Joint predictability of physical activity and bodyweight on health-related quality of life among Nigerian type 2 diabetes

Background:The objective was to investigate the longitudinal relationship between physical activity and health-related quality of life (HRQL) in adults with type 2 diabetes.Methods:Data were from a prospective cohort of adults with type 2 diabetes. Weekly moderate-to-vigorous physical activity (MVPA) was reported using the Godin Leisure-Time Physical Activity Questionnaire, and HRQL was reported using the SF-12 and 5-level EQ-5D. Participants were categorized based on current weekly MVPA recommendations. Multivariable linear regression was used to explore associations between MVPA and HRQL, and multinomial logistic regression was used to assess the direction of change in HRQL after 1 year.Results:Mean age of participants (N = 1948) was 64.5 ± 10.8 years and 45% were female. Participants reported a mean of 84.1 ± 172.4 min of MVPA/week, and 21% (n = 416) met weekly MVPA recommendations. MVPA was associated with differences in the physical functioning (b = 5.42; P < .001), general health (b = 2.45; P = .037), and vitality (b = 2.83; P = .016) SF-12 dimensions. Participants who met recommendations were less likely to report a decline (vs. no change) in EQ-5D index score (OR = 0.75; 95% CI [0.57, 0.99]), and SF-12 physical component summary (OR = 0.67; 95% CI [0.50, 0.90]), compared with participants not meeting recommendations.Conclusions:Participants who met weekly MVPA recommendations reported better physical functioning and were more likely to maintain their physical and overall HRQL over time.

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Impact of physical activity and bodyweight on health-related quality of life in people with type 2 diabetes

Diabetes Metabolic Syndrome and Obesity Targets and Therapy ◽

10.2147/dmso.s34835 ◽

2012 ◽

pp. 303 ◽

Cited By ~ 22

Author(s):

Katharina Eckert

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Type 2 Diabetes ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes

Arquivos Brasileiros de Endocrinologia & Metabologia ◽

10.1590/s0004-27302013000100006 ◽

2013 ◽

Vol 57 (1) ◽

pp. 44-50 ◽

Cited By ~ 25

Author(s):

Thiago Medeiros da Costa Daniele ◽

Veralice Meireles Sales de Bruin ◽

Débora Siqueira Nobre de Oliveira ◽

Clara Mota Randal Pompeu ◽

Adriana Costa e Forti

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Type 2 Diabetes ◽

Depressive Symptoms ◽

Diabetic Patients ◽

Health Related Quality ◽

Related Quality ◽

Health Related

OBJECTIVE: To investigate associations between physical activity, comorbidity severity, depressive symptoms, and health-related quality of life in type 2 diabetes mellitus. SUBJECTS AND METHODS: All individuals, 200 patients and 50 controls, aged from 40 to 60 years, were investigated by interview, and all variables were measured concurrently. Physical activity was evaluated by the International Physical Activity Questionnaire (IPAQ), Health-Related Quality of Life (HRQL) by the Short-Form Health Survey (SF-36), comorbidity severity by the Charlson Comorbidity Index (CCI), and depressive symptoms by the Beck Depression Inventory (BDI-II > 16). Single and multiple regression analysis evaluated the effects of independent variables on physical activity. RESULTS: The patients had more depressive symptoms and greater comorbidity severity (p < 0.005). Diabetic patients showed better activity levels (IPAQ) (p < 0.005). Functional Capacity, General State of Health, and Physical Limitation were the most affected subscales in the SF-36 evaluation of the HRQL. Sedentary diabetic patients had higher waist circumference, waist-to-hip ratios, more depressive symptoms, and worse HRQL. Functional capacity (p = 0.000), followed by General State of Health (p = 0.02), were the health status measure subscales independently associated with physical activity. Conclusions: The findings suggest that increasing patient independence and treating depressive symptoms can promote physical activity for type 2 diabetes mellitus patients. It is suggested that group activities and caregivers/family support might compensate for the patient dependence, and increase adherence to exercise programs in those that are less active.

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