Validity of the Use of a Triaxial Accelerometer and a Physical Activity Questionnaire for Estimating Total Energy Expenditure and Physical Activity Level among Elderly Patients with Type 2 Diabetes Mellitus: CLEVER-DM Study

2020 ◽  
Vol 76 (1) ◽  
pp. 62-72
Author(s):  
Yuki Nishida ◽  
Shigeho Tanaka ◽  
Satoshi Nakae ◽  
Yosuke Yamada ◽  
Katsutaro Morino ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Elderly Patients ◽  
Total Energy Expenditure ◽  
Activity Level ◽  
Strongly Correlated ◽  
Significant Difference

Introduction: Evaluation of total energy expenditure (TEE) and physical activity level (PAL) is important for treatment of patients with type 2 diabetes mellitus (T2DM). However, the validity of accelerometers (ACC) and physical activity questionnaires (PAQ) for estimating TEE and PAL remains unknown in elderly populations with T2DM. We evaluated the accuracy of TEE and PAL results estimated by an ACC (TEEACC and PALACC) and a PAQ (TEEPAQ and PALPAQ) in elderly patients with T2DM. Methods: Fifty-one elderly patients with T2DM (aged 61–79 years) participated in this study. TEEACC was calculated with PALACC using a triaxial ACC (Active style Pro HJA-750c) over 2 weeks and predicted basal metabolic rate (BMR) by Ganpule’s equation. TEEPAQ was estimated using predicted BMR and the PALPAQ from the ­Japan Public Health Center Study-Long questionnaire. We compared the results to TEEDLW measured with the doubly labeled water (DLW) method and PALDLW calculated with BMR using indirect calorimetry. Results: TEEDLW was 2,165 ± 365 kcal/day, and TEEACC was 2,014 ± 339 kcal/day; TEEACC was strongly correlated with TEEDLW (r = 0.87, p < 0.01) but significantly underestimated (–150 ± 183 kcal/day, p < 0.05). There was no significant difference in TEEPAQ and TEEDLW (–49 ± 284 kcal/day), while the range of difference seemed to be larger than TEEACC. PALDLW, PALACC, and PALPAQ were calculated to be 1.71 ± 0.17, 1.69 ± 0.16, and 1.78 ± 0.24, respectively. ­PALACC was strongly correlated with PALDLW (r = 0.71, p < 0.01), and there was no significant difference between the 2 values. PALPAQ was moderately correlated with PALDLW (r = 0.43, p < 0.01) but significantly overestimated. Predicted BMR was significantly lower than the BMR ­measured by indirect calorimetry (1,193 ± 186 vs. 1,262 ± 155 kcal/day, p < 0.01). Conclusions: The present ACC and questionnaire showed acceptable correlation of TEE and PAL compared with DLW method in elderly patients with T2DM. Systematic errors in estimating TEE may be improved by the better equation for predicting BMR.

scholarly journals COVID-19 Lockdown and Changes of the Dietary Pattern and Physical Activity Habits in a Cohort of Patients with Type 2 Diabetes Mellitus

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2327 ◽  
Author(s):  
María Belén Ruiz-Roso ◽  
Carolina Knott-Torcal ◽  
Diana C. Matilla-Escalante ◽  
Alba Garcimartín ◽  
Miguel A. Sampedro-Nuñez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Activity Level ◽  
Food Craving ◽  
Diet And Physical Activity ◽  
Snack Consumption ◽  
The Impact

The COVID-19 lockdown clearly affected the lifestyle of the population and entailed changes in their daily habits, which involved potential health consequences, especially on patients with Type 2 Diabetes Mellitus (T2DM). We aimed to examine the impact of the lockdown caused by COVID-19 pandemic on both nutrition and exercise habits, as well as the psychological effects in patients with T2DM, compared to their usual diet and physical activity level previous to the complete home confinement. We also intended to analyse any potential variables that may have influenced these lifestyle modifications. A Food Frequency Questionnaire (FFQ), Physical Activity Questionnaire (IPAQ), Food Craving Questionnaire-State (FCQ-S) and Food Craving Questionnaire-Trait (FCQ-T) were used. Our results showed an increase in vegetable, sugary food and snack consumption. An association between levels of foods cravings and snack consumption was also found. Data also showed a high percentage of physical inactivity before the COVID-19 lockdown, which was exacerbated during the home confinement. These findings emphasise the great importance to do further research with larger study samples to analyse and explore dietary habits and to develop public health policies to promote a healthy lifestyle in terms of diet and physical activity in these patients, especially after this strict period of lockdown.

scholarly journals Impact on the physical activity level of adults at high and very high risk of developing type 2 diabetes mellitus: email follow-up intervention

2019 ◽  
Vol 25 (4) ◽  
Author(s):  
Carla Giuliano de Sá Pinto Montenegro ◽  
Rafael Mathias Pitta ◽  
Marcio Marega ◽  
Roberta L. Rica ◽  
Luis Felipe Tubagi Polito ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
High Risk ◽  
Physical Activity Level ◽  
Activity Level ◽  
Very High

scholarly journals Perfil clínico e antropométrico de pacientes idosos com diabetes mellitus tipo 2 atendidos em ambulatório

