Co-morbidity, functionality and time since diagnosis as predictors of physical activity in individuals with type 1 or type 2 diabetes

2007 ◽  
Vol 78 (1) ◽  
pp. 115-122 ◽  
Author(s):  
Ronald C. Plotnikoff ◽  
Sonia Lippke ◽  
Nandini Karunamuni ◽  
Neil Eves ◽  
Kerry S. Courneya ◽  
...  
2005 ◽  
Vol 161 (Supplement_1) ◽  
pp. S54-S54
Author(s):  
R Plotnikoff ◽  
L Taylor ◽  
P Wilson ◽  
K Courneya ◽  
R Sigal ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Satoshi Ida ◽  
Ryutaro Kaneko ◽  
Kanako Imataka ◽  
Kaoru Okubo ◽  
Yoshitaka Shirakura ◽  
...  

The aim of this study was to evaluate the effects of flash glucose monitoring on dietary variety, physical activity, and self-care behavior in patients with diabetes. This study included outpatients with diabetes using insulin who presented at the Department of Diabetes and Metabolism of the Ise Red Cross Hospital. Before initiating flash glucose monitoring and 12 weeks after its initiation, blood glucose-related parameters were assessed and self-administered questionnaires were completed (Dietary Variety Score (DVS), the International Physical Activity Questionnaire (IPAQ), the Summary of Diabetes Self-Care Activities Measure (SDSCA), and the Diabetes Treatment Satisfaction Questionnaire (DTSQ)) and compared between the two time points. We analyzed 42 patients with type 1 diabetes mellitus and 48 patients with type 2 diabetes mellitus. In patients with type 2 diabetes mellitus, but not type 1 diabetes mellitus, there was an increase in moderate/high category scores for IPAQ (P<0.001) and for treatment satisfaction reported via DTSQ. Furthermore, in patients with type 2 diabetes mellitus, the glycemic excursion index improved significantly and HbA1c decreased significantly (from 7.7 (1.2) to 7.4 (0.8), P=0.025). Results showed that standard deviation and mean amplitude of glycemic excursions significantly decreased in patients with type 1 diabetes mellitus (from 71.2 (20.4) to 66.2 (17.5), P=0.033 and from 124.6 (31.9) to 108.1 (28.4), P<0.001, respectively). Flash glucose monitoring is a useful tool to improve physical activity in patients with type 2 diabetes.


Author(s):  
Julia Riske ◽  
Martin Janert ◽  
Melanie Kahle-Stephan ◽  
Michael A. Nauck

Abstract Background/aims Physical activity is recommended for patients with type 1 (T1D) and type 2 diabetes (T2D). We wanted to assess whether owning a dog influences duration or intensity of physical activity and metabolic control of diabetes mellitus. Patients and methods 143 patients with T1D (age 50±16 y.; BMI 25.7±4.5 kg/m2, HbA1c 8.6±1.6%) and 303 with T2D (age 63±11 y., BMI 33.7±7.3 kg/m2, HbA1c 9.0±1.6%, 232 [76.6%] insulin-treated, 89±61 IU/d), respectively, participated. A standardized questionnaire assessed diabetes history and treatment, details regarding time spent (per week) and intensity (MET, metabolic equivalent of task) of physical activity (“walking the dog” and other activities), anthropometric (BMI) and laboratory measures. Results 31.5% of T1D 23.1% of T2D patients were dog owners. Dog owners with T1D and T2D diabetes spent 19.0±3.3 and 19.8±2.6 MET.h per week walking the dog, which represented 61.3±5.7 and 62.9±4.9% of their total physical activity. Participants not owning a dog compensated by performing significantly more other activities. Taken together, total physical activity was similar in dog owners with T1D (p=0.80), but higher in dog owners with T2D (30.1±2.8 vs. 18.6±1.4 MET.h per week in those not owning a dog; p=0.0001). Body-mass-index or HbA1c were not significantly different in either patients with T1D or T2D either owning a dog or not. Conclusions Owning a dog motivates to a significant amount of physical activity, but this was fully compensated for by other forms of physical activity in (younger) patients with T1D. Even the higher physical activity in dog owners with T2D did not result in improved glycaemic or body weight control.


2016 ◽  
Vol 4 ◽  
pp. 205031211562285 ◽  
Author(s):  
Mashhood Ahmed Sheikh ◽  
Eiliv Lund ◽  
Tonje Braaten

Objective: Self-reported information from questionnaires is frequently used in epidemiological studies, but few of these studies provide information on the reproducibility of individual items contained in the questionnaire. We studied the test–retest reliability of self-reported diabetes among 33,919 participants in Norwegian Women and Cancer Study. Methods: The test–retest reliability of self-reported type 1 and type 2 diabetes diagnoses was evaluated between three self-administered questionnaires (completed in 1991, 1998, and 2005 by Norwegian Women and Cancer participants) by kappa agreement. The time interval between the test–retest studies was ~7 and ~14 years. Sensitivity of the kappa agreement for type 1 and type 2 diabetes diagnoses was assessed. Subgroup analysis was performed to assess whether test–retest reliability varies with age, body mass index, physical activity, education, and smoking status. Results: The kappa agreement for both types of self-reported diabetes diagnoses combined was good (⩾0.65) for all three test–retest studies (1991–1998, 1991–2005, and 1998–2005). The kappa agreement for type 1 diabetes was good (⩾0.73) in the 1991–2005 and the 1998–2005 test–retest studies, and very good (0.83) in the 1991–1998 test–retest study. The kappa agreement for type 2 diabetes was moderate (0.57) in the 1991–2005 test–retest study and good (⩾0.66) in the 1991–1998 and 1998–2005 test–retest studies. The overall kappa agreement in the 1991–1998 test–retest study was stronger than in the 1991–2005 test–retest study and the 1998–2005 test–retest study. There was no clear pattern of inconsistency in the kappa agreements within different strata of age, BMI, physical activity, and smoking. The kappa agreement was strongest among the respondents with 17 or more years of education, while generally it was weaker among the least educated group. Conclusion: The test–retest reliability of the diabetes was acceptable and there was no clear pattern of inconsistency in the kappa agreement stratified by age, body mass index, physical activity, and smoking. The study suggests that self-reported diabetes diagnosis from middle-aged women enrolled in the Norwegian Women and Cancer Study is reliable.


