Factors associated with physical activity in type 2 diabetes mellitus patients at a public clinic in Gaborone, Botswana, in 2017

Shiriyedeve, Sunungurai; Dlungwane, Thembelihle; Tlou, Boikhutso

doi:10.4102/phcfm.v11i1.2036

Cited by 11 publications

(7 citation statements)

References 24 publications

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“…The findings of this study show that majority (56%) of the patients with DM assessed did not engage in health-enhancing PA and therefore were physically inactive indicating that the MET of their total PA was below minimum recommendation of 600 MET-min per week. This finding is similar to PA level obtained among diabetes patients in other climes including Nigeria [15,53], Batswana [54], Ghana [55], and Nepal [6]. However, higher level of PA participation was reported among patients with DM in the North Carolina, USA wherein 56% were said to have engaged in moderate or high PA weekly [56].…”

Section: Discussionsupporting

confidence: 79%

Influence of neighborhood environment and social support on physical activity among patients with diabetes mellitus

Ademoyegun

Mbada

Afolabi

et al. 2023

J CONTEMP STUD EPIDEMIOL PUBLIC HEALTH

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This study was aimed to determine the relationship of physical activity (PA) with the neighborhood environment and social support for PA among patients with diabetes mellitus (DM).<b> </b>A total of 193 consenting individuals with DM attending endocrinology clinic in a Nigerian tertiary hospital participated in this cross-sectional study. The<b> </b>international physical activity questionnaire short form, physical activity neighborhood environment scale (PANES), and physical activity and social support scale (PASSS) were used to assess the PA level (low, moderate, and high), neighborhood environment and social support for PA, respectively. The results of bivariate analyses showed that all elements of built environment and social support were significantly associated with PA. Regression model analyses indicate that PANES score was associated with moderate (adjusted odds ratio [aOR]: 10.76; 95% confidence interval [CI]: 3.82-30.32) to high (aOR: 45.73; 95% CI: 12.14-172.27) PA. In addition, easy access to quality walking facilities (aOR: 46.53; 95% CI: 3.89-557.32; aOR: 46.13; 95% CI: 2.65-802.40) and easy access to recreation infrastructure (aOR: 46.89; 95% CI: 3.95-487.83; aOR: 17.99; 95% CI: 1.28-252.98) were associated with moderate to high PA, respectively, while safety from crime (aOR: 0.21; 95% CI: 0.07-0.64) and easy access to services and shops (aOR: 21.90; 95% CI: 1.83-262.59) were associated with moderate and high PA. Informational social support was associated with moderate PA (aOR: 1.44; 95% CI: 1.04-2.00). In conclusion, the neighborhood environmental and social support factors were associated with the PA activity level among Nigerian patients with DM.

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Section: Discussionsupporting

confidence: 79%

Influence of neighborhood environment and social support on physical activity among patients with diabetes mellitus

Ademoyegun

Mbada

Afolabi

et al. 2023

J CONTEMP STUD EPIDEMIOL PUBLIC HEALTH

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“…Out of the total studies included in the review, only 12 articles specifically focused on the prevalence of overweight and/or obesity among T2DM patients [ 18–29 ]. The remaining articles provided data on overweight and/or obesity as an anthropometric or clinical characteristic of the T2DM patients [ 30–97 ]. The mean age, diabetes duration, and body mass index (BMI) of the participants varied across studies, with a range of 38.75–66.73 years, 4.0–15.0 years, and 22.24–33.6 kg/m 2 , respectively.…”

Section: Resultsmentioning

confidence: 99%

Prevalence and associated factors of overweight and obesity among persons with type 2 diabetes in Africa: a systematic review and meta-analysis

2023

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Background Type 2 diabetes and obesity are serious public health concerns globally and a growing burden in Africa. Both conditions have serious repercussions on health when they co-occur, yet the extent of their co-occurrence in Africa remains unknown. Therefore, this review aimed to identify the prevalence and associated factors of overweight and obesity among persons with type 2 diabetes in Africa. Method A systematic search was conducted on PubMed, MEDLINE, Embase, African Index Medicus (AIM), and African Journals Online (AJOL) for observational studies that reported the prevalence of overweight and/or obesity among type 2 diabetes patients in Africa. The prevalence data from individual studies were aggregated through a random-effects meta-analysis. The I 2 statistic was used to evaluate between-studies heterogeneity, while subgroup analysis and mixed-effects meta-regression were performed to identify sources of heterogeneity. We assessed publication bias using funnel plots and Egger’s test. This review adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Results Of 1753 records retrieved, 80 articles were eligible for this review, with 74 cross-sectional studies included in the meta-analysis. The pooled prevalence of overweight and obesity was 35.6% and 25.6% respectively, while the overall prevalence of both overweight and obesity was 61.4%. Also, the pooled prevalence of both overweight and obesity across the five geographical areas in Africa ranged from 56.9% in East Africa to 88.5% in Southern Africa. Nineteen factors were significantly associated with overweight and obesity among patients with type 2 diabetes. Conclusion The high prevalence of overweight and obesity among patients with type 2 diabetes is a significant public health concern that transcends geographical boundaries within Africa. The findings from this review highlight the need for innovative weight management interventions that are tailored to the cultural context of the African setting. KEY MESSAGES There was a high prevalence of overweight and obesity among the type 2 diabetes patients. Nineteen factors were identified to be significantly associated with overweight and obesity among type 2 diabetes patients. Only 12 out of the 80 included studies primarily focused on the prevalence of overweight and/or obesity which reflects a dearth of interest in this topic.

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“…Previous study by Linder et al [27] found that physical inactivity is associated with advanced age, poor educational attainment, and low family income, among other risk factors. Study in Botswana by Shiriyedeve et al [28] found that age and siting time (sedentary time) showed negative correlation to physical activity level, instead of it was statistically nonsignificant.…”

Section: Discussionmentioning

confidence: 96%

Factors correlated to physical activity among diabetes type 2 patients

Rofi'i

Su'udi

2022

IJPHS

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Physical activity is an important strategy for the management of diabetes type 2 mellitus. However, this recommendation is related to physical barriers. Diabetes mellitus type 2 patients showed lower scores in energy use, number of steps and duration of physical activity compared to healthy individuals. This study aimed to identify factors that affected physical activity among diabetes type 2 patients. A cross-sectional design was used in this study. This study was conducted in Kabupaten Tuban, East Java, Indonesia. A total of 105 diabetes type 2 patients followed the program Prolanis from the community health center. Data was collected using paper-based questionnaires, which were aslked the demographic characteristics, knowledge about physical activity, diabetes management self-efficacy, and international physical activity questionnaire (IPAQ) during March to October, 2020. Ordinal logistic regression was used to examine the factors that affected physical activity of diabetes type 2 patients. This study found that complication, knowledge and self-efficacy have significantly affected physical activity among diabetes type 2 patients. This information is beneficial to develop nursing care interventions and approaches to increase the physical activity of patients with type 2 diabetes mellitus.

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Factors associated with physical activity in type 2 diabetes mellitus patients at a public clinic in Gaborone, Botswana, in 2017

Cited by 11 publications

References 24 publications

Influence of neighborhood environment and social support on physical activity among patients with diabetes mellitus

Influence of neighborhood environment and social support on physical activity among patients with diabetes mellitus

Prevalence and associated factors of overweight and obesity among persons with type 2 diabetes in Africa: a systematic review and meta-analysis

Factors correlated to physical activity among diabetes type 2 patients

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