Relationship between diet, exercise habits, and health status among patients with diabetes

Campbell, Heather; Khan, Nasreen; Cone, Catherine; Raisch, Dennis W.

doi:10.1016/j.sapharm.2010.03.002

Cited by 16 publications

(17 citation statements)

References 39 publications

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“…Lower basal levels of PA have been associated with poor mental health (8), depression and perceived stress (9)(10)(11). Lifestyle intervention programs for T2DM have been previously verified in many controlled trials: PA shows better effects on glycemic control and blood pressure than other therapies alone (12,13).…”

Section: Introductionmentioning

confidence: 99%

Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes

Daniele

Oliveira

Pompeu

et al. 2013

Arq Bras Endocrinol Metab

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Objective: To investigate associations between physical activity, comorbidity severity, depressive symptoms, and health-related quality of life in type 2 diabetes mellitus. Subjects and methods: All individuals, 200 patients and 50 controls, aged from 40 to 60 years, were investigated by interview, and all variables were measured concurrently. Physical activity was evaluated by the International Physical Activity Questionnaire (IPAQ), Health-Related Quality of Life (HRQL) by the Short-Form Health Survey (SF-36), comorbidity severity by the Charlson Comorbidity Index (CCI), and depressive symptoms by the Beck Depression Inventory (BDI-II ≥ 16). Single and multiple regression analysis evaluated the effects of independent variables on physical activity. Results: The patients had more depressive symptoms and greater comorbidity severity (p < 0.005). Diabetic patients showed better activity levels (IPAQ) (p < 0.005). Functional Capacity, General State of Health, and Physical Limitation were the most affected subscales in the SF-36 evaluation of the HRQL. Sedentary diabetic patients had higher waist circumference, waist-to-hip ratios, more depressive symptoms, and worse HRQL. Functional capacity (p = 0.000), followed by General State of Health (p = 0.02), were the health status measure subscales independently associated with physical activity. Conclusions: The findings suggest that increasing patient independence and treating depressive symptoms can promote physical activity for type 2 diabetes mellitus patients. It is suggested that group activities and caregivers/family support might compensate for the patient dependence, and increase adherence to exercise programs in those that are less active. Arq Bras Endocrinol Metab. 2013;57(1):44-50 Keywords Type 2 diabetes; physical activity; quality of life; depressive symptoms; functional capacity RESUMO Objetivo: Investigar as associações entre atividade física, gravidade das comorbidades, sintomas depressivos e qualidade de vida relacionada à saúde em pacientes com diabetes mellitus tipo 2. Sujeitos e métodos: Todos os indivíduos, 200 pacientes e 50 controles, com idades entre 40 e 60 anos, foram analisados por entrevistas, e todas as variáveis foram medidas neste mesmo momento. A atividade física foi avaliada pelo International Physical Activity Questionnaire (IPAQ); a qualidade de vida relacionada à saúde (QVRS), pelo Short-Form Health Survey (SF-36); a gravidade das comorbidades, pelo Índice de Comorbidade de Charlson (CCI); e os sintomas depressivos foram avaliados pelo Inventário de Depressão de Beck (BDI-II ≥ 16). A análise de regressão simples e múltipla avaliou os efeitos das variáveis independentes sobre a atividade física. Resultados: Os pacientes apresentaram mais sintomas depressivos e maior gravidade das comorbidades (p < 0,005). Os pacientes diabéticos apresentaram melhores níveis de atividade (IPAQ) (p < 0,005). A Capacidade Funcional, a Condição Geral de Saúde e a Limitação Física foram as subescalas mais afetadas na avaliação da QVRS no SF-36. Os ...

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Section: Introductionmentioning

confidence: 99%

Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes

Daniele

Oliveira

Pompeu

et al. 2013

Arq Bras Endocrinol Metab

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“…There have been numerous instruments developed over the years to measure QoL and health related quality of life (HRQoL) leading to on-going debate on whether generic or disease-specific measures have greater relative merit. Generic instruments, such as the Short-Form-36 (SF-36) [3]–[6], EuroQoL (EQ-5D) [5], [7]–[8] and the Centres of Disease Control's (CDC's) HRQoL-4 measures [9]–[11] have been used in the literature on patients with diabetes. Examples of diabetes disease-specific instruments most widely used are the Audit of Diabetes Dependant Quality of Life (ADDQoL) [3]–[5], Diabetes Quality of Life Questionnaire (DQOL) [6], and the Problem Areas in Diabetes Scale (PAID) [6].…”

Section: Introductionmentioning

confidence: 99%

“…Overall, the most significant determinants of poor HRQoL are insulin use [5], [8], [10], obesity [3], [5], [8] and diabetes related complications, [3], [8], [13]–[14], [16]. Specifically, studies using the generic CDC's HRQoL-4 measures have shown that having diabetes is associated with poor physical health [11], [17] and poor mental health [11]. Cross-sectional studies using the ADDQoL have also shown that patients with diabetes have poor QoL [3]–[5], especially those that are obese [3], [8], those with type 1 diabetes [4], those using insulin [3]–[4], [8], [10], and those with diabetes related complications [3]–[4], [8].…”