2005 ◽  
Vol 7 (1) ◽  
pp. 16-29 ◽  
Author(s):  
Melissa Spezia Faulkner ◽  
Laurie Quinn ◽  
James H. Rimmer ◽  
Barry H. Rich

Background. Incidence rates of both type 1 and type 2 diabetes mellitus (DM) are increasing in youth and may eventually contribute to premature heart disease in early adulthood. This investigation explored the influence of type of diabetes, gender, body mass index (BMI), metabolic control (HbA1c), exercise beliefs and physical activity on cardiovascular endurance (CE), and heart rate variability (HRV). Differences in exercise beliefs, physical activity, HRV, and CE in youth with type 1 versus type 2 DM were determined. Methods. Adolescents with type 1 DM (n = 105) or with type 2DM (n = 27) completed the Exercise Belief Instrument and the Physical Activity Recall. Twenty-four HRV measures were obtained via Holter monitoring and analyzed using SpaceLabs Vision Premier™ software system. The McMaster cycle test was used to measure CE (V02peak). Results. Regardless of the type of DM, females and those with higher BMI, poorer metabolic control, and lower amounts of physical activity tended to have lower levels of CE. Exercise beliefs consistently predicted both frequency and time domain HRV measures. Measures of exercise beliefs, self-reported physical activity, CE (V02peak), and HRV were significantly lower in adolescents with type 2 DM in comparison to those with type 1 DM. Conclusions and Recommendations. Early findings of poor physical fitness, lower HRV, fewer positive beliefs about exercise, and less active lifestyles highlight the importance of developing culturally sensitive interventions for assisting youth to make lifelong changes in their physical activity routines. Females, those with poorer metabolic control, and minority youth with type 2 DM may be particularly vulnerable to later cardiovascular disease.


2008 ◽  
Vol 57 (4) ◽  
pp. 628-643 ◽  
Author(s):  
Ronald C. Plotnikoff ◽  
Sonia Lippke ◽  
Kerry S. Courneya ◽  
Nick Birkett ◽  
Ronald J. Sigal

2012 ◽  
Vol 24 (4) ◽  
pp. 577-588 ◽  
Author(s):  
Jennifer R. O’Neill ◽  
Angela D. Liese ◽  
Robert E. McKeown ◽  
Bo Cai ◽  
Steven P. Cuffe ◽  
...  

In this study, the relationship between physical activity (PA) and 3 self-concept constructs (physical abilities, physical appearance, and general self-concept) was examined. Youth with type 1 diabetes (n = 304), type 2 diabetes (n = 49), and nondiabetic controls (n = 127) aged 10−20 years wore pedometers over 7 days. Youth completed the Self-Description Questionnaire and correlation coefficients were calculated. Mean steps/day were 7413 ± 3415, 4959 ± 3474 and 6870 ± 3521 for type 1, type 2 and control youth, respectively. Significant correlations were found between steps/day and perception of physical abilities (r = .29; r = .31; r = .31) for type 1, type 2, and control youth, respectively. The other correlations were not significant. Among youth with type 2 diabetes, steps/day were significantly correlated with physical appearance (r = .46). The positive correlation between PA and physical abilities suggests a reciprocal relationship between behavior and perception.


2021 ◽  
Vol 12 ◽  
Author(s):  
Dominik Pesta ◽  
Tomas Jelenik ◽  
Oana-Patricia Zaharia ◽  
Pavel Bobrov ◽  
Sven Görgens ◽  
...  

The rs540467 SNP in the NDUFB6 gene, encoding a mitochondrial complex I subunit, has been shown to modulate adaptations to exercise training. Interaction effects with diabetes mellitus remain unclear. We assessed associations of habitual physical activity (PA) levels with metabolic variables and examined a possible modifying effect of the rs540467 SNP. Volunteers with type 2 (n=242), type 1 diabetes (n=250) or normal glucose tolerance (control; n=139) were studied at diagnosis and subgroups with type 1 (n=96) and type 2 diabetes (n=95) after 5 years. Insulin sensitivity was measured by hyperinsulinemic-euglycemic clamps, oxygen uptake at the ventilator threshold (VO2AT) by spiroergometry and PA by questionnaires. Translational studies investigated insulin signaling and mitochondrial function in Ndufb6 siRNA-treated C2C12 myotubes, with electronic pulse stimulation (EPS) to simulate exercising. PA levels were 10 and 6%, VO2AT was 31% and 8% lower in type 2 and type 1 diabetes compared to control. Within 5 years, 36% of people with type 2 diabetes did not improve their insulin sensitivity despite increasing PA levels. The NDUFB6 rs540467 SNP modifies PA-mediated changes in insulin sensitivity, body composition and liver fat estimates in type 2 diabetes. Silencing Ndufb6 in myotubes reduced mitochondrial respiration and prevented rescue from palmitate-induced insulin resistance after EPS. A substantial proportion of humans with type 2 diabetes fails to respond to rising PA with increasing insulin sensitivity. This may at least partly relate to a polymorphism of the NDUFB6 gene, which may contribute to modulating mitochondrial function.Clinical Trial RegistrationClinicalTrials.gov, identifier NCT01055093. The trial was retrospectively registered on 25th of January 2010.


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