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Zupkauskiene J, Lauceviciene I, Navickas P, Ryliskyte L, Puronaite R, Badariene J, Laucevicius A. Changes in health-related quality of life, motivation for physical activity, the levels of anxiety and depression after individualized aerobic training in subjects with metabolic syndrome. Hellenic J Cardiol 2022; 66:41-51. [DOI: 10.1016/j.hjc.2022.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 04/04/2022] [Accepted: 04/12/2022] [Indexed: 11/04/2022] Open
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Kuo HJ, Huang YC, García AA. An integrative review of fatigue in adults with type 2 diabetes mellitus: Implications for self-management and quality of life. J Clin Nurs 2021; 31:1409-1427. [PMID: 34585452 DOI: 10.1111/jocn.16058] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/15/2021] [Accepted: 09/12/2021] [Indexed: 01/19/2023]
Abstract
AIMS AND OBJECTIVES To synthesise empirical studies on factors related to fatigue and its impact on diabetes self-management (DSM) and quality of life (QOL) in adults with type 2 diabetes mellitus (T2DM). BACKGROUND Fatigue is commonly reported in people with T2DM, a chronic condition that is highly prevalent worldwide. However, a holistic understanding of the consequences and factors related to fatigue in adults with T2DM is not well synthesised. DESIGN This integrative review used Whittemore and Knafl's methodology and was reported according to the Preferred Reporting for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and checklist. METHODS The theory of unpleasant symptoms (TOUS) was used as a conceptual model to guide the review. The PubMed, PsychINFO and CINAHL databases were searched to identify studies that recruited adults with T2DM, were peer-reviewed, written in English and investigated fatigue as a primary or secondary outcome. Two investigators independently appraised the quality of the studies and extracted the data. RESULTS Twenty-nine articles met the inclusion criteria: 23 observational studies, two randomised controlled trials, one quasi-experimental study and three qualitative studies. All articles were of high quality. Physiological (e.g. T2DM duration, complications and inflammatory biomarkers), psychological (e.g. diabetes distress, depression and sleep quality) and situational factors (e.g. race/ethnicity, education and social support) were related to fatigue. Studies reported fatigue as a barrier to physical activity, healthy eating behaviours and the physical aspect of QOL. CONCLUSIONS Multiple factors are related to fatigue in adults with T2DM. Gaps in the literature include the multiple dimensions of fatigue, the effectiveness of interventions to alleviate fatigue and fatigue experiences in under-represented populations. RELEVANCE TO CLINICAL PRACTICE This integrative review supports the complex origin of fatigue and its impact on adults with T2DM. Nurses should evaluate modifiable factors related to fatigue and provide support to help improve DSM and QOL in this population.
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Affiliation(s)
- Hsuan-Ju Kuo
- The University of Texas at Austin School of Nursing, Austin, Texas, USA
| | - Ya-Ching Huang
- Texas State University St. David's School of Nursing, Round Rock, Texas, USA
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Yao WY, Han MG, De Vito G, Fang H, Xia Q, Chen Y, Liu X, Wei Y, Rothman RL, Xu WH. Physical Activity and Glycemic Control Status in Chinese Patients with Type 2 Diabetes: A Secondary Analysis of a Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18084292. [PMID: 33919529 PMCID: PMC8073010 DOI: 10.3390/ijerph18084292] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 04/07/2021] [Accepted: 04/09/2021] [Indexed: 11/30/2022]
Abstract
This secondary analysis was designed to evaluate the independent effect of physical activity (PA) on hemoglobin A1c (HbA1c) level in Chinese patients with type 2 diabetes mellitus (T2DM). A total of 799 T2DM patients from eight communities of Shanghai, China, were randomized into one control arm and three intervention arms receiving 1-year interventions of health literacy, exercise, or both. PA was measured using the International Physical Activity Questionnaire at baseline, 12 months, and 24 months and quantified as metabolic equivalents (Mets). A multiple level mixed regression model was applied to evaluate the associations between PA and HbA1c level. After adjusting for potential confounders including interaction of PA level with initial PA or HbA1c, a significant improved HbA1c was observed for the patients in the medium versus the lowest tertile groups of overall PA at 12 months (β: −3.47, 95%CI: −5.33, −1.60) and for those in the highest versus the lowest tertile group at 24 months (β: −0.50, 95%CI: −1.00, −0.01), resulting in a β (95%CI) of −3.49 (95%CI: −5.87, −1.11) during the whole two-year period of follow-up. The negative association was also observed when the subjects were classified according to their exercise levels using the World Health Organization (WHO) recommendation as a cut-off point. The beneficial effect of higher PA level was only observed among patients having a lower level of baseline HbA1c or PA or both (all p values for interaction <0.05). Our results provide evidence for the beneficial effect of PA and suggest that the exercise intervention should be addressed to the physically inactive patients to improve their PA level to a physiological threshold.
