Perceived Sufficiency of Physical Activity Levels Among Adults at High Risk of Type 2 Diabetes: The FIN-D2D Study

Abstract

Poskiparta, M. (2012). Perceived sufficiency of physical activity levels among adults at high risk of type 2 diabetes. The FIN-D2D study. International Journal of Behavioral Medicine, 21 (1), 99-108. doi:10.1007/s12529-012-9285-7 2012 Final Draft International Journal of Behavioral MedicinePerceived sufficiency of physical activity levels among adults at high risk of type 2 diabetes. The FIN-D2D study Purpose. This study assessed the determinants of perceived physical activity levels (PALs) among adults at high risk of diabetes, and the associations with self-reported physical activity. Methods. In total, 10,149 adults participated in the FIN-D2D lifestyle intervention at baseline. Opportunistic screening was used in identifying high risk individuals. Physical activity and perceived PAL sufficiency were assessed and compared. Key risk factors for diabetes and psychosocial and demographic characteristics were analyzed as determinants using logistic regression. Results. PAL sufficiency was rated realistically by 73% of men and 75% of women. Perception of sufficient PAL was more likely among individuals with a smaller waist circumference, a higher level of perceived fitness, and no exercise intention. In men, a higher age, and in women, a lower education, and a lower occupational status, also Powered by Editorial Manager® and Preprint Manager® from Aries Systems Corporationincreased the likelihood of perceiving PAL as sufficient. Out of all the participants, 65% of men and 66% of women were inactive. Among the inactive participants, 20% (men) and 16% (women) overestimated their PAL sufficiency. In both genders such overestimation was predicted by dyslipidemia, a lower waist circumference, a higher level of perceived fitness, and no exercise intention; also (among men) by a higher age and a family history of diabetes, and (among women) by a lower occupational status, and a lower BMI. Conclusions. In diabetes prevention, it is important to recognize the groups that perceive their PAL as sufficient, since they may not see increased PAL as a tool for decreasing their risk of diabetes.Response to Reviewers: Dear Editor and Reviewer #1, Thank you for your comments regarding our manuscript. We are pleased to hear the manuscript is ready to be accepted with minor changes. We have made the corrections as suggested, please see below;1) The last referee comment (item 9) about content and presentation of Associate Editor -could the authors please add the total N of participants in each category of each independent variable, for both men and women, to Table 2 (i.e., two new columns preceding the % columns, indicating the number of participants in each category).Authors' comment: We have now added new columns with the total N of participants (men and women) in each category.To be more reader-friendly, we have now also defined family history of diabetes, hypertension, dyslipidemia, waist-circumference in the footnotes of each table. Powered by Editorial Manager® and Preprint Manager® from Aries Systems CorporationCovering p...

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