year 7, Issue 3 (Autumn 2019)
Ann Appl Sport Sci 2019, 7(3): 49-56 |
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Esteves M, Gouveia A, Rodrigues R, Pinheiro P, Bras R, O'Hara K et al . Supervised Exercise Patterns among Diabetic and Non-diabetic Portuguese Adults. Ann Appl Sport Sci 2019; 7 (3) :49-56
URL: http://aassjournal.com/article-1-757-en.html
URL: http://aassjournal.com/article-1-757-en.html
Maria Esteves * 
1, Ana Gouveia2 , Ricardo Rodrigues3 , Paulo Pinheiro3 , Rui Bras4 , Kelly O'Hara4 , Paulo Duarte5
1, Ana Gouveia2 , Ricardo Rodrigues3 , Paulo Pinheiro3 , Rui Bras4 , Kelly O'Hara4 , Paulo Duarte5
1- Sport Sciences Department, University of Beira Interior, Covilhã, Portugal , desteves@ubi.pt
2- Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal
3- Business and Economics Department, University of Beira Interior, Covilhã, Portugal
4- Sport Sciences Department, University of Beira Interior, Covilhã, Portugal
5- NECE (Research unit in Business Sciences), Covilhã, Portugal
2- Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal
3- Business and Economics Department, University of Beira Interior, Covilhã, Portugal
4- Sport Sciences Department, University of Beira Interior, Covilhã, Portugal
5- NECE (Research unit in Business Sciences), Covilhã, Portugal
Abstract: (4724 Views)
Background. Physical activity (PA) is a keystone of diabetes management, but although self-exercise is beneficial, supervised exercise (SE), adapted to individual characteristics, and is more effective.
Objectives. The main research goal is to compare SE patterns among diabetic and non-diabetic Portuguese adults.
Methods. A total of 484 participants (85 diabetics, 399 non-diabetics), aged 41-90 years old (mean=58.9; SD=11.9) were interviewed. PA level was assessed using short form of the International Physical Activity Questionnaire. Attendance in different SE programs was evaluated across three kinds of PA programs providers: gym/health-clubs; swimming pools and other club/ sports facilities. Itens like Barriers to Exercise; Intention to participate; Importance of the structure and PA information sources were also evaluated. Independent t-tests were used to examine the difference between the group means, and Levene’s test was used to check the homokedasticity of the groups’ variances.
Results. PA level of diabetics (32% low; 25% moderate; 44% high) and non-diabetics (29% low; 33% moderate; 39% high) display no differences. 90% of diabetics do not attend SE. The main barrier for diabetics’ non-participation is the perception that the exercise is not adequate to their health. Doctors are the preferred information source for diabetics and they rely less on information provided by the Internet, with may impair on-line campaigns.
Conclusion. Promoting exercise in diabetics should shift the focus from "promoting physical activity" to "promoting SE".
Objectives. The main research goal is to compare SE patterns among diabetic and non-diabetic Portuguese adults.
Methods. A total of 484 participants (85 diabetics, 399 non-diabetics), aged 41-90 years old (mean=58.9; SD=11.9) were interviewed. PA level was assessed using short form of the International Physical Activity Questionnaire. Attendance in different SE programs was evaluated across three kinds of PA programs providers: gym/health-clubs; swimming pools and other club/ sports facilities. Itens like Barriers to Exercise; Intention to participate; Importance of the structure and PA information sources were also evaluated. Independent t-tests were used to examine the difference between the group means, and Levene’s test was used to check the homokedasticity of the groups’ variances.
Results. PA level of diabetics (32% low; 25% moderate; 44% high) and non-diabetics (29% low; 33% moderate; 39% high) display no differences. 90% of diabetics do not attend SE. The main barrier for diabetics’ non-participation is the perception that the exercise is not adequate to their health. Doctors are the preferred information source for diabetics and they rely less on information provided by the Internet, with may impair on-line campaigns.
Conclusion. Promoting exercise in diabetics should shift the focus from "promoting physical activity" to "promoting SE".
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APPLICATIONS REMARKS
APPLICATIONS REMARKS
- The Fitness trainers and instructors must improve the exercise programs for diabetics not only to design specific exercises but also to minimize exercise risks.
- The promoters of PA programs such as gyms or health clubs should implement supervised exercises programs for diabetics as it can help to attract diabetics for their services.
- The promoters of PA programs such as gyms or health clubs should implement supervised exercises programs for diabetics as it can help to attract diabetics for their services.