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Affiliation(s)
- Wei-Yuan Yao
- Key Laboratory of Public Health Safety (Ministry of Health), School of Public Health, Fudan University, Shanghai 200032, China; (W.-Y.Y.); (M.-G.H.); (X.L.); (Y.W.)
| | - Meng-Ge Han
- Key Laboratory of Public Health Safety (Ministry of Health), School of Public Health, Fudan University, Shanghai 200032, China; (W.-Y.Y.); (M.-G.H.); (X.L.); (Y.W.)
| | - Giuseppe De Vito
- Department of Biomedical Sciences, University of Padova, 35131 Padova, Italy;
| | - Hong Fang
- Minhang District Center for Disease Control and Prevention, Shanghai 201102, China;
| | - Qinghua Xia
- Changning District Center for Disease Control and Prevention, Shanghai 200051, China;
| | - Yingyao Chen
- Key Laboratory of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai 200032, China;
| | - Xiaona Liu
- Key Laboratory of Public Health Safety (Ministry of Health), School of Public Health, Fudan University, Shanghai 200032, China; (W.-Y.Y.); (M.-G.H.); (X.L.); (Y.W.)
| | - Yan Wei
- Key Laboratory of Public Health Safety (Ministry of Health), School of Public Health, Fudan University, Shanghai 200032, China; (W.-Y.Y.); (M.-G.H.); (X.L.); (Y.W.)
- Key Laboratory of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai 200032, China;
| | - Russell L. Rothman
- Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA;
| | - Wang-Hong Xu
- Key Laboratory of Public Health Safety (Ministry of Health), School of Public Health, Fudan University, Shanghai 200032, China; (W.-Y.Y.); (M.-G.H.); (X.L.); (Y.W.)
- Key Laboratory of Health Technology Assessment (National Health Commission), School of Public Health, Fudan University, Shanghai 200032, China;
- Correspondence: ; Tel.: +86-21-54237679
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Pelletier C, Gagnon MP, Alméras N, Després JP, Poirier P, Tremblay A, Chabot C, Rhéaume C. Using an activity tracker to increase motivation for physical activity in patients with type 2 diabetes in primary care: a randomized pilot trial. Mhealth 2021; 7:59. [PMID: 34805390 PMCID: PMC8572757 DOI: 10.21037/mhealth-20-154] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 02/07/2021] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Adopting healthy lifestyle habits reduces the risk of type 2 diabetes (T2D) and its complications. The use of an activity tracker to monitor physical activity (PA) could favor behavior changes in patients with chronic diseases such as diabetes. The aims of this study were: (I) to evaluate the impact of an activity tracker on PA and cardiometabolic risk variables in patients with T2D; (II) to assess the feasibility of its implantation in a primary care setting. METHODS This 3-month study was a pilot randomized controlled trial of 30 patients with T2D followed at a university-affiliated Family Medicine Group. Patients were randomly assigned to either: (I) control group, including a PA promotion intervention supported by a kinesiologist or (II) intervention group, including a PA promotion intervention supported by a kinesiologist with the addition of an activity tracker (Fitbit). Cardiometabolic risk variables, PA and motivation were assessed at baseline and after three months. Satisfaction and acceptability of wearing the activity tracker were measured in the intervention group. RESULTS PA assessed by questionnaires increased in both groups, change being greater in the intervention group (P<0.05). Autonomous motivation in both groups was higher than controlled motivation (P<0.001). Eighty-six percent of the participants in the intervention group were satisfied with their activity tracker use and the compliance remained high. High-density lipoprotein cholesterol increased in the intervention group and decreased in the control group (P=0.014). Resting systolic and diastolic blood pressure decreased over time in both groups (P<0.05) whereas glycated hemoglobin tended to decrease in both groups (P=0.080). Significant correlations were observed between average steps per day and changes in waist circumference (pre: -0.721, P=0.044; post: -0.736, P=0.038), body mass index (pre: -0.764, P=0.010; post: -0.771, P=0.009) and fat percentage (pre: -0.654, P=0.040; post: -0.686, P=0.028) in the intervention group. CONCLUSIONS Our pilot study shows that the use of an activity tracker improves cardiometabolic risk variables in patients with T2D and could potentially be a motivation tool to increase PA in primary care setting.
