Factors Influencing Physical Activity Level in Adults With Type 1 Diabetes: A Cross-Sectional Study

IF 2.3 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Canadian Journal of Diabetes Pub Date : 2024-10-01 DOI:10.1016/j.jcjd.2024.06.002
Rakel Fuglsang Johansen MD, PhD , Sharon Caunt PhD , Simon Heller DM, FRCP , Sarah Elton Sander MSc, RN , Esben Søndergaard MD, PhD , Stig Molsted PhD , Peter Lommer Kristensen PhD
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Abstract

Objectives

Exercise is a recommended component of type 1 diabetes (T1D) treatment because high physical activity levels improve health outcomes. However, many people with T1D do not meet physical activity recommendations. Our aim in this study was to identify factors influencing physical activity levels in people with T1D.

Methods

This questionnaire-based study included adults with T1D from 1 outpatient clinic in the United Kingdom and 2 clinics in Denmark. Exercise characteristics, motivators, and barriers were assessed. Physical activity level was measured using the Saltin–Grimby Physical Activity Level Scale. Respondents were categorized into 3 activity groups: inactive, light active, and moderate-to-vigorous active.

Results

Of the 332 respondents, 8.4% rated themselves as inactive, 48% as light active, and 43% as moderate-to-vigorous active. Seventy-eight percent of inactive and light active repondents expressed a desire to become more physically active. Fifty-three percent of respondents had received guidance concerning exercise/physical activity from their diabetes team. Being male and having received guidance were associated with a higher physical activity level. The major motivators for exercising/being physically active were improved mental and physical health and glycemic management, whereas the most frequent barriers were busyness with work/private life and lack of motivation. Worries about glucose excursions, costs, lack of knowledge, and health-related reasons were more prevalent barriers in the least active groups.

Conclusions

This study demonstrated that 78% of inactive and light active respondents reported wishing to become more physically active. Receiving guidance about exercise/physical activity was associated with a higher physical activity level, but only 53% of respondents had received support from their diabetes team.
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影响 1 型糖尿病成人体育锻炼水平的因素:一项横断面研究
背景和目的:运动是建议的 1 型糖尿病(T1D)治疗方法之一,因为高水平的体育锻炼可以改善健康状况。然而,许多 T1D 患者并不符合体育锻炼建议。本研究旨在确定影响 T1D 患者体育锻炼水平的因素:这项基于问卷的研究包括英国一家门诊诊所和丹麦两家门诊诊所的 T1D 成人患者。对运动特点、动机和障碍进行了评估。采用 Saltin-Grimby 体力活动水平量表测量受访者的体力活动水平。受访者被分为三个活动组:不活跃组、轻度活跃组和中度至活跃组:结果:在 332 名受访者中,8.4% 的人认为自己不活跃,48% 的人认为自己轻度活跃,43% 的人认为自己中度至剧烈活跃。78%的非活跃和轻度活跃受访者表示希望加强体育锻炼。53%的受访者接受过糖尿病团队提供的运动/体育锻炼指导。男性和接受过指导与较高的体育锻炼水平有关。运动/体育锻炼的重要动机是改善身心健康和控制血糖,而最常见的障碍是工作/私人生活繁忙和缺乏动力。对血糖偏高的担忧、费用、缺乏知识以及与健康有关的原因是最不积极运动的群体中更普遍存在的障碍:本研究发现,78% 的非活跃和轻度活跃受访者表示希望加强体育锻炼。接受运动/体育锻炼指导与提高体育锻炼水平有关,但只有 53% 的受访者得到了糖尿病团队的支持。
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来源期刊
Canadian Journal of Diabetes
Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
CiteScore
4.80
自引率
4.00%
发文量
130
审稿时长
54 days
期刊介绍: The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.
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