Barriers and Enablers for Physical Activity Engagement Among Individuals From India With Type 2 Diabetes Mellitus: A Mixed-Method Study.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of physical activity & health Pub Date : 2024-02-24 Print Date: 2024-05-01 DOI:10.1123/jpah.2023-0574

Prabhath Matpady, Arun G Maiya, Pallavi P Saraswat, Chythra R Rao, Mamatha Shivananda Pai, Shekarappa D Anupama, Jeevan K Shetty, Shashikiran Umakanth

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Abstract

Background: Type 2 diabetes mellitus (T2DM) is a complex, chronic condition that can cause multiple complications due to poor glycemic control. Self-management plays a crucial role in the management of T2DM. Lifestyle modifications, including physical activity (PA), are fundamental for self-management. This study explored the knowledge, perception, practice, enablers, and barriers of PA among individuals with T2DM.

Methods: A mixed-method study was conducted among individuals with T2DM in Udupi taluk, India. A cross-sectional survey (n = 467) followed by an in-depth interview (n = 35) was performed. The data were analyzed using descriptive statistics and thematic analysis, respectively.

Results: About half (48.8%) of the participants engaged in PA of which 28.3% had an adequate score in the practice of PA. Walking was the most preferred mode. Self-realization, Comprehension, perception, and source of information, PA training, Current PA practices, enablers and barriers for PA were 6 themes derived under knowledge, perception, and practice of PA.

Conclusion: Despite knowing the importance of PA, compliance with PA was poor. The personal/internal, societal, and external factors constituted the trinity of barriers and enablers in compliance with PA. Behavioral changes, societal changes, policy initiatives, and PA training in health care settings may enhance PA practice among individuals with T2DM.

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印度 2 型糖尿病患者参与体育活动的障碍和促进因素：混合方法研究

背景：2 型糖尿病（T2DM）是一种复杂的慢性疾病，由于血糖控制不佳，可引起多种并发症。自我管理在 T2DM 的管理中起着至关重要的作用。包括体育锻炼（PA）在内的生活方式调整是自我管理的基础。本研究探讨了 T2DM 患者对体育锻炼的了解、认知、实践、促进因素和障碍：在印度乌杜皮镇的 T2DM 患者中开展了一项混合方法研究。先进行了横断面调查（467 人），然后进行了深度访谈（35 人）。数据分别采用描述性统计和主题分析法进行分析：约有一半（48.8%）的参与者参与了体育锻炼，其中 28.3% 的参与者在体育锻炼方面取得了足够的分数。步行是最受欢迎的运动方式。自我实现、理解、感知和信息来源、PA 培训、当前的 PA 实践、PA 的促进因素和障碍是 PA 的知识、感知和实践下的 6 个主题：结论：尽管人们知道体育锻炼的重要性，但体育锻炼的依从性却很差。个人/内在因素、社会因素和外部因素三位一体，共同构成了影响个人防护的障碍和促进因素。行为改变、社会变革、政策措施以及在医疗保健机构中开展 PA 培训可提高 T2DM 患者的 PA 实践。

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来源期刊

Journal of physical activity & health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.50

自引率

3.20%

发文量

100

期刊介绍： The Journal of Physical Activity and Health (JPAH) publishes original research and review papers examining the relationship between physical activity and health, studying physical activity as an exposure as well as an outcome. As an exposure, the journal publishes articles examining how physical activity influences all aspects of health. As an outcome, the journal invites papers that examine the behavioral, community, and environmental interventions that may affect physical activity on an individual and/or population basis. The JPAH is an interdisciplinary journal published for researchers in fields of chronic disease.