Physical activity at home, at leisure, during transportation and at work in French adults with type 2 diabetes: The ENTRED physical activity study

Cloix, Lucie; Caille, Agnès; Helmer, Catherine; Bourdel-Marchasson, I.; Fagot-Campagna, A.; Fournier, Claudia; Lecomte, P.; Oppert, Jean‐Michel; Jacobi, David

doi:10.1016/j.diabet.2014.07.003

Cited by 27 publications

(22 citation statements)

References 31 publications

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“…Participants who regarded their health as good or excellent met the weekly recommendation. This result was in line with earlier studies (Cloix et al., ; Vagetti et al., ). Many studies had also showed that regular PA resulted in advantageous effects of improved physical and psychological health for patients with chronic diseases and for general populations (Cloix et al., ; Sigal, Kenny, Wasserman, & Castaneda‐Sceppa, ).…”

Section: Discussionsupporting

confidence: 94%

The evaluation of physical activity for community‐dwelling patients with hypertension

2017

Journal of Clinical Nursing

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Section: Discussionsupporting

confidence: 94%

The evaluation of physical activity for community‐dwelling patients with hypertension

2017

Journal of Clinical Nursing

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“…The majority of patients included in the OPADIA study were treated with OADs, often prescribed as a dual therapy (47% of patients) or monotherapy (32% of patients), with biguanide being the most commonly prescribed molecule, in line with previously published studies and recommendations on T2DM [9,11,13]. In terms of patient PA, levels in the OPTIMA-PA group were closer to those of patients with T2DM reported in the ENTRED study (2139 and 2079 MET.min/week, respectively) than those in the standard group (1098.8 MET.min/week) [12].…”

Section: Discussionsupporting

confidence: 85%

“…The patients included in our study were representative of the French adult population with T2DM and compared well with those in the ENTRED study: in terms of mean age (64 years versus 65 years), male prevalence (65% versus 54%) and median time since diagnosis of T2DM (10 years and 9 years) [9,11,12]. Diabetes in the OPADIA patients was frequently associated with complications (around 25% of the population).…”

Section: Discussionmentioning

confidence: 99%

OPADIA Study: Is a Patient Questionnaire Useful for Enhancing Physician-Patient Shared Decision Making on Physical Activity Micro-objectives in Diabetes?

et al. 2020

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Introduction: Regular physical activity (PA) is recommended by all type 2 diabetes mellitus (T2DM) management guidelines. The OPADIA study aimed to determine whether using a specific patient questionnaire (Optima-PAÓ) could help T2DM patients increase their PA by leading to better physician-patient communication and improved levels of shared decision making concerning Specific, Measurable, Acceptable, Realistic, Timely (SMART)-PA micro-objectives. Methods: Physicians participating in this multicentre, prospective, randomised, real-life study were allocated to a standard group (T2DM patients managed according to usual clinical practice, n = 24) or the OPTIMA-PA group (additional use of the questionnaire, n = 30). The main outcome was the percentage of inclusion visits ending with the setting up of at least one SMART-PA micro-objective. Other outcomes were the impact of the OPTIMA-PA questionnaire on patient perceptions of shared decision making (ENTRED questionnaire) and the impact of the OPTIMA-PA questionnaire and establishing SMART-PA micro-objectives as well as patient-perceived physician empathy (ENTRED questionnaire) and GP aptitude for patient-centredness (SEPCQ scores) on patient Digital Features To view digital features for this article go to

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“…It is of interest to look at PA data from similar populations, such as the recently published Échantillon National Témoin REprésentatif des personnes Diabétiques (ENTRED-PA), a national survey of French patients with T2DM pharmaco-logically treated. 11 PA data from 724 ENTRED respondents, who had demographic and clinical characteristics generally similar to our MOBILE population, were analyzed. Their median total score was 2,079 (Q1 =893, Q3 =3,915) MET-min/wk, which falls between that of our inactive cohort (803 MET-min/wk) and the active one (3,213 MET-min/wk).…”

Section: Discussionmentioning

confidence: 99%

Physical activity in patients with type 2 diabetes and hypertension – insights into motivations and barriers from the MOBILE study

Duclos¹,

Dejager²,

Postel-Vinay³

et al. 2015

VHRM

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BackgroundAlthough physical activity (PA) is key in the management of type 2 diabetes (T2DM) and hypertension, it is difficult to implement in practice.MethodsCross-sectional, observational study. Participating physicians were asked to recruit two active and four inactive patients, screened with the Ricci-Gagnon (RG) self-questionnaire (active if score ≥16). Patients subsequently completed the International Physical Activity Questionnaire. The objective was to assess the achievement of individualized glycated hemoglobin and blood pressure goals (<140/90 mmHg) in the active vs inactive cohort, to explore the correlates for meeting both targets by multivariate analysis, and to examine the barriers and motivations to engage in PA.ResultsAbout 1,766 patients were analyzed. Active (n=628) vs inactive (n=1,138) patients were more often male, younger, less obese, had shorter durations of diabetes, fewer complications and other health issues, such as osteoarticular disorders (P<0.001 for all). Their diabetes and hypertension control was better and obtained despite a lower treatment burden. The biggest difference in PA between the active vs inactive patients was the percentage who declared engaging in regular leisure-type PA (97.9% vs 9.6%), also reflected in the percentage with vigorous activities in International Physical Activity Questionnaire (59.5% vs 9.6%). Target control was achieved by 33% of active and 19% of inactive patients (P<0.001). Active patients, those with fewer barriers to PA, with lower treatment burden, and with an active physician, were more likely to reach targets. The physician’s role emerged in the motivations (reassurance on health issues, training on hypoglycemia risk, and prescription/monitoring of the PA by the physician). A negative self-image was the highest ranked barrier for the inactive patients, followed by lack of support and medical concerns.ConclusionPhysicians should consider PA prescription as seriously as any drug prescription, and take into account motivations and barriers to PA to tailor advice to patients’ specific needs and reduce their perceived constraints.

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Physical activity at home, at leisure, during transportation and at work in French adults with type 2 diabetes: The ENTRED physical activity study

Cited by 27 publications

References 31 publications

The evaluation of physical activity for community‐dwelling patients with hypertension

The evaluation of physical activity for community‐dwelling patients with hypertension

OPADIA Study: Is a Patient Questionnaire Useful for Enhancing Physician-Patient Shared Decision Making on Physical Activity Micro-objectives in Diabetes?

Physical activity in patients with type 2 diabetes and hypertension – insights into motivations and barriers from the MOBILE study

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Physical activity at home, at leisure, during transportation and at work in French adults with type 2 diabetes: The ENTRED physical activity study

Cited by 27 publications

References 31 publications

The evaluation of physical activity for community‐dwelling patients with hypertension

The evaluation of physical activity for community‐dwelling patients with hypertension

OPADIA Study: Is a Patient Questionnaire Useful for Enhancing Physician-Patient Shared Decision Making on Physical Activity Micro-objectives in Diabetes?

Physical activity in patients with type 2 diabetes and hypertension &ndash; insights into motivations and barriers from the MOBILE study

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Physical activity in patients with type 2 diabetes and hypertension – insights into motivations and barriers from the MOBILE study