for improved diet and exercise habits in other studies (Chang, Nitzke, Guilford, Adair, & Hazard, 2008;Korkiakangas et al, 2010). The measure of these four constructs provided insight into the residents of Appalachian Kentucky counties.…”

Section: Discussionmentioning

confidence: 89%

Development of a Weight Loss Program for Appalachian Kentucky Adults: A Formative Research Survey

Webber

Quintiliani

2011

Family and Consumer Sciences Research Journal

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Although obesity rates are high in Appalachian Kentucky, few interventions have been developed for this population. The purpose of this study was to survey adults in the region about their needs and interest for a weight loss program. A telephone survey was conducted with 404 adults in Appalachian Kentucky. Sixty‐nine percent (69%) of respondents were overweight or obese. Nearly half (48%) of respondents reported a diagnosis of a chronic health condition. The most frequently mentioned barriers to weight loss were current eating habits, time, and current physical condition. The most frequently mentioned motivators for losing weight were health, appearance, and feeling better. Sixty‐eight percent (68%) of respondents were interested in losing weight. Women were more likely than men to have an accurate perception of their weight and a greater interest in losing weight.

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“…They found improvements on several peak and sub-maximal cardiorespiratory parameters but no changes in fasting blood glucose or glycosylated hemoglobin post-training. Similar indirect or adjacent health function improvements, based on physical exercise/training regimes, have been indicated (Hamer et al 2009a, b;Hankonen et al 2010;Korkiakangas et al 2010). Significantly, Larose et al (2010) have found that the benefits of physical exercise in conditions of type 2 diabetes mellitus were much more advantageous in elder than in younger populations.…”

Section: Exercise and Diabetes Liabilitymentioning

confidence: 91%

Influence of Physical Exercise on Neuroimmunological Functioning and Health: Aging and Stress

et al. 2010

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Chronic and acute stress, with associated pathophysiology, are implicated in a variety of disease states, with neuroimmunological dysregulation and inflammation as major hazards to health and functional sufficiency. Psychosocial stress and negative affect are linked to elevations in several inflammatory biomarkers. Immunosenescence, the deterioration of immune competence observed in the aged aspect of the life span, linked to a dramatic rise in morbidity and susceptibility to diseases with fatal outcomes, alters neuroimmunological function and is particularly marked in the neurodegenerative disorders, e.g., Parkinson's disease and diabetes. Physical exercise diminishes inflammation and elevates agents and factors involved in immunomodulatory function. Both the alleviatory effects of life-long physical activity upon multiple cancer forms and the palliative effects of physical activity for individuals afflicted by cancer offer advantages in health intervention. Chronic conditions of stress and affective dysregulation are associated with neuroimmunological insufficiency and inflammation, contributing to health risk and mortality. Physical exercise regimes have induced manifest anti-inflammatory benefits, mediated possibly by brain-derived neurotrophic factor. The epidemic proportions of metabolic disorders, obesity, and diabetes demand attention; several variants of exercise regimes have been found repeatedly to induce both prevention and improvement under both laboratory and clinical conditions. Physical exercise offers a unique non-pharmacologic intervention incorporating multiple activity regimes, e.g., endurance versus resistance exercise that may be adapted to conform to the particular demands of diagnosis, intervention and prognosis inherent to the staging of autoimmune disorders and related conditions.

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Motivators and barriers to exercise among adults with a high risk of type 2 diabetes – a qualitative study

Cited by 67 publications

References 48 publications

Motivation for diet and exercise management among adults with type 2 diabetes

Motivation for diet and exercise management among adults with type 2 diabetes

Development of a Weight Loss Program for Appalachian Kentucky Adults: A Formative Research Survey

Influence of Physical Exercise on Neuroimmunological Functioning and Health: Aging and Stress

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