Pattern of physical activity among persons with type 2 diabetes with special consideration to daily routine.

Arshad, Rozina; Younis, Bilal Bin; Masood, Junaid; Tahira, Maham; Khurhsid, Saima

doi:10.12669/pjms.321.8379

Cited by 6 publications

(8 citation statements)

References 14 publications

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“…Walking is preferred by people from SA cultural backgrounds, whether residing in their native countries such as Pakistan [7,42] or in the West [18,28]; this is supported by the current study. Previous studies have reported reasons for not engaging in PA similar to some of the reasons noted here, including household routines; difficulty finding the time [19,27,43]; cultural limitations such as requirements for a same-gender environment, which is unavailable in gyms [28]; a lack of places to go for a walk [27,44]; and the absence of a family member to walk with [42].…”

Section: Discussionsupporting

confidence: 73%

“…The number of cases in Pakistan is expected to rise to 13.8 million in 2030, raising concerns and suggesting a need to explore diabetes management and control [6]. One reason for the increased prevalence of T2DM in SA countries, such as Pakistan, is a carbohydrate-rich diet and physical inactivity [7].…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review highlighted that women are less active than men [17]. A study in Pakistan reported walking as a common activity for both genders, but men were more likely to cycle than women, and walking was more culturally acceptable for women [7]. This disparity in choices in PA is unacknowledged in general guidelines provided by the National Association of Diabetes Educators of Pakistan [16].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Furthermore, few studies exist that explore factors influencing PA in Pakistan compared with studies conducted on Pakistanis living abroad [7,18]. In one study [7], PLwD preferred walking a distance less than one mile. A gender difference was also seen; men under the age of 40 preferred to cycle (those over the age of 40 preferred to walk a distance of one to five miles), whereas women were reportedly more involved in household activities.…”

Section: Introductionmentioning

confidence: 99%

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Experiences of living with type 2 diabetes in Pakistan: the role of culture and family in physical activity

Tariq

Rosten

Huber

2022

Int J Equity Health

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Background Diabetes-related guidelines recommend lifestyle changes for people living with type 2 diabetes (PLwD). In South Asian (SA) families, cultural and contextual expectations often influence people’s decisions. However, broad explanations provided in the existing literature and theories concerning family involvement can increase the chance of health professionals overlooking the complexities of family roles within SA communities. Previous literature has identified the need to examine the perspectives of PLwD and their family members in Pakistan to shed light on factors perceived to support and hinder recommended physical activity (PA) to manage type 2 diabetes. This study explored (1) the enablers of and barriers to PA in the context of PLwD in Pakistan and (2) family involvement regarding PLwD’s engagement with PA. Methods Semi-structured interviews were conducted with 30 PLwD and 17 family members of PLwD who were recruited in metropolitan Lahore (Pakistan) and primarily used state health services available to relatively disadvantaged populations. Interviews were transcribed and analysed using thematic analysis. Results Three themes were identified: (1) Going for a walk as a feasible PA; (2) the role of family members in influencing PA; and (3) gender differences and cultural acceptability of an activity. PA enablers for PLwD consist of gender-specific opportunities for activity facilitated by peers and family members. Culturally acceptable opportunities for PA in Pakistan for specific genders and age groups within the socio-cultural context constituted an essential factor. In this study, all women with diabetes described walking as the only acceptable form of PA, whereas some men mentioned other activities such as running, playing cricket, and cycling. Conclusions Medical guidelines must consider patients’ daily routines, account for cultural and familial expectations of different genders and age groups, and address social and physical barriers encountered by these different groups to encourage PA among PLwD in SA cultures.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Experiences of living with type 2 diabetes in Pakistan: the role of culture and family in physical activity

Tariq

Rosten

Huber

2022

Int J Equity Health

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Prevalence and associated factors of physical inactivity among adult diabetes mellitus patients in Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia

Enyew

Nigussie

Mihrete

et al. 2023

Sci Rep

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Physical inactivity has been viewed as an emerging public health problem in developing countries including Ethiopia. Diabetes mellitus (DM) is a group metabolic disorder characterized by chronic hyperglycemia resulting from defects in insulin secretion, function, or both. Its prevalence increases with changing lifestyles including physical inactivity across the globe. However, there is limited research, and not yet received attention in Ethiopia. This study aimed to assess the prevalence and associated factors of physical inactivity among adult diabetic patients in Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia. An institutional-based cross-sectional study design was conducted among 308 participants from February to June 2018 at Felege Hiwot Referral Hospital. A face-to-face interview was conducted using a structured questionnaire by trained data collectors. Participants were selected through a systematic random sampling technique. Physical inactivity was assessed by the international physical activity questionnaire (IPAQ). Collected data were entered in Epi info version 7 and transferred to SPSS version 20 for analysis. A summary of descriptive statistics and multiple binary logistic regression analyses were computed to identify associated factors of physical inactivity among adult diabetic patients. P < 0.05 with 95% CI was considered statistically significant. The overall prevalence of physical inactivity among diabetic patients was 30.5% ( 95% CI: 22.8–33.5%). Gender (AOR = 1.5, 95% CI: 1.1, 3.62), Old age (AOR = 18.17, 95% CI: 22.7, 61.9) Residence (AOR = 4.24, 95% CI: 1,12,16.028), Low self-efficacy (AOR = 20.59, 95% CI: 10.598, 41.608), Poor attitude (AOR = 2.75, 95%CI: 1.44,5.28), and Lack of social support (AOR = 4.22, 95% CI: 1.28,4.07) were found significantly predictor factors of physical inactivity. The prevalence of physical inactivity in this study was high. Being female, old age, dwelling in an urban, having low efficacy, poor attitude, and lack of social support was greater risk factors for being physically inactive. Diabetic education should focus on engagement in physical activity by overcoming barriers to performing physical activity. Government and health professionals should emphasize that evidence-based physical activity important to change their attitudes and require reaching a consensus on social support by their families.

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Physical activity trajectory during pregnancy and associations with maternal fatigue using a growth mixture modeling approach

Yan,

Jiang,

Yang

et al. 2024

Sci Rep

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The purpose of this study was to investigate the associations of physical activity trajectories with maternal fatigue. Pregnant women provided objectively assessed physical activity data by Pregnancy Physical Activity Questionnaire four times. Fatigue scale-14 was used to assess fatigue during pregnancy. Growth mixture modelling characterized physical activity trajectories across pregnancy. The generalized estimating equations was used to analyze the relationship between different physical activity profiles and fatigue in pregnant women. A total of 626 pregnant women were included in analysis in a teaching hospital in Nantong city. Fatigue (total, mental and physical) was not different between two groups based on total energy expenditure of PA (constantly high vs. constantly low). The pregnant women in “constantly high household PA” group had the higher fatigue compared to “constantly low household PA” (P < 0.05) and “constantly medium household PA” (P < 0.05). The pregnant women in “constantly high sport PA” group had lower fatigue compared to “constantly low sport PA” (P < 0.05). Household PA and sport PA were still an independent influencing factor for fatigue after controlling for confounding variables. Specifically, we observed that higher household PA and lower sport PA were associated with higher fatigue during pregnancy.

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Pattern of physical activity among persons with type 2 diabetes with special consideration to daily routine.

Cited by 6 publications

References 14 publications

Experiences of living with type 2 diabetes in Pakistan: the role of culture and family in physical activity

Experiences of living with type 2 diabetes in Pakistan: the role of culture and family in physical activity

Prevalence and associated factors of physical inactivity among adult diabetes mellitus patients in Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia

Physical activity trajectory during pregnancy and associations with maternal fatigue using a growth mixture modeling approach

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