The usefulness of low-intensity physical activity management for malaise in type 2 diabetic patients after ablation

Although the incidence of “diabesity” (coexistence of type 2 diabetes and obesity) is alarmingly increasing in Algeria, the diet–diabesity link has not been well defined. This study aimed to explore the association between dietary diversity score (DDS) and obesity among Algerian type 2 diabetic patients. It was a cross-sectional observational study involving 390 type 2 diabetic patients. Anthropometric data were gathered, and dietary intake information was obtained through a 24-h dietary recall method, which was used to calculate DDS. Potential confounders such as age, sex, smoking, physical activity and energy intake were controlled for using multivariate logistic regression. A total of 160 patients (41.3%) were classified as obese. As expected, obese patients had a higher body mass index, waist circumference, hip circumference, body fat and fat mass index. Furthermore, obese patients more frequently met carbohydrate recommendations and had a higher intake of meat and protein. Female sex, hypertension, low physical activity and high meat and protein intake were positively associated with diabesity. Additionally, higher DDS was positively associated with diabesity after adjusting for confounders. Thus, a more diversified diet may be a risk factor for obesity among Algerian type 2 diabetic patients.

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Prescription of Physical Activity by General Practitioners in Type 2 Diabetes: Practice and Barriers in French Guiana

Frontiers in Endocrinology ◽

10.3389/fendo.2021.790326 ◽

2022 ◽

Vol 12 ◽

Author(s):

Stephanie Dranebois ◽

Marie Laure Lalanne-Mistrih ◽

Mathieu Nacher ◽

Liliane Thelusme ◽

Sandra Deungoue ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

General Practitioners ◽

French Guiana ◽

Diabetic Patients ◽

Type 2 Diabetic Patients ◽

Cross Sectional ◽

Balanced Diet ◽

Type 2 Diabetic

BackgroundGeneral practitioners (GPs) are the major primary healthcare players in the management of type 2 diabetes. In addition to a well-balanced diet, physical activity (PA) appears as a necessary non-medicinal therapy in the management of diabetic patients. However, GPs emphasize several obstacles to its prescription. The aim of this study is to evaluate the practices, barriers, and factors favoring the prescription of PA in type 2 diabetic patients by GPs in French Guiana.MethodWe conducted a cross-sectional descriptive study using a questionnaire, designed to interview 152 French Guiana GPs and describe their practice in prescribing PA in type 2 diabetic patients.ResultsOur results revealed that the prescription of PA as a non-medicinal therapeutic choice in the management of type 2 diabetes was practiced by 74% of the French Guiana GPs. However, only 37% of GPs responded that they implemented the recommendations; indeed, only one-third knew about them. The majority of GPs were interested in PA training, but only 11% were actually trained in this practice. The lack of structure adapted to the practice of PA and the lack of awareness of the benefits of PA in metabolic pathology appeared as the main obstacles to PA prescription.ConclusionThis study highlights the importance of improving the training of GPs in the prescription of PA, the development of adapted PA structures, and collaboration between the different actors within the framework of the sport-health system in type 2 diabetes in French Guiana.

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Physical Activity and Perceived Barriers among Type2 Diabetic Patients in Erbil City

Erbil Journal of Nursing and Midwifery ◽

10.15218/ejnm.2020.12 ◽

2020 ◽

Vol 3 (2) ◽

pp. 100-107

Author(s):

Rezhna Ahmed ◽

◽

Ronak Hussain ◽

Keyword(s):

Physical Activity ◽

Demographic Data ◽

Diabetic Patients ◽

Recreational Physical Activity ◽

Degree Relative ◽

Type 2 Diabetic Patients ◽

Activity Data ◽

Type 2 Diabetic ◽

Barriers To Physical Activity

Background and objectives: Physical activity is necessary for providing a healthy lifestyle, improving quality of life, controlling diabetes mellitus and promoting glycemic control. The aim of the study was to assess physical activity and to determine barriers to physical activity among type 2 diabetic patients in Erbil city. Methods: A cross-sectional study was conducted among 400 type 2 diabetic patients, attending Layla Qasim Center in Erbil City during May 27 to 30 August 2019. Data was col-lected using an interview based questionnaire to obtain socio-demographic data, clinical characteristics, Physical activity assessed using Global Physical Activity Questionnaire (GPAQ) and standardized questionnaire developed by the Centers of Diseases Control and Prevention for determining barriers of physical activity. Data were analyzed using descrip-tive statistical approach. Results: Participant were 400 patients with mean age of 57.0 + 9.4 years, 64.3% of the sample were females. (72.3%) of the sample were illiterate, 77.5% were either unem-ployed or housewives. 83.8% of the sample were married, 80.25% of samples had first degree relative positive family of diabetes. 56.5% of samples take oral hypoglycemic me-diactons.39.2% of samples were overweight and 83.7% of samples had poor glycemic con-trol.57.8% of participants didn’t meet recommendations (< 600 minutes per week) of physical activity. The main barriers that keeps patients from being active were lack of en-ergy (54.8%), lack of willpower (53%), and lack of skill (49.3%). Conclusions: According to the finding of the study type 2 diabetic patients had insuffi-cient physical activity to meet the recommended level necessary to achieve optimal gly-caemic control, prevent or decrease diabetic complications. Interventions should include guiding individuals to evolving recreational physical activity and overwhelming barriers to physical activity.

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