Predictors of Sustained Walking among Diabetes Patients in Managed Care: The Translating Research into Action for Diabetes (TRIAD) Study

Abstract

Pain, obesity, and new comorbidities were moderately associated with decreases in sustained walking. Whereas controlled intervention studies are needed, prevention, or treatment of these adverse conditions may help patients with diabetes sustain walking behavior.

Health Systems, Patients Factors, and Quality of Care for Diabetes

“…Daily walking for at least 20 min was less frequent in patients older than 65 years of age than in younger patients (64 vs. 70%); in women less frequent than in men (65 vs. 70%); and in whites or African Americans less frequent than in Asian/Pacific Islanders or Latino patients (49). Less education was also associated with a lower likelihood of regular physical activity (48).…”

“…Obesity was more frequent in women than men (61 vs. 51%) and in African American participants and was associated with lower likelihood of regular walking (49). Obesity was also associated with a lower likelihood of being in control for all three cardio-metabolic risk factors but explained little of the poorer risk factor control in African Americans (26).…”

Association of pain with HbA1c in a predominantly black population of community‐dwelling adults with diabetes: a cross‐sectional analysis

“… found that US veterans reporting pain were less likely to follow a recommended eating and exercise plan than those without pain. In the Translating Research into Action for Diabetes study, reports of new or ongoing pain at baseline were associated with decreases in sustained walking at follow‐up ; thus, pain may be a barrier to self‐management behaviours, which may in turn worsen glycaemic control.…”