Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional study
Introduction The aims of this cross-sectional study were to (1) describe habitual physical activity and adherence to WHO recommendations, and (2) investigate the association of comorbidity, obesity, stress, and health-related quality of life (HRQoL) with moderate to vigorous physical activity (MVPA)...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-08-01
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| Series: | BMJ Open Diabetes Research & Care |
| Online Access: | https://drc.bmj.com/content/10/4/e002935.full |
| _version_ | 1811339991120347136 |
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| author | Søren T Skou Mathias Ried-Larsen Anders Grøntved Peter Lund Kristensen Sofie Rath Mortensen Cathrine Lau |
| author_facet | Søren T Skou Mathias Ried-Larsen Anders Grøntved Peter Lund Kristensen Sofie Rath Mortensen Cathrine Lau |
| author_sort | Søren T Skou |
| collection | DOAJ |
| description | Introduction The aims of this cross-sectional study were to (1) describe habitual physical activity and adherence to WHO recommendations, and (2) investigate the association of comorbidity, obesity, stress, and health-related quality of life (HRQoL) with moderate to vigorous physical activity (MVPA) among individuals with diabetes.Research design and methods This study included 6856 participants with diabetes from the Danish National Health Survey from 2017. The primary outcome measure was weekly MVPA. Exposures included self-reported number of conditions, body mass index (BMI), perceived stress, and HRQoL. Mean difference in MVPA across exposures was estimated by multiple linear regression analyses.Results Forty per cent of individuals with diabetes were not adherent to WHO recommendations for physical activity. Individuals with diabetes had higher BMI, more comorbidities, higher perceived stress, and lower HRQoL. Individuals with three or more comorbidities were significantly associated with lower weekly MVPA (−0.48 hours/week, 95% CI −0.88 to −0.07) compared with individuals with no comorbidity. Furthermore, overweight or obese (class I–III) individuals engaged in significantly less weekly MVPA (obese class III vs normal weight: −1.98 hours/week, 95% CI −2.49 to −1.47). Higher perceived stress was significantly associated with lower weekly MVPA (−1.76 hours/week, 95% CI −2.18 to −1.34) versus low perceived stress. Finally, having low physical and mental HRQoL was associated with lower weekly MVPA (−0.93 hours/week, 95% CI −1.19 to −0.66 and −0.39 hours/week, 95% CI −0.71 to −0.08 respectively vs moderate or high HRQoL).Conclusions We found that 40% of individuals with diabetes do not engage regularly in adequate physical activity. Comorbidities, higher BMI, higher perceived stress, and lower HRQoL were associated with less engagement in physical activity. This study suggests that subgroups of individuals with diabetes are at higher risk of physical inactivity. |
| first_indexed | 2024-04-13T18:34:43Z |
| format | Article |
| id | doaj.art-efea412479c643e39c556a9a767e2df6 |
| institution | Directory Open Access Journal |
| issn | 2052-4897 |
| language | English |
| last_indexed | 2024-04-13T18:34:43Z |
| publishDate | 2022-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Diabetes Research & Care |
| spelling | doaj.art-efea412479c643e39c556a9a767e2df62022-12-22T02:34:56ZengBMJ Publishing GroupBMJ Open Diabetes Research & Care2052-48972022-08-0110410.1136/bmjdrc-2022-002935Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional studySøren T Skou0Mathias Ried-Larsen1Anders Grøntved2Peter Lund Kristensen3Sofie Rath Mortensen4Cathrine Lau5Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkCentre for Physical Activity Research (CFAS), Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Sports Science and Clinical Biomechanics, Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, University of Southern Denmark, Odense M, Denmark1Research Unit for Exercise Epidemiology, Institute of Sport Science and Clinical Biomechanics, Centre of Research in Childhood Health, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkCentre for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Frederiksberg, DenmarkIntroduction The aims of this cross-sectional study were to (1) describe habitual physical activity and adherence to WHO recommendations, and (2) investigate the association of comorbidity, obesity, stress, and health-related quality of life (HRQoL) with moderate to vigorous physical activity (MVPA) among individuals with diabetes.Research design and methods This study included 6856 participants with diabetes from the Danish National Health Survey from 2017. The primary outcome measure was weekly MVPA. Exposures included self-reported number of conditions, body mass index (BMI), perceived stress, and HRQoL. Mean difference in MVPA across exposures was estimated by multiple linear regression analyses.Results Forty per cent of individuals with diabetes were not adherent to WHO recommendations for physical activity. Individuals with diabetes had higher BMI, more comorbidities, higher perceived stress, and lower HRQoL. Individuals with three or more comorbidities were significantly associated with lower weekly MVPA (−0.48 hours/week, 95% CI −0.88 to −0.07) compared with individuals with no comorbidity. Furthermore, overweight or obese (class I–III) individuals engaged in significantly less weekly MVPA (obese class III vs normal weight: −1.98 hours/week, 95% CI −2.49 to −1.47). Higher perceived stress was significantly associated with lower weekly MVPA (−1.76 hours/week, 95% CI −2.18 to −1.34) versus low perceived stress. Finally, having low physical and mental HRQoL was associated with lower weekly MVPA (−0.93 hours/week, 95% CI −1.19 to −0.66 and −0.39 hours/week, 95% CI −0.71 to −0.08 respectively vs moderate or high HRQoL).Conclusions We found that 40% of individuals with diabetes do not engage regularly in adequate physical activity. Comorbidities, higher BMI, higher perceived stress, and lower HRQoL were associated with less engagement in physical activity. This study suggests that subgroups of individuals with diabetes are at higher risk of physical inactivity.https://drc.bmj.com/content/10/4/e002935.full |
| spellingShingle | Søren T Skou Mathias Ried-Larsen Anders Grøntved Peter Lund Kristensen Sofie Rath Mortensen Cathrine Lau Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional study BMJ Open Diabetes Research & Care |
| title | Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional study |
| title_full | Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional study |
| title_fullStr | Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional study |
| title_full_unstemmed | Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional study |
| title_short | Determinants of physical activity among 6856 individuals with diabetes: a nationwide cross-sectional study |
| title_sort | determinants of physical activity among 6856 individuals with diabetes a nationwide cross sectional study |
| url | https://drc.bmj.com/content/10/4/e002935.full |
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