Perceptions of Physical Activity in Middle-aged Women with Type 2 Diabetes

Bosch, Melodee Vanden; Wesley, Elizabeth L.; Strouse, Susan M.

doi:10.1177/0193945920973151

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…In other cultures walking is simply preferred by women as the exercise of choice due to feasibility, safety and avoidance of gyms and swimming pools (123). Similar preferences for walking as physical activity have been shown in middle-aged American women, mostly due to accessibility (129). Children, although sometimes a barrier to exercise, can also be inspirations for exercise.…”

Section: Solution: Social and Culturally Competent Interventionsmentioning

confidence: 90%

“…In women with children who have a history of gestational diabetes, and therefore a 7-fold increased risk of developing T2D, a systematic review revealed that interventions which accounted for childcare were most effective, surpassing techniques such as education and wearable fitness devices that have had success in other populations ( 32 ). Studies in socially and culturally conservative populations have found remarkable success with walking as a method of exercise for women ( 123 , 129 ). Although, as previously noted, some families in culturally conservative Qatar still require women to be accompanied when leaving the home, there has been a national cultural shift towards more independence for women.…”

Section: Social and Cultural Barriers To Exercise In T2d And Potentia...mentioning

confidence: 99%

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A narrative review of exercise participation among adults with prediabetes or type 2 diabetes: barriers and solutions

Thielen,

Reusch,

Regensteiner

2023

Front. Clin. Diabetes Healthc.

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Type 2 diabetes (T2D) has been rising in prevalence over the past few decades in the US and worldwide. T2D contributes to significant morbidity and premature mortality, primarily due to cardiovascular disease (CVD). Exercise is a major cornerstone of therapy for T2D as a result of its positive effects on glycemic control, blood pressure, weight loss and cardiovascular risk as well as other measures of health. However, studies show that a majority of people with T2D do not exercise regularly. The reasons given as to why exercise goals are not met are varied and include physiological, psychological, social, cultural and environmental barriers to exercise. One potential cause of inactivity in people with T2D is impaired cardiorespiratory fitness, even in the absence of clinically evident complications. The exercise impairment, although present in both sexes, is greater in women than men with T2D. Women with T2D also experience greater perceived exertion with exercise than their counterparts without diabetes. These physiological barriers are in addition to constructed societal barriers including cultural expectations of bearing the burden of childrearing for women and in some cultures, having limited access to exercise because of additional cultural expectations. People at risk for and with diabetes more commonly experience unfavorable social determinants of health (SDOH) than people without diabetes, represented by neighborhood deprivation. Neighborhood deprivation measures lack of resources in an area influencing socioeconomic status including many SDOH such as income, housing conditions, living environment, education and employment. Higher indices of neighborhood deprivation have been associated with increased risk of all-cause, cardiovascular and cancer related mortality. Unfavorable SDOH is also associated with obesity and lower levels of physical activity. Ideally regular physical activity should be incorporated into all communities as part of a productive and healthy lifestyle. One potential solution to improve access to physical activity is designing and building environments with increased walkability, greenspace and safe recreational areas. Other potential solutions include the use of continuous glucose monitors as real-time feedback tools aimed to increase motivation for physical activity, counseling aimed at improving self-efficacy towards exercise and even acquiring a dog to increase walking time. In this narrative review, we aim to examine some traditional and novel barriers to exercise, as well as present evidence on novel interventions or solutions to overcome barriers to increase exercise and physical activity in all people with prediabetes and T2D.

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Section: Solution: Social and Culturally Competent Interventionsmentioning

confidence: 90%

Section: Social and Cultural Barriers To Exercise In T2d And Potentia...mentioning

confidence: 99%

A narrative review of exercise participation among adults with prediabetes or type 2 diabetes: barriers and solutions

Thielen,

Reusch,

Regensteiner

2023

Front. Clin. Diabetes Healthc.

