Correlates of physical activity and sitting time in adults with type 2 diabetes attending primary health care in Oman

Autor: Elaine Bannerman, Yahya M. Al-Farsi, Saud M. Alharthi, Angela M. Craigie, Annie S. Anderson, Thamra S. Alghafri
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Adult
Male
medicine.medical_specialty
Oman
Cross-sectional study
Consultations
Psychological intervention
030209 endocrinology & metabolism
Type 2 diabetes
Sitting time
Health Promotion/methods
03 medical and health sciences
Exercise/psychology
Leisure Activities/psychology
0302 clinical medicine
Patient Education as Topic
Primary Health Care/methods
Surveys and Questionnaires
Diabetes mellitus
Epidemiology
Health care
Diabetes Mellitus
Type 2/prevention & control

medicine
Humans
030212 general & internal medicine
Aged
Primary health care
Aged
80 and over

business.industry
Physical activity
Public health
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health

lcsh:RA1-1270
Middle Aged
medicine.disease
Cross-Sectional Studies
Socioeconomic Factors
Physical therapy
Population study
Correlates
Female
Sedentary Behavior
business
Attitude to Health
Research Article
Zdroj: BMC Public Health, Vol 18, Iss 1, Pp 1-11 (2017)
BMC Public Health
Alghafri, T S, Alharthi, S M, Al-Farsi, Y, Bannerman, E, Craigie, A M & Anderson, A S 2017, ' Correlates of physical activity and sitting time in adults with type 2 diabetes attending primary health care in Oman ', BMC Public Health, vol. 18, no. 1, pp. 85 . https://doi.org/10.1186/s12889-017-4643-7
ISSN: 1471-2458
DOI: 10.1186/s12889-017-4643-7
Popis: Background Despite evidence of the benefits of physical activity in the management of type 2 diabetes, it is poorly addressed in diabetes care. This study aimed to identify the prevalence and correlates of meeting ≥600MET-min/wk. (150 min/wk) of physical activity and sitting time in adults with type 2 diabetes in Oman. Approaches to encourage physical activity in diabetes care were explored. Methods A cross-sectional study using the Global Physical Activity Questionnaire was conducted in 17 randomly selected primary health centres in Muscat. Clinical data including co-morbidities were extracted from the health information system. Questions on physical activity preferences and approaches were included. Patients were approached if they were ≥18 years, and had been registered in the diabetes clinic for >2 years. Results The questionnaire was completed by 305 people (females 57% and males 43%). Mean age (SD) was 57 (10.8) years and mean BMI (SD) was 31.0 (6.0) kg/m2. Duration of diabetes ranged from 2 to 25 (mean 7.6) years. Hypertension (71%) and dyslipidaemia (62%) were common comorbidities. Most (58.4%) had an HbA1c ≥7% indicating poor glycaemic control (55% in males vs 61% in females). Physical activity recommendations were met by 21.6% of the participants, mainly through leisure activities. Odds of meeting the recommendations were significantly higher in males (OR 4.8, 95% CI 2.5–9.1), individuals ≤57 years (OR 3.0, 95% CI 1.6–5.9), those at active self-reported stages of change for physical activity (OR 2.2, 95% CI 1.2–4.1) and those reporting no barriers to performing physical activity (OR 2.7, 95% CI 1.4–4.9). Median (25th, 75th percentiles) sitting time was 705 (600, 780) min/d. Older age (>57 years) was associated with longer sitting time (>705 min/d) (OR 2.8, 95% CI 1.7–4.6). Preferred methods to support physical activity in routine diabetes care were consultations (38%), structured physical activity sessions (13.4%) and referrals to physical activity facilities (5.6%) delivered by a variety of health care providers. Conclusions The results suggest that intervention strategies should take account of gender, age, opportunities within daily life to promote active behaviour and readiness to change. Offering physical activity consultations is of interest to this study population, thus development and evaluation of interventions are warranted. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4643-7) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE