Type 2 diabetes and physical activity: barriers and enablers to diabetes control in Eastern India

Abstract

Introduction: Type 2 diabetes (T2D) has tremendous morbidity burden owing to disease management and complication prevention. Behavior modification identified as a key to management includes healthy diet and regular physical activity (PA). This study aims to identify patterns and preferences of PA of T2D patients and explore perceived enablers and barriers for diabetes control in Bhubaneswar. Methods: Cross-sectional, facility-based study conducted in the private sector from June to August 2014 recruited 321 T2D patients using semi-structured questionnaires. Descriptive statistics and associations of PA were computed. Results: Almost two-thirds of patients (59%) were reported performing PA frequently. Majority patients cited walking as the most preferred mode of PA (79%) with 41% performing PA daily. Actual versus perceived weight was a complete mismatch with most patients misjudging their weight. Reasons for enabling PA included ‘controlling diabetes’ and ‘doctor’s advice’ as key factors, while ‘lack of time’ and ‘unwillingness’ were main barriers among inactive patients. Conclusion: Counseling on PA by physicians during routine visits, along with tailored or patient-specific interventions should be considered. Focus on social support for positive behavioral changes and motivation play a central role in diabetes control.

Adhering to lifestyle change recommendations via the trans-theoretical model: a mixed-methods study among type 2 diabetes patients

“…The participants specified the following factors were the obstacles in adopting lifestyle change recommendations, which are food accessibility, food habits, stress, lack of time, lack support and low motivation level. Some of the obstacles mentioned in Part B of the current study were in line with the results found in the previous studies (Al-Busaidi, 2008;Bunza and Alhassan, 2019;Sanghamitra et al, 2019). However, there were additional barriers found in Part B of the study, including good socioeconomic status and eating to please others.…”

Barriers to Exercise among Non-Exercising Type 2 Diabetes Mellitus Patients Visiting a Tertiary Care Hospital

“…The results of this study reveal that people did not have the company to exercise. These findings are similar to the results of Sanghamitra et al (2019) and Van Dam et al (2005). Therefore, Sanghamitra et al (2019) Van Dam et al (2005 suggested that sensitizing social support in societies and taking support of family and friends could help promote the culture of physical activities in form of emotional reinforcement.…”

“…Therefore, Sanghamitra et al (2019) Van Dam et al (2005 suggested that sensitizing social support in societies and taking support of family and friends could help promote the culture of physical activities in form of emotional reinforcement. Sanghamitra et al (2019) Van Dam et al (2005 have reported their effectiveness in controlling diabetes. This study investigates overlooked problems in T2DM patients.…”

The Effect of Integrated Intervention Based on Protection Motivation Theory and Implementation Intention to Promote Physical Activity and Physiological Indicators of Patients with Type 2 Diabetes

“…Although diabetics are often encouraged to exercise, they are usually less successful. Such that, some patients are unable to maintain their motivation to continue physical activity, and there are many personal and environmental barriers that cause instability in their physical activity [ 8 ]. As some studies show, sedentary lifestyle has been reported 60.1% in men with diabetes and 72.9% in women with diabetes [ 9 ].…”