Self-management of physical activity in adults with type 1 diabetes

McCarthy, Margaret M.; Whittemore, Robin; Gholson, Georica; Grey, Margaret

doi:10.1016/j.apnr.2017.02.010

Cited by 13 publications

(4 citation statements)

References 42 publications

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“…Adherence to these tasks are essential to the effective self-management of chronic conditions, with less than effective adherence leading to poor clinical and health outcomes (Bauer, Briss, Goodman, & Bowman, 2014; Howren & Gonzalez, 2016). Medication adherence (Günthard et al, 2016; Viswanathan, Golin, Jones, et al, 2012), self-monitoring of disease related symptoms (Hood et al, 2016; McBain, Shipley, & Newman, 2015), regular exercise (Bauer et al, 2014; Hoffmann et al, 2016; McCarthy, Whittemore, Gholson, & Grey, 2017), and lifestyle changes (Bauer et al, 2014), such as a healthy diet and smoking cessation, are critical elements in effective chronic condition self-management.…”

Section: Introductionmentioning

confidence: 99%

A descriptive, cross-sectional study examining treatment burden in people living with HIV

Schreiner

Perazzo

Currie

et al. 2019

Applied Nursing Research

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Aim: (1) describe the percentage of people living with HIV (PLWH) experiencing high levels of treatment burden who are at risk for self-management non-adherence, and (2) examine the relationship between known antecedent correlates (the number of chronic conditions, social capital, and age) of self-management and treatment burden while controlling for sample socio-demographics. Background: Chronic condition self-management is key to maintaining optimal health in the aging population of PLWH. Despite the efforts of providers, patients, and caregivers, self-management non-adherence is still a factor contributing to poor chronic condition self-management and subsequent poor health outcomes. Recent research has identified treatment burden as a risk factor of poor chronic disease self-management adherence. Method: Cross-sectional, secondary analysis of a sub-sample of 103 community dwelling, men and women diagnosed with HIV/AIDS derived from a larger parent study examining physical activity patterns in PLWH. Results: Participants reported an overall low level of treatment burden (M = 22.84; SD = 24.57), although 16% (n = 16) of the sample indicated experiencing high treatment burden. The number of chronic conditions (r = 0.25; p ≤ .01) and social capital (r = −0.19; p = .03) were significantly correlated with treatment burden. Multivariate analysis testing known antecedent correlates of treatment burden was statistically significant (p < .05), but only explained 8% of treatment burden’s variance. Conclusion: Findings have implications for nursing care of PLWH demonstrating a subset of PLWH experience high treatment burden related to chronic condition self-management. Findings also identify characteristics of PLWH who may be at high risk for treatment burden and subsequent self-management non-adherence.

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Section: Introductionmentioning

confidence: 99%

A descriptive, cross-sectional study examining treatment burden in people living with HIV

Schreiner

Perazzo

Currie

et al. 2019

Applied Nursing Research

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“…Maintaining a healthy diet, adequate physical activity, body weight reduction and avoiding tobacco smoking or its cessation are lifestyle factors that could help lower the risk or delay the onset of diabetes [3]. Furthermore, self-management of diabetes is a complex process that involves regular assessment and monitoring of blood glucose, use of medications like insulin and other anti-diabetic medications, monitoring of carbohydrate intake, regular physical activity adherence, making adjustments to these factors (to maintain normal blood glucose levels), lowering the risk of complications and maintaining coping mechanisms to deal with the psychosocial aspects of living with diabetes [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, several qualitative studies have evaluated attitudes and barriers to physical activity in individuals with diabetes [5,13,14,15]. Barriers to physical activity included: functional limitations due to diabetes or other medical conditions, “time, work, and lifestyle concerns”; difficulty changing well-established habits; social and personal factors; and environmental factors [5,13,14,15]. Only a few studies have quantitatively examined the factors associated with engaging in regular physical activity in adults with diabetes [16].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Meeting Current Recommendation for Physical Activity in Scottish Adults with Diabetes

Salman

Ukwaja

Alkhatib

2019

IJERPH

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It remains unclear which factors are instrumental in meeting the recommended physical activity in people with diabetes. We, therefore, aimed to determine the sociodemographic, health-related behavior and clinical factors associated with meeting the recommended levels of physical activity in Scottish adults with diabetes. The study was based on the nationally-representative cross-sectional Scottish Health Surveys (2014–2017). The study participants included a sub-sample of 1259 adults (≥16 years old) with diabetes. Physical activity was evaluated using international guidelines. Overall, 34.1% of the subjects met the recommended levels of physical activity. Independent determinants of meeting the recommended levels of physical activity include male gender (odds ratio (OR) 1.47; 95% confidence interval (CI) 1.07–2.00) and being a non-smoker (OR 1.62; 95% CI 1.02–2.56). Furthermore, meeting the recommended physical activity levels decreased with age (OR 0.96; 95% CI 0.95–0.97), having a longstanding illness (OR 0.56; 95% CI 0.34–0.93) and body mass index (OR 0.94; 95% CI 0.92–0.97), but increased with higher fruit and vegetable intake (OR 1.16; 95% CI 1.07–1.25) and mental wellbeing (OR 1.04; 95% CI 1.02–1.06). Implementation of health promotion programs that target the identified determinants is needed to improve the recommended levels of physical activity among adults with diabetes.

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“…In agreement with these results, a Spanish population-based study reported a higher proportion of women performing lower energy expenditure in physical activities [ 22 ]. The McCarthy et al study (2017), showed that more women were in the sedentary category compared to men in adults with type 1 diabetes [ 23 ]. Another recent publication demonstrated that more men than women met the PA guidelines [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Physical activity patterns in type 1 diabetes in Spain: The SED1 study

Gómez-Peralta,

Menéndez,

Conde

et al. 2023

BMC Sports Sci Med Rehabil

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Aims To describe the physical activity (PA) frequency and intensity in the Spanish type 1 diabetes mellitus (T1D) population and its association with their glycemic control. Methods A cross-sectional observational study was carried out in 75 Spanish public hospitals (the SED1 study). T1D patients over 14years of age self-completed the International Physical Activity Questionnaire (IPAQ) to determine their level of exercise. The relationship between PA frequency and intensity in T1D patients and glycemic control and the diabetes therapeutic education received were analyzed. Results A total of 592 patients were evaluable. A 6.8% of the sample performed light PA, 20.9% moderate and 72.3% vigorous. Estimated PA presented a high inter-individual variability. Men consumed more energy (METS) than women, these differences being more noticeable in vigorous METS (2865.80 in men vs 1352.12 in women). Women invested more min/week in the domestic and garden area (639.03 vs 344.39, p = 0,022). A correlation between glycemic control and the METs was not observed. Conclusions The Spanish T1D population performed PA in a higher frequency and intensity than the general population. A relationship between PA and glycemic control couldn´t be shown. However, limitations of the study should be kept in mind to discard a long-term positive influence.

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Self-management of physical activity in adults with type 1 diabetes

Cited by 13 publications

References 42 publications

A descriptive, cross-sectional study examining treatment burden in people living with HIV

A descriptive, cross-sectional study examining treatment burden in people living with HIV

Factors Associated with Meeting Current Recommendation for Physical Activity in Scottish Adults with Diabetes

Physical activity patterns in type 1 diabetes in Spain: The SED1 study

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