Interventions to Promote Physical Activity in Older People with Type 2 Diabetes Mellitus: A Systematic Review

Background: Seven landmark randomised controlled trials, with some that began as early as the 1990s, observed the prediabetic state, namely, impaired glucose tolerance and impaired fasting glucose conditions, against the impact of lifestyle interventions such as physical activity, to prevent or delay the onset of type 2 diabetes mellitus. In addition to the landmark trials, this systematic review examines 14 studies that retained a focus on prediabetic individuals and measured the efficacy of physical activity on improving glucose tolerance. Results: Type, duration and intensity of structured physical activity can have unique benefits to prediabetic individuals. It is posited that diabetes prevention programmes must target prediabetic individuals as belonging to a high-risk group, separate and distinct from those identified with overall risk factors. While the transition from prediabetes to type 2 diabetes mellitus is not completely deterministic, the conversion rate is phenomenally higher among those with impaired glucose tolerance than those with normal glucose levels. Conclusion: Tenets of health behaviour models do support inferences that prediabetic individuals are potentially more inclined to weighing the risks and benefits of progressive illnesses and would therefore be more receptive to active participation in interventions. More research is required to develop evidence-based diabetes prevention programmes linked to structured physical activity intervention.

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Green Space Exposure Association with Type 2 Diabetes Mellitus, Physical Activity, and Obesity: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18010097 ◽

2020 ◽

Vol 18 (1) ◽

pp. 97

Author(s):

Felipe De la Fuente ◽

María Angélica Saldías ◽

Camila Cubillos ◽

Gabriela Mery ◽

Daniela Carvajal ◽

...

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Risk Factors ◽

Systematic Review ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Data Extraction ◽

Green Spaces ◽

Cross Sectional

Type 2 diabetes mellitus (T2DM) is a public health challenge that must be addressed considering the large number of risk factors involved in its appearance. Some environmental risk factors are currently described as predictors of diabetes, with access to green spaces being an element to consider in urban settings. This review aims to study the association between exposure to green spaces and outcomes such as diabetes, obesity, and physical activity in the general population. A systematic review was carried out using the PubMed, Embase, and LILACS databases and other sources. The search strategy was carried out from October 2019 to October 2020. Cross-sectional and cohort studies were included. The article selection was made by a pair of reviewers, and data extraction was carried out using a data extraction sheet. The quality assessment of the included studies was carried out using a validated tool. Finally, 19 scientific articles were included in this review. Evidence supports that people and communities exposed to green spaces, especially in their neighborhood, reduce the risk of T2DM and reduce the risk of being obese and increase the likelihood of physical activity. The onset of T2DM can be moderated by using green spaces, improving physical activity levels, and reducing the risk of being overweight and obese.

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Role of Autonomous Motivation in Increasing Physical Activity among Patients with Type 2 Diabetes Mellitus: A Systematic Review

Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes ◽

10.26911/the6thicph-fp.04.02 ◽

2019 ◽

Author(s):

Amalul Fadly Hasibuan ◽

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Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Systematic Review ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Autonomous Motivation

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The Effectiveness of Mobile Phone Messaging-Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis” (Preprint)

Journal of Medical Internet Research ◽

10.2196/29663 ◽

2021 ◽

Author(s):

Mohammed Alsahli ◽

Alaa Abd-Alrazaq ◽

Mowafa Househ ◽

Stathis Konstantinidis ◽

Holly Blake

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Systematic Review ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Mobile Phone ◽

Meta Analysis

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Gender Differences in Physical Activity Levels of Older People With Type 2 Diabetes Mellitus

Journal of Physical Activity and Health ◽

10.1123/jpah.2015-0147 ◽

2016 ◽

Vol 13 (4) ◽

pp. 409-415 ◽

Cited By ~ 8

Author(s):

Joan Kelly ◽

Katrina Edney ◽

Chris Moran ◽

Velandai Srikanth ◽

Michele Callisaya

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Older People ◽

Activity Levels ◽

Physical Activity Levels ◽

Steps Per Day ◽

Multivariable Regression

Background:Physical activity (PA) is important in managing Type 2 Diabetes Mellitus (T2DM). This study aimed to determine 1) the number of daily steps taken by older people with T2DM, 2) if T2DM is associated with taking fewer steps per day and less likelihood of meeting PA guidelines, and 3) whether these associations are modified by age or gender.Methods:PA was obtained by pedometer from 2 cohorts of older adults with and without T2DM. Multivariable regression was used to determine associations between T2DM, mean steps per day and meeting a guideline equivalent (7 100 steps per day).Results:There were 293 participants with T2DM (mean age 67.6 ± 6.8 years) and 336 without T2DM (mean age 72.1 ± 7.1 years). In women, T2DM was associated with fewer mean steps per day (β = –1306.4; 95% CI –2052.5, –560.3; P = .001) and not meeting the PA guidelines (OR 0.51; 95% CI 0.28, 0.92; P = .03). Associations were not significant in men (P > .05). Only 29.7% of those with T2DM and 33.3% of those without T2DM met PA guidelines.Conclusions:Greater focus is needed on how to maintain and increase PA in older age with particular focus on women with T2DM.

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