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Miho Sodeno,1,2 Myo Nyein Aung,3â 5 Motoyuki Yuasa,1,3 Saiyud Moolphate,6 Virat Klinbuayaem,7 Aranya Srikhamsao,8 Thin Nyein Nyein Aung,9 Setsuko Sato,1 Takeshi Tanigawa1 1Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan; 2National Center for Global Health and Medicine, Tokyo, Japan; 3Department of Global Health Research, Graduate School of Medicine Juntendo University, Tokyo, Japan; 4Advanced Research Institute for Health Sciences, Juntendo University, Tokyo, Japan; 5Faculty of International Liberal Arts, Juntendo University, Tokyo, 113-8421, Japan; 6Department of Public Health, Faculty of Science and Technology, Chiang Mai Rajabhat University, Chiangmai, Thailand; 7Sanpatong Hospital, Chiang Mai, Thailand; 8Ban Hua Rin Subdistrict Health Promotion Hospital, Chiang Mai, 50120, Thailand; 9Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, ThailandCorrespondence: Myo Nyein Aung; Miho Sodeno, Juntendo University, Hongo 2-1-1, Bunkyo Ku, Tokyo, 113-8421, Japan, Email myo@juntendo.ac.jp; msodeno@it.ncgm.go.jpBackground: Health education and promotion is active in Thailand where diabetes is prevalent at 11.6% of the general adult population in 2021.Purpose: This study aimed to describe and compare the levels of physical activity between patients with newly diagnosed diabetes and non-diabetic controls in northern Thailand.Methods: This observational caseâcontrol study included participants aged between 25 and 74 years in Chiang Mai. We recruited 150 patients with type 2 diabetes mellitus (T2DM) at Sanpatong District Hospital and 150 control participants (non-T2DM) in the community. Interviews were conducted using the International Physical Activity QuestionnairesâShort Form. Anthropometric measurements and social demographic information were collected from both patients and controls in 2019.Results: The mean age of the participants was 58.8 ± 8.4 years in the T2DM group and 56.5 ± 9.9 years in the non-T2DM group. Compared to controls, patients with T2DM had received significantly more physical activity education (P < 0.001, Fisherâs test). Most cases (93.3%) had received such education at a hospital or health center. The median total metabolic equivalents (METs) minutes per week (min/week) for participants in the T2DM group were higher than those in the non-T2DM group (2726 vs 1140 METs min/week) (P < 0.001, MannâWhitney test). Comparing the case and control groups in the category of PA level, we found that the case group had a higher proportion of high-level physical activity (P < 0.001, chi-square test).Conclusion: Diabetes patients attending a community hospital exhibited high levels of physical activity. The majority of them received education related physical activity from a primary health care service.Keywords: diabetes mellitus, DM, health education, physical activity, international physical activity questionnaires, IPAQ, Thailand |
