Physical activity and sedentary behaviour of adults with type 2 diabetes: a systematic review

Kennerly, Ann-Marie; Kirk, Alison

doi:10.1002/pdi.2169

Cited by 45 publications

(41 citation statements)

References 31 publications

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“…Concerns about the lack of physical activity amongst adults with diabetes have been repeatedly raised across different populations [24,25,26,27]. Those studies reported that approximately only 30% of individuals with diabetes have met the recommended physical activity guidelines, which is close to 34.1% found in the results of the present study.…”

Section: Discussionsupporting

confidence: 77%

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

Salman

Ukwaja

Alkhatib

2019

IJERPH

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It remains unclear which factors are instrumental in meeting the recommended physical activity in people with diabetes. We, therefore, aimed to determine the sociodemographic, health-related behavior and clinical factors associated with meeting the recommended levels of physical activity in Scottish adults with diabetes. The study was based on the nationally-representative cross-sectional Scottish Health Surveys (2014–2017). The study participants included a sub-sample of 1259 adults (≥16 years old) with diabetes. Physical activity was evaluated using international guidelines. Overall, 34.1% of the subjects met the recommended levels of physical activity. Independent determinants of meeting the recommended levels of physical activity include male gender (odds ratio (OR) 1.47; 95% confidence interval (CI) 1.07–2.00) and being a non-smoker (OR 1.62; 95% CI 1.02–2.56). Furthermore, meeting the recommended physical activity levels decreased with age (OR 0.96; 95% CI 0.95–0.97), having a longstanding illness (OR 0.56; 95% CI 0.34–0.93) and body mass index (OR 0.94; 95% CI 0.92–0.97), but increased with higher fruit and vegetable intake (OR 1.16; 95% CI 1.07–1.25) and mental wellbeing (OR 1.04; 95% CI 1.02–1.06). Implementation of health promotion programs that target the identified determinants is needed to improve the recommended levels of physical activity among adults with diabetes.

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Section: Discussionsupporting

confidence: 77%

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

Salman

Ukwaja

Alkhatib

2019

IJERPH

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“…In studies performed in other countries of South America, using the same questionnaire (IPAQ), the PA level recorded in adults with T2DM was lower than that recorded in our study: 17.6% of low PA in Venezuela [17] and 20% in Peru [18] , [19] . In a systematic review that included 29 studies from 15 countries, the (IPAQ) was the most common resource (11 studies) and four studies used researcher-developed questionnaires, high variability was shown: 15% to 61% of the people evaluated reached the current target of 150 minutes per week of moderate to vigorous PA [26] . The diversity of methods to evaluate the PA level and the different metrics with which the results are reported makes it difficult to compare between the different studies.…”

Section: Discussionmentioning

confidence: 99%

Level of physical activity and barriers to exercise in adults with type 2 diabetes

Martı́n¹,

Pomares

Muratore³

et al. 2021

AIMS Public Health

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Introduction Physical activity (PA) is an important element in type 2 diabetes mellitus (T2DM) management. The aims of this study were to assess the percentage of adults with T2DM who perform PA, according to the intensity level and to describe barriers to exercise and the association between metabolic control and other clinical variables. Methods Multicenter, observational, cross-sectional study. Data were collected through the International PA Questionnaire (IPAQ) and the PA Barrier Questionnaire. Adults (18–65 years old) with T2DM from 17 Argentine diabetes centers were included, from May to July 2018. Results A total of 270 men (54.9 ± 9.8 years) and 225 women (55.3 ± 9.6 years) were included. Duration of diabetes: 8.2 ± 6.3 years. The BMI in men was 32 ± 10.6 kg/m 2 , whereas that in women was 32.5 ± 7.2 kg/m 2 . The last two HbA1c values were 7.6 ± 1.7% and 7.5 ± 1.6. Results also showed that 12.7% had clinical heart disease, 13.7% had nephropathy, 20.8% had neuropathy, 6.1% had diabetic foot and 14.1% had retinopathy. The level of PA was low in 52.3% of the patients studied and moderate in 30.5%. The most frequent barriers were: “lack of will” (59.6%) and “lack of energy” (37.2%). The low level of PA was associated with age (OR: 1.05 per year of age; p < 0.001), HbA1c (OR: 1.16 per 1%; p < 0.05), BMI (OR: 1.06 per kg/m 2 ; p < 0.001) and sex (OR: 1.69 for women; p < 0.01). Conclusions PA in a cornerstone in management T2DM. Nevertheless, in this study, 52.3% of T2DM adults showed low level of PA. The main barriers reported were related to low personal motivation. These factors should be taken into account to implement programs to promote physical activity.