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Affiliation(s)
- Cynthia Pelletier
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Québec, Canada
- VITAM - Centre de recherche en santé durable, CIUSSS-Capitale-Nationale, Université Laval, Québec, Canada
| | - Marie-Pierre Gagnon
- VITAM - Centre de recherche en santé durable, CIUSSS-Capitale-Nationale, Université Laval, Québec, Canada
- Faculty of Nursing, Université Laval, Québec, Canada
| | - Natalie Alméras
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, Canada
| | - Jean-Pierre Després
- VITAM - Centre de recherche en santé durable, CIUSSS-Capitale-Nationale, Université Laval, Québec, Canada
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, Canada
| | - Paul Poirier
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Faculty of Pharmacy, Université Laval, Québec, Canada
| | - Angelo Tremblay
- VITAM - Centre de recherche en santé durable, CIUSSS-Capitale-Nationale, Université Laval, Québec, Canada
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
- Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, Canada
| | - Christian Chabot
- VITAM - Centre de recherche en santé durable, CIUSSS-Capitale-Nationale, Université Laval, Québec, Canada
| | - Caroline Rhéaume
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Québec, Canada
- VITAM - Centre de recherche en santé durable, CIUSSS-Capitale-Nationale, Université Laval, Québec, Canada
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada
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De Man J, Wouters E, Absetz P, Daivadanam M, Naggayi G, Kasujja FX, Remmen R, Guwatudde D, Van Olmen J. What Motivates People With (Pre)Diabetes to Move? Testing Self-Determination Theory in Rural Uganda. Front Psychol 2020; 11:404. [PMID: 32265775 PMCID: PMC7105875 DOI: 10.3389/fpsyg.2020.00404] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Accepted: 02/21/2020] [Indexed: 12/22/2022] Open
Abstract
Introduction Sub-Saharan Africa is experiencing a rapid growth of type 2 diabetes (T2D) and its related burden. Regular physical activity (PA) is a successful prevention strategy but is challenging to maintain. Self-determination theory (SDT) posits that more autonomous forms of motivation are associated with more sustainable behavior change. Evidence to support this claim is lacking in sub-Saharan Africa. This study aims to explore the relationships between latent constructs of autonomous and controlled motivation, perceived competence, perceived relatedness, PA behavior, and glycemic biomarkers. Methods Structural equation modeling was applied to cross-sectional data from a rural Ugandan population (N = 712, pre-diabetes = 329, diabetes = 383). Outcome measures included self-reported moderate and vigorous PA, pedometer counts, and fasting plasma glucose (FPG) and glycated hemoglobin (HbA1C). Results Our findings support SDT, but also suggest that different types of motivation regulate different domains and intensities of PA. Higher frequency of vigorous PA – which was linked to a lower HbA1C and FPG – was predicted by autonomous motivation (β = 0.24) but not by controlled motivation (β = −0.05). However, we found no association with moderate PA frequency nor with pedometer counts. Perceived competence and perceived relatedness predicted autonomous motivation. Autonomous motivation functioned as a mediator between those needs and PA behavior. Conclusion This is the first study providing evidence for a SDT model explaining PA among people at risk of, or living with, T2D in a rural sub-Saharan African setting. Our findings suggest that individuals who experience genuine support from friends or family and who feel competent in doing vigorous PA can become motivated through identification of health benefits of PA as their own goals. This type of motivation resulted in a higher frequency of vigorous PA and better glycemic biomarkers. On the other hand, people who felt more motivated through pressure from others or through feelings of guilt or shame were not more engaged in PA. Clinical Trial Registration ISRCTN 11913581. Registered January 10, 2017.