Section: Introductionmentioning

confidence: 99%

Unhealthy Days and Quality of Life in Irish Patients with Diabetes

Clifford

Collins²,

Buckley

et al. 2013

PLoS ONE

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ObjectivesTo study the determinants of health-related quality of life (HRQoL) in Irish patients with diabetes using the Centres for Disease Controls' (CDC's) ‘Unhealthy Days’ summary measure and to assesses the agreement between this generic HRQoL measure and the disease-specific Audit of Diabetes Dependant Quality of Life (ADDQoL) measure.Research Design and MethodsData were analysed from the Diabetes Quality of Life Study, a cross-sectional study of 1,456 people with diabetes in Ireland (71% response rate). Unhealthy days were assessed using the CDC's ‘Unhealthy days’ summary measure. Quality of life (QoL) was also assessed using the ADDQoL measure. Analyses were conducted primarily using logistic regression. The agreement between the two QoL instruments was measured using the kappa co-efficient.ResultsParticipants reported a median of 2 unhealthy days per month. In multivariate analyses, female gender (P = 0.001), insulin use (P = 0.030), diabetes complications (P = <0.001) were significantly associated with more unhealthy days. Older patients had fewer unhealthy days per month (P = 0.003). Agreement between the two measures of QoL (unhealthy days measure and ADDQoL) was poor, Kappa = 0.234ConclusionsThe findings highlight the determinants of HRQoL in patients with diabetes using a generic HRQoL summary measure. The ‘Unhealthy Days’ and the ADDQoL have poor agreement, therefore the ‘Unhealthy Days’ summary measure may be assessing a different construct. Nonetheless, this study demonstrates that the generic ‘Unhealthy Days’ summary measure can be used to detect determinants of HRQoL in patients with diabetes.

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“…Silva et al 31 evidenciaram uma possível relação entre a resistência à insulina no cérebro e também na periferia, com a demência e a depressão em indivíduos com DM2. Campbell et al 32 também demonstraram que baixos níveis de atividade física têm sido relacionados com insuficiente saúde mental, depressão e percepção de estresse e ansiedade. Esses achados justificam aqueles encontrados neste estudo, mas não foram verificadas diferenças nos níveis de ansiedade entre os diferentes grupos.…”

Section: Discussionunclassified

Influência da diabetes e a prática de exercício físico e atividades cognitivas e recreativas sobre a função cognitiva e emotividade em grupos de terceira idade

Vargas

Lara

Mello‐Carpes

2014

Rev. bras. geriatr. gerontol.

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OBJETIVO: Neste estudo buscou-se verificar a influência da participação em atividades de grupos de terceira idade (GTI), envolvendo a prática de exercícios físicos e atividades cognitivas e recreativas, sobre a função cognitiva e aspectos emocionais, como ansiedade e depressão, de idosos diabéticos e não diabéticos. MÉTODOS: Participaram deste estudo descritivo transversal 158 idosos, subdivididos em quatro grupos: (1) idosos não participantes de GTI e não diabéticos; (2) idosos não participantes de GTI e diabéticos; (3) idosos participantes de GTI e não diabéticos; e (4) idosos participantes de GTI e diabéticos. Todos os idosos foram submetidos a um protocolo de avaliação cognitiva (Miniexame do Estado Mental-MEEM, Teste de Recordação Imediata e Tardia Livre de Palavras - RIP e RTP, respectivamente, e Teste de Reconhecimento de Faces Famosas-FF), ansiedade (IDATE) e depressão (Escala de Depressão Geriátrica-EGD). Para comparação entre os grupos, utilizou-se ANOVA de uma via para os dados paramétricos e teste de Kruskal-Wallis para os não paramétricos. RESULTADOS: Os idosos participantes do estudo tinham idade média de 72,63±6,84 anos (75% mulheres e 25% homens). Os resultados demonstraram que os idosos do grupo 2 (diabéticos e não participantes de GTI) apresentaram menores escores cognitivos do que os do grupo 3 (não diabéticos e participantes de GTI) (p=0,012 no MEEM; p=0,028 na RIP; p=0,011 na EGD). CONCLUSÃO: Pode-se afirmar que a associação da diabetes mellitus com um estilo de vida menos ativo, sem a prática de exercícios físicos e atividades recreativas e cognitivas, possivelmente representa um fator de risco para a aceleração das perdas cognitivas que acompanham o processo de envelhecimento.

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Relationship between diet, exercise habits, and health status among patients with diabetes

Cited by 16 publications

References 39 publications

Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes

Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes

Unhealthy Days and Quality of Life in Irish Patients with Diabetes

Influência da diabetes e a prática de exercício físico e atividades cognitivas e recreativas sobre a função cognitiva e emotividade em grupos de terceira idade

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