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show abstract

“…[11][12][13] Insulin secretion insufficiency of elderly diabetes patients is significantly related to body composition, obesity, and lack of PA, and PA can significantly improve the above problems. [14,15] Research shows that [16,17] PA is negatively related to the risk of diabetes, but the number of research evidence about PA and the risk of diabetes is limited, and the scientific quality of each research is uneven, so it is necessary to further explore the relationship between PA and the risk of diabetes. Therefore, the purpose of this study is to explore the correlation between the risk of diabetes and PA in middle-aged and elderly people in China and to provide a new basis for the study of PA in the prevention and treatment of diabetes in middle-aged and elderly people.…”

Section: Introductionmentioning

confidence: 99%

The relationship between physical activity and diabetes in middle-aged and elderly people

Tian

Shilko

et al. 2023

Medicine

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To investigate the association between diabetes symptoms and physical activity (PA) levels among middle-aged and older Chinese adults. Data for this study were obtained from 2018 Charles data. Z test, logistic regression analysis, and linear hierarchical regression analysis were performed in 5352 individuals aged ≥50 years with complete information. In terms of diabetes, 6.8% of the middle-aged and elderly people with diabetes were detected, and 93.2% of the middle-aged and elderly people without diabetes symptoms. The proportion of middle-aged and elderly people with high PA levels was 50.5%, and the proportion of middle-aged and elderly people with low PA was 49.5%. There was a significant positive correlation between low PA and diabetes ( P < .05). After adjusting demographic characteristics (gender, registered permanent residence type, education level, age, widowhood) and health status characteristics (poor mood, asthma, hyperlipidemia, disability, memory disease, self-assessment of health status, hypertension, smoking, stroke, depression), there was still a statistical significance between PA level and diabetes ( P < .05). The risk of diabetes of middle-aged and elderly people in China increases with age, while the risk of diabetes of middle-aged and elderly people with low level of PA is higher. The risk of diabetes is high among middle-aged and elderly people who are old, have poor self-evaluation health, suffer from hyperlipidemia, memory disease, and asthma. The middle-aged and old people should increase their PA levels to prevent and improve diabetes.

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Perceptions of exercise and exercise instruction in patients with type 2 diabetes mellitus and sarcopenia : a qualitative study

et al. 2022

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Background Exercise plays a major role in helping patients with type 2 diabetes mellitus and sarcopenia to increase muscle mass and muscle strength. However, little is known about perceptions of exercise and exercise instruction in these patients. This study aimed to explore the perceptions of exercise and exercise instruction from the patient’s perspective. Methods In a descriptive qualitative study, semi-structured face-to-face in-depth interviews were conducted with 16 patients with type 2 diabetes mellitus and sarcopenia at a tertiary hospital. The Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines were followed to ensure rigor in the study. The interviews were analysed using a thematic analysis method. Results Four themes and 13 sub-themes were identified in this study. The four themes were knowledge-attitudes-practices surrounding exercise, motivators and barriers regarding exercise, and attitudes towards professional exercise instruction. Conclusion This study provides a detailed understanding of the knowledge-attitudes-practices, motivators and barriers regarding exercise among patients with type 2 diabetes mellitus and sarcopenia, as well as attitudes related to exercise instruction. The current findings can guide healthcare professionals, patients’ families, and policymakers to motivate patients to be physically active through policy initiatives and other types of incentives and programmes, such as providing more health education and holistic support, increasing family and friends’ companionship and care, and providing suitable exercise conditions.

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Perceptions of Physical Activity in Middle-aged Women with Type 2 Diabetes

Cited by 3 publications

References 28 publications

A narrative review of exercise participation among adults with prediabetes or type 2 diabetes: barriers and solutions

A narrative review of exercise participation among adults with prediabetes or type 2 diabetes: barriers and solutions

The relationship between physical activity and diabetes in middle-aged and elderly people

Perceptions of exercise and exercise instruction in patients with type 2 diabetes mellitus and sarcopenia : a qualitative study

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