Barriers to physical activity in patients with diabetes

Thomas, Naveena; Alder, Elizabeth M.; Leese, GP

doi:10.1136/pgmj.2003.010553

Cited by 263 publications

(283 citation statements)

References 24 publications

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“…Less physical activity may reflect the inertia of a lifetime of habits. These individuals likely have the same motivational barriers, including lack of interest and not enough time, as adults without diabetes (17,32,33). However, those with diabetes often have physical disabilities (34), per- ceive discomfort when exercising (33), or have decreased exercise capacity (35).…”

Section: Discussionmentioning

confidence: 99%

Physical Activity in U.S. Adults With Diabetes and At Risk for Developing Diabetes, 2003

et al. 2007

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OBJECTIVE -Given the risk of obesity and diabetes in the U.S., and clear benefit of exercise in disease prevention and management, this study aimed to determine the prevalence of physical activity among adults with and at risk for diabetes.RESEARCH DESIGN AND METHODS -The Medical Expenditure Panel Survey is a nationally representative survey of the U.S. population. In the 2003 survey, 23,283 adults responded when asked about whether they were physically active (moderate or vigorous activity, Ն30 min, three times per week). Information on sociodemographic characteristics and health conditions were self-reported. Additional type 2 diabetes risk factors examined were age Ն45 years, non-Caucasian ethnicity, BMI Ն25 kg/m 2 , hypertension, and cardiovascular disease.RESULTS -A total of 39% of adults with diabetes were physically active versus 58% of adults without diabetes. The proportion of active adults without diabetes declined as the number of risk factors increased until dropping to similar rates as people with diabetes. After adjustment for sociodemographic and clinical factors, the strongest correlates of being physically active were income level, limitations in physical function, depression, and severe obesity (BMI Ն40 kg/m 2 ). Several traditional predictors of activity (sex, education level, and having received past advice from a health professional to exercise more) were not evident among respondents with diabetes.CONCLUSIONS -The majority of patients with diabetes or at highest risk for developing type 2 diabetes do not engage in regular physical activity, with a rate significantly below national norms. There is a great need for efforts to target interventions to increase physical activity in these individuals.

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Section: Discussionmentioning

confidence: 99%

Physical Activity in U.S. Adults With Diabetes and At Risk for Developing Diabetes, 2003

et al. 2007

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“…15 There is now extensive literature exploring perceived barriers or 'burdens' 8 to increasing physical activity, both in older groups generally, [15][16][17] and in people with type 2 diabetes in particular. 6,18,19 Barriers that have been identified include: poor health, lack of time, ageing, adverse environments; 17,20,21 safety/physical vulnerability, availability of facilities, cost, lack of motivation; 16,20 cultural norms and social expectations; 19 and difficulties exercising, tiredness, and being distracted by something good on television. 18 While previous research has focused on perceived benefits as well as barriers to being physically active, 16,22 the emphasis, to date, has tended to be on the latter.…”

Section: Introductionmentioning

confidence: 99%

“…6,18,19 Barriers that have been identified include: poor health, lack of time, ageing, adverse environments; 17,20,21 safety/physical vulnerability, availability of facilities, cost, lack of motivation; 16,20 cultural norms and social expectations; 19 and difficulties exercising, tiredness, and being distracted by something good on television. 18 While previous research has focused on perceived benefits as well as barriers to being physically active, 16,22 the emphasis, to date, has tended to be on the latter. But it is unlikely that simply removing barriers is in itself sufficient to enable people to undertake physical activity.…”

Section: Introductionmentioning

confidence: 99%

Type 2 diabetes and dog walking: patients' longitudinal perspectives about implementing and sustaining physical activity

Peel¹,

Douglas²,

Parry³

et al. 2010

Br J Gen Pract

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Physical activity is particularly important for people with type 2 diabetes, as evidence suggests that any reduction in sedentary time is good for metabolic health. AimTo explore type 2 diabetes patients' talk about implementing and sustaining physical activity. Design of studyLongitudinal, qualitative study using repeat in-depth interviews with 20 patients over 4 years following clinical diagnosis. SettingPatients were recruited from 16 general practices and three hospitals across Lothian, Scotland.

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“…Several studies found younger subjects exercise more than older subjects [93,[98][99][100][101]. Plontikoff and colleagues in 2000 reported no significance difference between age groups.…”

Section: Confounders For Physical Activity Self-carementioning

confidence: 99%

Clinical critics in the management of diabetes mellitus

Gillani¹,

Sulaiman²,

Sundram³

et al. 2012

Health

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There is a global epidemic of diabetes with its prevalence expected to increase from 5.1% in 2003 to 6.3% in 2025. This increase in diabetes is occurring in all nations, however, developing nations are particularly at risk. It spares no group and affects men, women, the elderly, young and people from very racial and socioeconomic background. Nevertheless, certain ethnic groups including Asians are affected more than Caucasians. Large randomized clinical trials have shown that improvement in glycaemic control, together with management of diabetes-related risk factors like blood pressure and lipid control significantly reduce the micro and macro complications in individuals with type 1 and type 2 diabetes. Patient education plays a crucial role in the prevention of diabetic fool problems. In Geneva, the rate of lower limb amputations was reduced by almost 75% after an educational intervention. People with diabetes must acquire the knowledge and skills through education to provide daily self-care in diabetes management which involves maintenance of healthy living, recognition and management of diabetes problems when they arise and taking preventive measures. Some factors include patients' biomedical variables, the psychosocial environment, the knowledge, attitudes and beliefs of patients themselves, home careers and health care providers, healthcare systems' accessibility and availability and even the national political context may influence these self-care behaviors.

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Barriers to physical activity in patients with diabetes

Cited by 263 publications

References 24 publications

Physical Activity in U.S. Adults With Diabetes and At Risk for Developing Diabetes, 2003

Physical Activity in U.S. Adults With Diabetes and At Risk for Developing Diabetes, 2003

Type 2 diabetes and dog walking: patients' longitudinal perspectives about implementing and sustaining physical activity

Clinical critics in the management of diabetes mellitus

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