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“…Epidemic of diabetes is associated with decreasing levels of physical activity and an increasing prevalence of obesity. Priority should be given to promote physical activity in this regard [84][85][86] . Physical activity reduces the risk of diabetes which is evident in different studies [87][88][89] .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Diabetes Mellitus and Its Associated Factors in Bangladesh: Application of Two-level Logistic Regression Model

Talukder

Hossain

2020

Sci Rep

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this study intends to explore the prevalence of diabetes mellitus (DM) and its associated factors in Bangladesh. the necessary information was extracted from Bangladesh Demographic and Health Survey (BDHS) 2011. In bivariate analysis, Chi-square test was performed to assess the association between selected covariates and diabetes status. A two-level logistic regression model with a random intercept at each of the individual and regional level was considered to identify the risk factors of DM. A total of 7,535 individuals were included in this study. From the univariate analysis, the prevalence of DM was found to be 33.3% in 50-54 age group for instance. In bivariate setup, all the selected covariates except sex of the participants were found significant for DM (p < 0.05). According to the two-level logistic regression model, the chance of occurring DM increases as age of the participants' increases. It was observed that female participants were more likely to have DM. The occurrence of DM was 62% higher for higher educated participants, 42% higher for the individuals who came from rich family and 63% higher for the individuals having hypertension. The chance of developing diabetes among overweighed people was almost double. However, the individuals engaged in physical work had less chance to have DM. this study calls for greater attention of government and other concerned entities to come up with appropriate policy interventions to lower the risk of DM. The epidemic of the century-Diabetes Mellitus (DM), often referred as simply diabetes, is a set of metabolic disorder or syndrome recognized as chronic hyperglycemia (presence of high blood sugar) occurs due to imperfections in insulin action, insulin secretion, or both 1,2. It is now prevalent across the world with multiple complications 3-5. In 2014, around 422 million people were affected by DM and 1.5 million deaths were reported in 2012 6,7. According to WHO report, 2016, 8% (12.88 million) of total population of Bangladesh was affected by diabetes whereas 3% of total deaths of all-ages occurred due to diabetes 8. An increasing rate in the prevalence of DM among the Bangladeshi populace is also observed over time 9. Diabetes may result in a wide range of physiological as well as psychological problems including sexual disorder 10. The lower sexual functions or dysfunctions termed as loss of libido may be observed in both females and males as a consequence of DM 11-18. In addition, severe vision loss, acute renal diseases which may require dialysis or kidney transplant, myocardial infarction otherwise known as heart attack, cerebrovascular diseases like stroke, and hypertension are markedly observed 19-27. Due to the intensity of the adverse effects of diabetes, it is important to find out the determinants to address the issue in order to contribute to improving country health situation. Diabetes mellitus (DM) is a disease that relies on many factors and may vary over time and region. Accordingly, it requires to be screened on a constant basis. Previously, man...

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Physical activity and sedentary behaviour of adults with type 2 diabetes: a systematic review

Cited by 45 publications

References 31 publications

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

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

Level of physical activity and barriers to exercise in adults with type 2 diabetes

Prevalence of Diabetes Mellitus and Its Associated Factors in Bangladesh: Application of Two-level Logistic Regression Model

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