A cross-sectional study of barriers to physical activity among overweight and obese patients with type 2 diabetes in Iran

The aim of this study is to evaluate the association between usual physical activity and 24 h blood pressure (BP) profile in people with type 2 diabetes mellitus (DM). This is a cross-sectional study of 151 participants with type 2 DM. Usual physical activity was assessed by step counting and self-reported questionnaire. BP was measured in office and by 24 h ambulatory BP monitoring (ABPM; 24 h, daytime and nighttime). Mean participant age was 61.1 ± 8.4 years, 64% was women, and mean duration of diabetes was 14.3 ± 8.5 years. Ninety-two percent of participants had hypertension, and office BP was 138 ± 18/78 ± 10 mmHg. Inverse correlations were observed between step count and 24 h BP (systolic, r=−0.186; p=0.022), daytime BP (systolic, r=−0.198; p=0.015), and nighttime BP (pulse pressure, r=−0.190; p=0.019). People were categorized into tertiles of daily step count, and the 1st tertile had higher 24 h systolic BP, daytime systolic BP, daytime mean BP, and daytime systolic BP load than those in the other tertiles, even after adjusting for age and HbA1c. Participants with type 2 DM and low levels of physical activity exhibit higher 24 h and daytime systolic ambulatory BP values as compared with those who performed more steps per day, even after adjustments for confounding factors.

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Physical activity and cardiometabolic health in adolescents with type 2 diabetes: a cross-sectional study

BMJ Open Diabetes Research & Care ◽

10.1136/bmjdrc-2021-002134 ◽

2021 ◽

Vol 9 (1) ◽

pp. e002134

Author(s):

Jana L Slaght ◽

Brandy Alexandra Wicklow ◽

Allison B Dart ◽

Elizabeth A C Sellers ◽

Melissa Gabbs ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Cross Sectional Study ◽

Z Score ◽

Sectional Study ◽

Cvd Risk ◽

Cross Sectional ◽

Duration Of Diabetes ◽

Vigorous Intensity

IntroductionYouth living with type 2 diabetes display increased risk of cardiovascular disease (CVD). It is unclear if regular physical activity (PA) modifies this risk.Research design and methodsWe compared CVD risk factors in a cross-sectional study of 164 youth with type 2 diabetes stratified according to weekly vigorous-intensity PA. Outcomes were hemoglobin A1c (HbA1c), ambulatory blood pressure (BP; ambulatory 24-hour readings), plasma lipoproteins, and albuminuria. The main exposure, vigorous-intensity PA, was quantified with the Adolescent Physical Activity Recall Questionnaire.ResultsYouth were 15±3 years, and 78% lived rurally and 68% were female, with a mean body mass index (BMI) Z-score of 2.4±1.1 and a mean HbA1c of 9.6% ±2.6%. Youth who participated in regular vigorous-intensity PA (40%; n=67) achieved nearly twice the dose of PA than peers who did not (62 vs 34 metabolic equivalent score-hour/week, p=0.001). After adjusting for duration of diabetes, BMI Z-score, sex, and smoking, youth who engaged in vigorous-intensity PA displayed lower HbA1c (9.1% vs 9.9%, p=0.052), diastolic BP (70 mm Hg vs 73 mm Hg, p=0.002), diastolic load (20% vs 26%, p=0.023), and mean arterial pressure (87.3 mm Hg vs 90.3 mm Hg, p<0.01), compared with youth who did not. Compared with youth who did not participate in regular vigorous-intensity PA, those who did also displayed lower odds of albuminuria after adjusting for duration of diabetes, sex, smoking, rural residence, and BMI Z-score (adjusted OR: 0.40, 95% CI 0.19 to 0.84).ConclusionsAmong youth with type 2 diabetes, participation in vigorous-intensity PA is associated with lower CVD risk.

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Cross-sectional study of diet, physical activity, television viewing and sleep duration in 233 110 adults from the UK Biobank; the behavioural phenotype of cardiovascular disease and type 2 diabetes

BMJ Open ◽

10.1136/bmjopen-2015-010038 ◽

2016 ◽

Vol 6 (3) ◽

pp. e010038 ◽

Cited By ~ 36

Author(s):

Sophie Cassidy ◽

Josephine Y Chau ◽

Michael Catt ◽

Adrian Bauman ◽

Michael I Trenell

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Television Viewing ◽

Cross Sectional Study ◽

Uk Biobank ◽

Sectional Study ◽

Behavioural Phenotype ◽

Cross Sectional ◽

The Uk

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Physical Activity Measurement Using an Accelerometer among Indians with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Critical Reviews in Physical and Rehabilitation Medicine ◽

10.1615/critrevphysrehabilmed.2018025969 ◽

2018 ◽

Vol 30 (2) ◽

pp. 141-150

Author(s):

Alisha Britto ◽

Sampath Kumar ◽

Animesh Hazari ◽

Radhika Jadhav ◽

Abraham Samuel Babu ◽

...

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Cross Sectional Study ◽

Activity Measurement ◽

Sectional Study ◽

Cross Sectional ◽

Physical Activity Measurement

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Fatores Associados a Tensão Arterial Não Controlada em Pessoas com Diabetes Tipo 2 Seguidas nos Cuidados de Saúde Primários em Portugal

Acta Médica Portuguesa ◽

10.20344/amp.8321 ◽

2017 ◽

Vol 30 (3) ◽

pp. 197 ◽

Cited By ~ 2

Author(s):

Inês Rosendo ◽

Luiz Miguel Santiago ◽

Margarida Marques

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Type 2 Diabetes ◽

Primary Care ◽

Regression Analysis ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Primary Care Patients

Introduction: Determine whether socio-demographic, habits and risk factors are associated with a better tensional control in type 2 diabetes in primary care patients in order to identify a specific target population for compensatory interventions improving diabetes control and reducing its morbi-mortality.Material and Methods: Cross-sectional study in primary care. Randomized type 2 diabetes patient data collection by their volunteer family doctors, proportionally stratified from the 5 Portuguese continental regions. Variables: blood pressure, age, gender, education, diabetes duration, HbA1c, smoking habits, weight, waist circumference, physical activity and adherence to medication. Bivariate and logistic regression analysis to evaluate each measured variable’s independent association with uncontrolled blood pressure (≥ 140/90).Results: 709 patients were included in the study, 60.2% men, mean age 66.12 ± 10.47 years. In logistic regression analysis, the factors independently associated to uncontrolled BP were lower education (p = 0.014), shorter diabetes duration (p = 0.002), higher waist circumference (p < 0.001), higher pulse pressure (p < 0.001), higher physical activity level (p = 0.043) and being a smoker (p < 0.001).Discussion: The main limitations are the fact that the sample was not totaly random and included only primary care patients, a possible inter-observer bias and being a cross-sectional study, thus not providing information on temporal relation or causality.Conclusion: The sub-group of people with diabetes identified to have worse tensional control should have a different and more intensive approach in primary care. We recommend further longitudinal and population based confirmatory research.

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