2017 ◽  
Vol 27 (3) ◽  
pp. 26616 ◽  
Author(s):  
Maria Goretti Pessoa de Araújo Burgos ◽  
Thaís Carvalho de Amorim ◽  
Poliana Coelho Cabral
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Body Mass Index ◽  
Type 2 Diabetes Mellitus ◽  
Elderly Patients ◽  
Body Mass ◽  
Sedentary Lifestyle ◽  
Anthropometric Profile

*** Clinical and anthropometric profile of elderly outpatients with type 2 diabetes mellitus ***AIMS: to evaluate the clinical and anthropometric profile of elderly diabetic outpatients with type 2 diabetes mellitus.METHODS: A retrospective study was conducted on male and female elderly patients with type 2 diabetes mellitus treated at the nutrition/diabetes outpatient clinic of the Center for Senior Health (Federal University of Pernambuco, Brazil). Data on gender, age, time of diagnosis of diabetes, body mass index, physical activity, and concomitant chronic non-communicable diseases were retrieved from the clinic’s database and from patient files.RESULTS: A total of 244 elderly patients were assessed, 82.4% of whom were female. Mean age was 69.7±7 years, with a predominance of individuals aged between 60 and 74 years (76.2%). One hundred forty-seven patients (60.2%) had been diagnosed with diabetes for less than 5 years, 183 (75%) had systemic hypertension, 115 (47.1%) had dyslipidemia, and 129 (52.9%) lived a sedentary lifestyle. According to body mass index evaluation, 147 patients (60.2%) were overweight. By evaluating the association of demographic, clinical, and anthropometric variables and physical activity with overweight, there was a statistically significant association only with hypertension.CONCLUSIONS: Hypertension, overweight, and sedentary lifestyle were highly frequent in this sample of elderly diabetic patients with type 2 diabetes mellitus. In addition, there was an association between overweight and hypertension. Healthcare strategies need to be developed to stimulate lifestyle changes among elderly patients in order to prevent and control the complications related to these morbidities.

scholarly journals Association between the physical activity level and the quality of life of patients with type 2 diabetes mellitus

2015 ◽  
Vol 28 (1) ◽  
pp. 142-147 ◽  
Author(s):  
Tuğba Kuru Çolak ◽  
Gönül Acar ◽  
E. Elçin Dereli ◽  
Bahar Özgül ◽  
İlkşan Demirbüken ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Physical Activity Level ◽  
Activity Level

scholarly journals Comparison of quality of life and functionality in type 2 diabetics with and without insulin

2019 ◽  
Vol 65 (12) ◽  
pp. 1464-1469
Author(s):  
Ana Carolina dos Reis ◽  
Milena Vizioli Cunha ◽  
Maysa Alahmar Bianchin ◽  
Maristella Tonon Rui Freitas ◽  
Lilian Castiglioni
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Neuropathic Pain ◽  
Depressive Symptoms ◽  
Significant Difference

SUMMARY INTRODUCTION Type 2 diabetes mellitus compromises physical, psychological, economic, and social life. OBJECTIVES To identify and compare the quality of life, depression, functional performance, and physical activity in patients with type 2 diabetes mellitus who use insulin or not. METHODS A observational, descriptive, cross-sectional, comparative study involving 100 patients (50 use insulin and 50 do not) from a Teaching Hospital. Questionnaires used: Identification and Socioeconomic Profile; SF-36; Hospital Anxiety and Depression Scale; Visual Analogue Scale for Pain; Canadian Occupational Performance Measure, and International Physical Activity Questionnaire. RESULTS Sample composed predominantly by middle-aged, female, married, retired, and with incomplete elementary school individuals. There is impairment in all domains of quality of life, being more intense in functional capacity, physical limitations, pain, social aspects, limitation by emotional aspects, and mental health (P<0.05). There is a significant prevalence of anxiety or depressive symptoms in the groups, especially in those using insulin. However, the occurrence of the corresponding psychiatric disorders is unlikely (P<0.05). There was no significant difference in neuropathic pain between the groups (P=0.2296). Functional impairment is similar in both groups regarding self-care activities (P=0.4494) and productivity (P=0.5759), with a greater deterioration of leisure time in patients on insulin (P=0.0091). Most of them practice physical activity, predominantly walking, with no significant difference when comparing the groups (P>0.05), as well as in the other modalities. CONCLUSION Insulinized patients present greater impairment of functional capacity and socialization, as well as greater neuropathic pain, anxiety, and depressive symptoms.

Abstract #295 GLP-1 Receptor Agonists and Death From Any Cause in Elderly Patients with Type 2 Diabetes Mellitus: A Post-Hoc Analysis

2018 ◽  
Vol 24 ◽  
pp. 80-81
Author(s):  
Konstantinos Toulis ◽  
Krishna Gokhale ◽  
G. Neil Thomas ◽  
Wasim Hanif ◽  
Krishnarajah Nirantharakumar ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Elderly Patients ◽  
Post Hoc Analysis ◽  
Receptor Agonists ◽  
Post Hoc
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