Abbreviations: GPAQ, general physical activity questionnaire; MET, metabolic equivalents; PA, physical activity; RCD, referral center of diabetes; WHO, world health organization Adv Obes Weight Manag Control. 2018;8(1):25-28. 25Abstract Introduction: A regular physical activity is associated with health outcomes and can reduce rates of a number of non-communicable diseases Objectives: describe the level of physical activity and sedentary behavior according to age and gender among diabetic's adults using the (General physical activity questionnaire (GPAQ), in the province of Kenitra, Morocco. Material and methods:This study was carried out from January 2015 to April 2016, the target population was diabetics, The sample was consisted by 329 diabetics aged 18-86years (28,6% of men and 70,5% of women) living in Kenitra, Morocco. 12,7% were aged 18-39years, 65,5% were aged 40-64years and 20,8% were aged 65-86years. The Assessment of physical activity (PA) and sedentary behavior was performed by the Arabic version of the General physical activity questionnaire (GPAQ). Results:In general, 58,4% of adults showed a low level of PA, 23.2% fell within the moderate level of PA and 17.5% of people showed a high level of PA. Both men and women aged 40 -64years, have a high level of sedentary behavior: the higher percentages of a low and moderate physical activity correspond to diabetics aged 40-64, are respectively 16,84%, 31,58% (For male); and 16,24%, 41,03% (for women).There is no link between gender and the practice or not of physical activity (χ² =0,428 p=0.482>0 and V Cramer=0,044). Conclusion:Those diabetics present a low level of physical activity and a high level of sedentary behavior, which may lead to a lot of long-term complications. So to make sure of this hypothesis another research is necessary to study the impact of this lack of PA on the glycemic control of those diabetics.
Introduction: Nutrition education is one of the fundamental axes in the management of diabetes. Objective: study the impact of two types of nutrition education (personalized and collective) on the glycemic control of diabetics in the province of Kenitra. Material and methods: The population was composed of 184 patients (86 men, 98 women) with an average age of (51.7±14.0) and an age range of [20 to 88.5]. Data collection was carried out using a questionnaire containing socio-demographic and anthropometric information. Glycemic control was based on fasting glucose (GAJ), postprandial glucose (GPP), and glycated hemoglobin (HbA1c). These analyzes were taken in three separate phases with a duration of 3 months; T0 represents the initial state (before our intervention), t 1 and t 2 which represent the values of the three analyzes after our intervention. Participants were randomized into two groups: a group that received collective nutrition education (n=105) and another group (n=79) had a personalized (individual) education. BMI was the only anthropometric measure used. Results: The whole population is overweight (BMI>25) for either women or men, also the results of glycemic control are superior to the norms in the three stages (t 0 , t 1 or t 2). Nutrition education Personalized shows statistically significant differences in the variables studied as a function of time more than those studied in collective nutrition education (p=0.00 <0.05). Also the difference is significant between collective nutrition education and personalized nutritional education (P=0.00 <0.05) for the means of HBA1C (%) at t 1 and at t 2 ; Fasting glucose (g / l) at t 1 and t 2 and post-prandial glucose (g / l) at t 1 and t 2. Conclusion: The results of this study show that collective nutrition education yields significant results in terms of impact on glycemic control of theses diabetics. The number of studies on this aspect (nutrition education) remains modest, another study is desirable on a larger sample to better confirm our results.
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