scholarly journals Short-term decreased physical activity with increased sedentary behaviour causes metabolic derangements and altered body composition: effects in individuals with and without a first-degree relative with type 2 diabetes

Diabetologia ◽  
2018 ◽  
Vol 61 (6) ◽  
pp. 1282-1294 ◽  
Author(s):  
Kelly A. Bowden Davies ◽  
Victoria S. Sprung ◽  
Juliette A. Norman ◽  
Andrew Thompson ◽  
Katie L. Mitchell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Body Composition ◽  
Sedentary Behaviour ◽  
Short Term ◽  
Degree Relative ◽  
Composition Effects

scholarly journals Sex differences in the association of psychological status with measures of physical activity and sedentary behaviour in adults with type 2 diabetes

2018 ◽  
Vol 55 (6) ◽  
pp. 627-635 ◽  
Author(s):  
Liliana Indelicato ◽  
Marco Dauriz ◽  
Elisabetta Bacchi ◽  
Silvia Donà ◽  
Lorenza Santi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Sex Differences ◽  
Sedentary Behaviour ◽  
Psychological Status

scholarly journals Development and Feasibility of an App to Decrease Risk Factors for Type 2 Diabetes in Hispanic Women With Recent Gestational Diabetes (Hola Bebé, Adiós Diabetes): Pilot Pre-Post Study (Preprint)

2020 ◽  
Author(s):  
Ellen W Seely ◽  
Patricia Flynn Weitzman ◽  
Dharma Cortes ◽  
Sara Romero Vicente ◽  
Sue E Levkoff
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Healthy Eating ◽  
Self Efficacy ◽  
Hispanic Women ◽  
Short Term ◽  
Increased Risk ◽  
Reduce Risk

BACKGROUND Hispanic women have increased risk of gestational diabetes mellitus (GDM), which carries an increased risk for future type 2 diabetes, compared to non-Hispanic women. In addition, Hispanic women are less likely to engage in healthy eating and physical activity, which are both risk factors for type 2 diabetes. Supporting patients to engage in healthy lifestyle behaviors through mobile health (mHealth) interventions is increasingly recognized as a viable, underused tool for disease prevention, as they reduce barriers to access frequently experienced in face-to-face interventions. Despite the high percentage of smartphone ownership among Hispanics, mHealth programs to reduce risk factors for type 2 diabetes in Hispanic women with prior GDM are lacking. OBJECTIVE This study aimed to (1) develop a mobile app (¡Hola Bebé, Adiós Diabetes!) to pilot test a culturally tailored, bilingual (Spanish/English) lifestyle program to reduce risk factors for type 2 diabetes in Hispanic women with GDM in the prior 5 years; (2) examine the acceptability and usability of the app; and (3) assess the short-term effectiveness of the app in increasing self-efficacy for both healthy eating and physical activity, and in decreasing weight. METHODS Social cognitive theory provided the framework for the study. A prototype app was developed based on prior research and cultural tailoring of content. Features included educational audiovisual modules on healthy eating and physical activity; personal action plans; motivational text messages; weight tracking; user-friendly, easy-to-follow recipes; directions on building a balanced plate; and tiered badges to reward achievements. Perceptions of the app’s acceptability and usability were explored through four focus groups. Short-term effectiveness of the app was tested in an 8-week single group pilot study. RESULTS In total, 11 Hispanic women, receiving care at a federally qualified community health center, aged 18-45 years, and with GDM in the last 5 years, participated in four focus groups to evaluate the app’s acceptability and usability. Participants found the following sections most useful: audiovisual modules, badges for completion of activities, weight-tracking graphics, and recipes. Suggested modifications included adjustments in phrasing, graphics, and a tiering system of badges. After app modifications, we conducted usability testing with 4 Hispanic women, with the key result being the suggestion for a “how-to tutorial.” To assess short-term effectiveness, 21 Hispanic women with prior GDM participated in the pilot. There was a statistically significant improvement in both self-efficacy for physical activity (<i>P</i>=.003) and self-efficacy for healthy eating (<i>P</i>=.007). Weight decreased but not significantly. Backend process data revealed a high level of user engagement. CONCLUSIONS These data support the app’s acceptability, usability, and short-term effectiveness, suggesting that this mHealth program has the potential to fill the gap in care experienced by Hispanic women with prior GDM following pregnancy. Future studies are needed to determine the effectiveness of an enhanced app in a randomized controlled trial. CLINICALTRIAL ClinicalTrials.gov NCT04149054; https://clinicaltrials.gov/ct2/show/NCT04149054

scholarly journals Patterns and correlates of active commuting in adults with type 2 diabetes: cross-sectional evidence from UK Biobank

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017132 ◽  
Author(s):  
Catherine L Falconer ◽  
Ashley R Cooper ◽  
Ellen Flint
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Sedentary Behaviour ◽  
Outcome Measures ◽  
Sedentary Time ◽  
Diabetes Diagnosis ◽  
Active Commuting ◽  
Uk Biobank ◽  
Cross Sectional

ObjectivesTo describe the active commuting (AC) patterns of adults with type 2 diabetes and how these relate to physical activity and sedentary behaviour in UK Biobank. Social and environmental correlates of AC will also be explored.DesignCross-sectional analysis of a cohort study.SettingsThis is a population cohort of over 500 000 people recruited from 22 centres across the UK. Participants aged between 37 and 73 years were recruited between 2006 and 2010.Participants6896 participants with a self-reported type 2 diabetes diagnosis who reported commuting to work and had complete covariate data were included in the analysis.Exposure measuresExposure measures were AC to work, measured as usual mode of transport.Outcome measuresOutcome measures were weekly minutes of moderate to vigorous physical activity (MVPA), hours/day of sedentary time and participation in active travel.ResultsAC (reporting walking or cycling to work only) was reported by 5.5% of participants, with the great majority using the car to commute (80%). AC was associated with an additional 73 (95% CI 10.8 to 134.9) and 105 (95% CI 41.7 to 167.2) weekly minutes of MVPA for men and women, respectively. AC was associated with reduced sedentary time (β −1.1, 95% CI −1.6 to –0.7 hours/day for men; and β −0.8, 95% CI −1.2 to –0.3 hours/day for women). Deprivation and distance from home to work were identified as correlates of AC behaviour.ConclusionsRates of AC are very low in adults with type 2 diabetes. However, AC offers a potentially sustainable solution to increasing physical activity and reducing sedentary behaviour. Therefore, strategies to improve the environment and encourage AC may help to increase population levels of physical activity and reduce the disease burden associated with type 2 diabetes.

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