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Affiliation(s)
- Jeroen De Man
- Centre for General Practice, Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium
| | - Edwin Wouters
- Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Antwerp, Belgium
| | - Pilvikki Absetz
- Collaborative Care Systems Finland, Helsinki, Finland.,Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
| | - Meena Daivadanam
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden.,Health Systems and Policy Research Group, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.,International Maternal and Child Health Division, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
| | - Gloria Naggayi
- Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Francis Xavier Kasujja
- Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Roy Remmen
- Centre for General Practice, Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium
| | - David Guwatudde
- Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Josefien Van Olmen
- Centre for General Practice, Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium.,Department of Public Health, Institute of Tropical Medicine Antwerp, Antwerp, Belgium
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Fritschi C, Park C, Quinn L, Collins EG. Real-Time Associations Between Glucose Levels and Fatigue in Type 2 Diabetes: Sex and Time Effects. Biol Res Nurs 2020; 22:197-204. [PMID: 32008368 DOI: 10.1177/1099800419898002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVE Fatigue is a pervasive and serious complaint among aging adults with type 2 diabetes. Anecdotally, hyperglycemia was thought to cause fatigue, but prior cross-sectional analyses failed to find any relationship between glucose levels and fatigue. However, study methodology may have caused this relationship to be missed. Our aim was to use concurrent and continuous data across 5 days to examine real-time momentary relationships between glucose and fatigue levels by week, day, and time of day. Additionally, we explored how these relationships differed by sex. METHOD Participants (N = 54, 51% male, 54% non-White) wore continuous glucose monitors and wrist actigraphy into which they inputted fatigue ratings 6-8 times daily during waking hours across 5 days. Generalized estimation equation models were used to explore the relationship between glucose and fatigue when averaged by week, day, and time of day. Differences by sex were also explored. RESULTS HbA1c and baseline and real-time fatigue were higher in women than in men. Baseline HbA1c and self-reported general fatigue were unrelated. Fatigue levels averaged by day and time of day were higher in women than in men (p < .05). Glucose and fatigue were significantly related at all levels of data (weekly, daily, and time of day) in women but not men. CONCLUSIONS Our findings suggest that, when measured concurrently, glucose excursions may affect fatigue levels in women.
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Affiliation(s)
- Cynthia Fritschi
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Chang Park
- College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Laurie Quinn
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Eileen G Collins
- Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.,Research & Development, Edward Hines, Jr. VA Hospital, Hines, IL, USA
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Simoneau-Buessinger É, Jakobi JM, Toumi A, Mathys A, Bassement J, Barbier F, Leteneur S. Does Unilateral Lower Limb Amputation Influence Ankle Joint Torque in the Intact Leg? Arch Phys Med Rehabil 2019; 100:1259-1266. [DOI: 10.1016/j.apmr.2018.12.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 12/05/2018] [Accepted: 12/12/2018] [Indexed: 01/11/2023]
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Castonguay A, Miquelon P. Motivational profiles, accelerometer-derived physical activity, and acute diabetes-related symptoms in adults with type 2 diabetes. BMC Public Health 2018; 18:469. [PMID: 29636035 PMCID: PMC5894185 DOI: 10.1186/s12889-018-5376-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Accepted: 03/26/2018] [Indexed: 11/10/2022] Open
Abstract
Background Using self-determination theory, the objective of this study was to examine, over a one-month period, how physical activity (PA) motivation would influence accelerometer-derived PA behavior, and ultimately, acute diabetes-related symptoms burden among adults with type 2 diabetes (T2D adults). Using both a person and variable-centered approach, this objective was attained by means of: 1) investigating the indirect effect of PA participation on the relationship between PA motivation and acute diabetes-related symptom burden and 2) examining whether participants who met PA recommendations (i.e., 150 min of moderate-to-vigorous PA per week) would experience less acute diabetes-related symptom burden over a one-month period. Methods A two-wave prospective longitudinal design was used. At time 1, participants completed a questionnaire assessing their PA motivation and were asked to wear an ActiGraph GT3x accelerometer for four consecutive weeks. At time 2, they completed a short questionnaire assessing their acute diabetes-related symptoms (i.e., symptoms related to fatigue, cognitive distress, hyperglycemia, and hypoglycemia). The final sample includes 165 adults (89 or 53.61% women) aged from 26 to 75 years (M = 62.05, SD = 8.75) with T2D, which provided at least 21 valid days of accelerometer-derived data. Results First, results of a path analysis demonstrated that over a one-month period, the average number of minutes spent practicing moderate to vigorous PA per week mediated the relationship between intrinsic and external PA motivation and the level of burden associated with the following diabetes-related symptoms: fatigue, cognitive distress, and hyperglycemia. In addition, results of covariance analyses showed that participants meeting PA recommendations also reported significantly less burden associated with these three symptoms over a month period. Then, the existence of four motivational profiles (Self-Determined, High Introjected, Low Motivation, and Non-Self-Determined) was confirmed using a k-means analysis. Results of covariance and chi-square analyses further showed, respectively, that compared to other motivational profiles, the Self-Determined profile was associated with a higher score on weekly PA participation and meeting PA recommendations. Conclusions The results highlight the importance of promoting autonomous motives for PA participation among T2D adults. They also suggest that T2D adults meeting PA recommendations experience less acute diabetes-related symptoms burden, which further support the importance of their PA motivation.
