Objectively Measured Physical Activity of Vietnamese Adults With Type 2 Diabetes: Opportunities to Intervene

ObjectiveIn the USA, minority populations face a disproportionate burden from type 2 diabetes (T2D), in whom physical activity (PA) is recommended. The aim of this study was to determine levels of PA among a community of free-living Hispanic/Latino adults with T2D using a research accelerometer, a consumer device and a pictogram self-assessment questionnaire.Research design and methodsThis was a cross-sectional, observational study. Participants (57 women and 31 men, body mass index (kg/m2) 32.2±7.9 and 29.9±4.5, waist circumference 97.1±30.1 and 93.7±33.0 cm and hemoglobin A1c 8.0±2.0 and 8.1%±1.8%, respectively) wore an ActiGraph (AG) on the hip and a Fitbit (FB) on the wrist for 1 week to estimate daily steps and energy expenditure (EE). Participants reported type and intensity of PA using English-language or Spanish-language pictograms and a 10-point Likert scale (1=‘not active’ to 10=‘very, very active’).ResultsSteps per day were not normally distributed; AG median steps/weekday (Monday–Friday) was 6990 (range 1091–25 884) compared with 9329 (288–31 669) using FB (p≤0.01). Both devices recorded significantly more steps on weekdays versus weekends (p≤0.05). EE was also higher during the week. AG and FB were highly correlated to each other (p<0.01). Men were more active than women and maintained their PA throughout the week, whereas women decreased theirs on weekends. Spanish-language pictograms were preferred and self-reported PA matched objective assessments by both devices. Participants perceived themselves to be active (7.1±2.0) due to work.ConclusionsBoth objectively measured and self-reported levels of PA in Hispanic/Latino adults with T2D challenge the assumption that lack of PA may be commonplace for this group. AG and FB are different in their measurement of PA but are significantly correlated. New strategies, including use of pictograms, for interventions need to be considered if further increases or changes in PA are to be used as T2D therapy.Trial registration numberNCT03736486

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Associations of objectively measured moderate-to-vigorous-intensity physical activity and sedentary time with all-cause mortality in a population of adults at high risk of type 2 diabetes mellitus

Preventive Medicine Reports ◽

10.1016/j.pmedr.2017.01.013 ◽

2017 ◽

Vol 5 ◽

pp. 285-288 ◽

Cited By ~ 6

Author(s):

Kishan Bakrania ◽

Charlotte L. Edwardson ◽

Kamlesh Khunti ◽

Joseph Henson ◽

Emmanuel Stamatakis ◽

...

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Sedentary Time ◽

All Cause Mortality ◽

Intensity Physical Activity ◽

Vigorous Intensity ◽

Objectively Measured

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Association of Objectively Measured Timing of Physical Activity Bouts With Cardiovascular Health in Type 2 Diabetes

Diabetes Care ◽

10.2337/dc20-2178 ◽

2021 ◽

Vol 44 (4) ◽

pp. 1046-1054

Author(s):

Jingyi Qian ◽

Michael P. Walkup ◽

Shyh-Huei Chen ◽

Peter H. Brubaker ◽

Dale S. Bond ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Cardiovascular Health ◽

Objectively Measured

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Effectiveness of Interventions for Promoting Objectively Measured Physical Activity of Adults With Type 2 Diabetes: A Systematic Review

Journal of Physical Activity and Health ◽

10.1123/jpah.2016-0528 ◽

2017 ◽

Vol 14 (5) ◽

pp. 408-415 ◽

Cited By ~ 4

Author(s):

Shaima Alothman ◽

Abdalghani Yahya ◽

Jason Rucker ◽

Patricia M. Kluding

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Type 2 Diabetes ◽

Randomized Clinical Trials ◽

Glucose Monitoring ◽

Intervention Period ◽

Search Terms ◽

Phone Calls ◽

Objectively Measured

Background:Many people with type 2 diabetes (T2D) are sedentary despite strong recommendations of regular physical activity (PA). Objective measures of PA provide accurate reflection of daily PA level. The purpose of this review was to analyze studies used pedometers or accelerometers to determine the outcome of interventions promoted daily PA in people with T2D.Methods:An electronic literature search was conducted using the PubMed and CINAHL databases (2000–2016), with search terms: sedentary, diabetes, pedometer, physical activity, and accelerometer. Only peer-reviewed, randomized clinical trials (RCTs) that used objective measurement of daily PA level were included. All studies design, participant characteristics, intervention, and key findings were evaluated systematically and summarized.Results:A total of 15 RCTs were identified investigated objectively measured daily PA in people with T2D. A significant increase in PA was found following exercise consultation, behavioral/cognitive consultation, continuous glucose monitoring counseling, and motivational phone calls promoting PA. However, this increase in daily PA level was evident only during the intervention period.Conclusions:Our systematic review of the literature indicated that a variety of interventions approaches were effective in increasing PA temporarily during the intervention period. Interventions that use objective methods in measuring PA and have long term improvement in overall PA are needed.

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A Racial Comparison of Differences between Self-Reported and Objectively Measured Physical Activity among US Adults with Diabetes

Ethnicity & Disease ◽

10.18865/ed.27.4.403 ◽

2017 ◽

Vol 27 (4) ◽

pp. 403 ◽

Cited By ~ 8

Author(s):

Shahrzad Bazargan-Hejazi ◽

Jeffrey S. Arroyo ◽

Stanley Hsia ◽

Neda Rouhi Brojeni ◽

Deyu Pan

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

African Americans ◽

Self Report ◽

Objectively Measured ◽

Racial Ethnic ◽

Recommended Physical Activity

Objective: To investigate: 1) the racial/ethnic disparities in meeting the recommended physical activity as measured by subjective vs objective measures in a national sample of individuals with type 2 diabetes mellitus; and 2) the racial/ethnic differences with respect to the magnitude of the discrepancy between self-reported and objectively measured moderate-to-vigorous intensity aerobic physical activity (MVPA). Methods: We used data from the National Health and Nutrition Examination Survey (NHANES) 2003-06 to calculate and compare the percentage of individuals with diabetes who achieved the recommended levels of physical activity as measured by subjective self-report (500 metabolic equivalents (MET)-minutes/week) and objective accelerometer measurement (150 minutes per week of MVPA) across racial/ ethnic groups. Results: 71.2%, 15.7%, and 13.1% of participants were White, African American, and Hispanic, respectively. Based on self-report, 67.1%, 39.2%, and 55.1% of Whites, African Americans, and Hispanics, respectively, met the 500 MET-minutes/week threshold of physical activity (P<.0001). Objective measurement by accelerometer showed that 44.2%, 42.6%, and 65.1% of Whites, African Americans, and Hispanics, respectively, met the threshold (P<.0003). Conclusions: Many individuals with type 2 diabetes mellitus did not meet the recommended physical activity thresholds. African Americans had the lowest proportion of meeting both the self-reported and objectively measured thresholds. White patients with diabetes overestimated frequency of their physical activity, while their Hispanic counterparts significantly underestimated it. Also, the gap between the two measures of MVPA was largest among Hispanics. Ethn Dis. 2017;27(4):403-410; doi:10.18865/ ed.27.4.403.

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