Background Health benefits of physical activity measured in terms of metabolic equivalent minutes (MET-minutes per week) have been established. However, factors affecting physical activity, like age, gender, body mass index, waist-hip ratio, particularly in rural communities have not been documented on a large sample. Methods Baseline physical activity data of more than 4000 subjects over 30 years of age, who were enrolled in a randomised community-based study on non-communicable diseases, were analysed. Global Physical Activity Questionnaire was used and anthropometric measurements were classified according to the MONICA study manual. Three domains of physical activity were measured as MET-minutes per week - activity at work, travel to and from places and recreational activities. Association of MET-minutes with sociodemographic variables and risk factors for cardiovascular diseases was studied. Results Mean MET-minutes per week of females were found to be significantly lower than that of males and decreased with advancing age and higher BMI in both genders. Married persons, normal BMI, normal waist-hip ratio, lower leisure time activity had demonstrated higher MET values (P = 0.000). In our study, the prevalence of inactivity (<600 MET-minutes) was 3.2% which was similar in both males and females. As high as 96.2% of the subjects had MET-minutes of > 1200. Nearly 50% of the subjects had leisure time ranging from 121 to 240 minutes per day. Conclusion A large majority of adults over 30 years of age in a rural community in Karnataka (96.2%) had very high MET-minutes per week of >1200 per day. Abnormal BMI, higher waist-hip ratio and more leisure time were associated with lower MET-minutes which are modifiable. About 50% had more than 2 hours of leisure time per day. It is recommended that health promotion for active lifestyle should be encouraged.
Background: Type 2 diabetes mellitus (T2DM) is the commonest metabolic disorder with prevalence of 8.3% in India. The prognosis largely depends on complications seen in natural course of illness. Stringent adherence to self-care activities is a mandatory step in management of T2DM. Hence, this study was done to assess non-adherence to foot-care activities among patients with T2DM for associated factors and also to report findings of foot examination among non-adherent participants.Methods: A community based cross-sectional study was conducted in an urban area of Bengaluru. Using multi-stage sampling, 400 people with T2DM aged ≥18 years were selected. A pre-tested, semi-structured questionnaire was used to collect information regarding non-adherence to foot-care activities and foot examination was done for all the participants.Results: Though all the participants were aware regarding the foot-care activities, 86.7% of participants were not adherent. Females and those with lower monthly income had 2.91 and 3.47 significantly higher odds of being non-adherent to foot-care activities, respectively.Conclusions: The prevalence of non-adherence to foot-care activities among people with T2DM was observed to be high. Hence, more importance should be given to motivate people with T2DM in their follow-up visits regarding adherence to foot-care activities to avoid occurrence of complications.
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