Perception of Importance of Physical Activity and Factors for Noncompliance to Physical Activity among Adult Type 2 Diabetic Patients
Keywords:
Non Compliance, Barriers, Physical activity, Perception, Type 2 Diabetes mellitusAbstract
Background: Diabetes is growing epidemic in India with more than 65 million diabetic individuals currently diagnosed with the disease. Regular physical activity is a cornerstone of type 2 diabetes management, but is often neglected and underutilized.
Objectives: To determine the pattern and the factors for noncompliance to physical exercise recommendation among type 2 diabetic patients.
Materials and Methods: It is a facility based cross-sectional study conducted on 125 type 2 diabetic patients who were interviewed using pretested, predesigned questionnaire on physical activity.
Results: The reported levels of physical activity were low and only 9.6% of the studied population met the recommended guidelines, though 92% had perception about the importance of physical activity. Main factors for the non-compliance were Poor health condition or disease (45.7 %), lack of time (42.4%), feel tired after exercise (31.2%), inaffordability of suitable sportswear (30.4%).
Conclusion: The majority of patients with type 2 diabetes does not engage in regular physical activity, with a rate significantly below recommended levels.
References
Joshi SR, Parikh RM. India - diabetes capital of the world: now heading towards hypertension. J Assoc Physicians India. 2007; 55:323–4.
Kumar A, Goel MK, Jain RB, Khanna P, Chaudhary V. India towards diabetes control: Key issues. Australas Med J. 2013; 6 (10):524–31.
6th ed. Brussels, Belgium: International Diabetes Federa-tion; 2013. International Diabetes Federation. IDF Diabe-tes Atlas. Available from: http://www.idf.org/diabetesatlas
Ramachandran A, Snehalatha C, Shetty S A, and Nanditha A.Trends in prevalence of diabetes in Asian countries. World J Diabetes. 2012 Jun 15; 3(6): 110–117.
Marwick TH, Hordern MD, Miller T, et al. Exercise Train-ing for Type 2 Diabetes Mellitus: Impact on Cardiovascu-lar Risk: A Scientific Statement From the American Heart Association, Circulation. 2009; 119 (25):3244-62.
Snowling NJ, Hopkins WG. Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes Care 2006. 29:2518-2527.
Pitsavos C, Panagiotakos D, Weinem M, Stefanadis C. Diet, exercise and the metabolic syndrome. Review of Di-abetic Studies 2006. 3(3):118-126.
Thomas D, Elliott EJ, Naughton GA. Exercise for type 2 diabetes mellitus. Cochrane Database of Systematic Re-views 2006, Issue 3.
Buse JB, Ginsberg HN, Bakris GL, Clark NG, Costa F, Eckel R, Fonseca V, Gerstein HC, Grundy S, Nesto RW, et al. Primary prevention of cardiovascular diseases in peo-ple with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Circulation. 2007; 115(1):114-26.
Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC. Physical activity and public health: a recommenda-tion from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA .1995; 273:402-7
Egede LE. Zheng D. Modifiable cardiovascular risk factors in adults with diabetes: prevalence and missed opportu-nities for physician counselling, Arch Intern Med 2002; 162:427–33.
Ford ES, Herman WH. Leisure-time physical activity pat-terns in the US diabetic population. Findings from the 1990 National Health Interview Survey—Health Promo-tion and Disease Prevention Supplement. Diabetes Care1995; 18:27–33.
Clark DO. Perceived barriers and facilitators to exercise among older low income adults. Journal of Clinical Gero-psychology1998; 5:51–62.
Dishman RK. Sallis JF, Orenstein DR. the determinants of physical activity and exercise. Public Health Rep1985;100:158–71.
Mangal A, Kumar V, Panesar S, Talwar R, Raut D, Singh S. Updated BG Prasad socioeconomic classification, 2014: A commentary. Indian J Public Health 2015;59:42-4
D. Rajasekharan, V Kulkarni, B Unnikrishnan, N Kumar, R Holla and R. Thapar. Self care activities among patients with diabetes attending a tertiary care hospital in manga-lore Karnataka, India. Ann Med Health Sci Res. 2015 Jan –Feb; 5(1):59-64
Shobhana R, Begum R,Snehalatha C, Vijay V,Ramachandran A: A patients’ adherence to diabetes treatment. J.Assoc Physicians India 1999, 47:1173-5.
Priya D,Hiwarkar PA, Khakse GM, Wahab SN. Self –care practices among type 2 patients attending diabetes clin-ic in India: A descriptive cross-sectional study. Int J Re-cent Trends Sci Technol. 2012; 4:116-9
Ghadzi and Bahari. Pilot study on barriers influencing the compliance towards exercise recommendation in patients with diabetes mellitus .Int. J. of Pharm. & Life Sci. Oct 2011; 2(10), 1107-14
Al-Kaabi, Al-Maskari, et al. Physical Activity and Re-ported Barriers to Activity Among Type 2 Diabetic Pa-tients in the United Arab Emirates. The Review of diabet-ic studies. 2009; 6:271-78.
Harris R, Linn MW. Health beliefs, compliance, and con-trol of diabetes mellitus.South Med J.1985;78:162–6.
Shah JH, Murata GH, Duckworth WC, Hoffman RM, Wendel CS, Factors Affecting Study Compliance in Type 2 Diabetic Patients: Experience from the Diabetes Outcomes in Veterans (DOVES). Int J Diab Dev Ctries. 2003; 23(3):75-82.
Lawton J, Ahmad N, Hanna L, Douglas M, Hallowell N. ‘I can't do any serious exercise’: barriers to physical ac-tivity amongst people of Pakistani and Indian origin with type 2 diabetes. Health Educ Res .2006;21(1):43-54.
Glasgow RE, Toobert DJ: Social environment and regimen adherence among type II diabetic patients. Diabetes Care. 1988; 11:377-86.
Delamater AM, Jacobson AM, Anderson BJ, Cox D, Fish-er L, Lustman P, Rubin R,Wysocki T: Psychosocial ther-apies in diabetes: report of the Psychosocial Therapies Working Group. Diabetes Care. 2001; 24:1286–92.
Kamiya A, Ohsawab I, Fujii T, et al. A clinical survey on the compliance of exercise therapy for diabetic outpa-tients. Diabetes Research and Clinical Practice.1995; 27: 141- 45.
Russell E,Glasgow, Deborah J,Toobert, and Cynthia D Gillette. Psychosocial Barriers to Diabetes Self-Management and Quality of Life. Diabetes Spec-trum.2001;14 (1):33-41.
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