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Affiliation(s)
- Alexandre Castonguay
- Department of Psychology, Université du Québec à Trois-Rivières, 3351, boul. des Forges, C.P. 500, Trois-Rivières, QC, G9A 5H7, Canada.
| | - Paule Miquelon
- Department of Psychology, Université du Québec à Trois-Rivières, 3351, boul. des Forges, C.P. 500, Trois-Rivières, QC, G9A 5H7, Canada
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Currie S, Greenwood K, Weber L, Khakee H, Legasto M, Tullis E, Wu K, Tsang A, Szego E, Mathur S. Physical Activity Levels in Individuals with Cystic Fibrosis-Related Diabetes. Physiother Can 2017; 69:171-177. [PMID: 28539697 PMCID: PMC5435394 DOI: 10.3138/ptc.2015-92ep] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Purpose: The literature on physical activity (PA) in adults with cystic fibrosis, particularly in those with cystic fibrosis-related diabetes (CFRD), is limited. PA may be an important part of blood glucose management in CFRD. The purpose of this study was to describe PA levels in adults with CFRD and determine their adherence to the Canadian Diabetes Association (CDA) aerobic exercise training guidelines. Methods: Adults with CFRD were recruited from a hospital-based CF clinic. PA was measured using the Seven-Day Physical Activity Recall (telephone interview), adherence to CFRD management with the Self-Care Inventory-Revised (questionnaire), and blood glucose control from glycated hemoglobin levels documented in participants' medical chart within 3 months. Results: Eighteen adults (mean age 41 [SD 9] y) with diagnosed CFRD participated in the study. They varied in volume of PA (range 13,080-17,362 metabolic equivalent min/wk). Of the study participants, 12 (67%) met the CDA guidelines of 150 minutes of moderate to vigorous PA per week with no more than 2 consecutive days without exercise. No differences were found in clinical factors between those who met the aerobic exercise guidelines and those who did not. Conclusion: The majority of individuals with CFRD are meeting the recommended amount of aerobic PA. The factors influencing PA and blood glucose control in adults with CFRD require further investigation.
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Affiliation(s)
- Sarah Currie
- Department of Physical Therapy, University of Toronto
| | | | - Lara Weber
- Department of Physical Therapy, University of Toronto
| | | | | | - Elizabeth Tullis
- Department of Medicine, St. Michael's Hospital and University of Toronto
| | - Kenneth Wu
- Department of Physical Therapy, University of Toronto
- St. Michael's Hospital, Toronto
| | | | - Erika Szego
- Department of Physical Therapy, University of Toronto
- St. Michael's Hospital, Toronto
| | - Sunita Mathur
- Department of Physical Therapy, University of Toronto
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Castonguay A, Miquelon P. Motivational profiles for physical activity among adults with type 2 diabetes and their relationships with physical activity behavior. Health Psychol Behav Med 2017. [DOI: 10.1080/21642850.2016.1272416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Affiliation(s)
- Alexandre Castonguay
- Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
| | - Paule Miquelon
- Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
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