Type of Study: Original Article |
Subject:
Exercise, Training and Health
Received: 2019/03/11 | Accepted: 2019/05/13
Received: 2019/03/11 | Accepted: 2019/05/13
References
1. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065-79. [DOI:10.2337/dc16-1728] [PMID]
2. Jenkins DW, Jenks A. Exercise and Diabetes: A Narrative Review. J Foot Ankle Surg. 2017;56(5):968-74. [DOI:10.1053/j.jfas.2017.06.019] [PMID]
3. van der Berg JD, Stehouwer CD, Bosma H, van der Velde JH, Willems PJ, Savelberg HH, et al. Associations of total amount and patterns of sedentary behaviour with type 2 diabetes and the metabolic syndrome: The Maastricht Study. Diabetologia. 2016;59(4):709-18. [DOI:10.1007/s00125-015-3861-8] [PMID] [PMCID]
4. Arena R, Sagner M, Byrne NM, Williams AD, McNeil A, Street SJ, et al. Novel approaches for the promotion of physical activity and exercise for prevention and management of type 2 diabetes. Eur J Clin Nutr. 2017;71(7):858-64. [DOI:10.1038/ejcn.2017.53] [PMID]
5. Asif M. The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. J Educ Health Promot. 2014;3:1. [DOI:10.4103/2277-9531.127541] [PMID] [PMCID]
6. Olson EA, McAuley E. Impact of a brief intervention on self-regulation, self-efficacy and physical activity in older adults with type 2 diabetes. J Behav Med. 2015;38(6):886-98. [DOI:10.1007/s10865-015-9660-3] [PMID] [PMCID]
7. Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25 Suppl 3:1-72. [DOI:10.1111/sms.12581] [PMID]
8. Umpierre D, Ribeiro PA, Kramer CK, Leitao CB, Zucatti AT, Azevedo MJ, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790-9. [DOI:10.1001/jama.2011.576] [PMID]
9. Balducci S, Zanuso S, Cardelli P, Salvi L, Bazuro A, Pugliese L, et al. Effect of high- versus low-intensity supervised aerobic and resistance training on modifiable cardiovascular risk factors in type 2 diabetes; the Italian Diabetes and Exercise Study (IDES). PLoS One. 2012;7(11):e49297. [DOI:10.1371/journal.pone.0049297] [PMID] [PMCID]
10. Ried-Larsen M, MacDonald CS, Johansen MY, Hansen KB, Christensen R, Almdal TP, et al. Why prescribe exercise as therapy in type 2 diabetes? We have a pill for that! Diabetes Metab Res Rev. 2018;34(5):e2999. [DOI:10.1002/dmrr.2999] [PMID]
11. Grace A, Chan E, Giallauria F, Graham PL, Smart NA. Clinical outcomes and glycaemic responses to different aerobic exercise training intensities in type II diabetes: a systematic review and meta-analysis. Cardiovasc Diabetol. 2017;16(1):37. [DOI:10.1186/s12933-017-0518-6] [PMID] [PMCID]
12. Iwasa T, Amiya E, Ando J, Watanabe M, Murasawa T, Komuro I. Different Contributions of Physical Activity on Arterial Stiffness between Diabetics and Non-Diabetics. PLoS One. 2016;11(8):e0160632. [DOI:10.1371/journal.pone.0160632] [PMID] [PMCID]
13. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. [DOI:10.1249/01.MSS.0000078924.61453.FB] [PMID]
14. Thomas N, Alder E, Leese GP. Barriers to physical activity in patients with diabetes. Postgrad Med J. 2004;80(943):287-91. [DOI:10.1136/pgmj.2003.010553] [PMID] [PMCID]
15. Pinheiro P, Esteves D, Brás R. Effect of Internet and social networks on knowledge regarding physical activity. Int J Manag Sci Inf Technol. 2012(4-(Apr-Jun)):29-41.
16. Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, et al. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care. 2010;33(12):e147-67. [DOI:10.2337/dc10-9990] [PMID] [PMCID]
17. Sabag A, Way KL, Keating SE, Sultana RN, O'Connor HT, Baker MK, et al. Exercise and ectopic fat in type 2 diabetes: A systematic review and meta-analysis. Diabetes Metab. 2017;43(3):195-210. [DOI:10.1016/j.diabet.2016.12.006] [PMID]
18. Dadgostar H, Firouzinezhad S, Ansari M, Younespour S, Mahmoudpour A, Khamseh ME. Supervised group-exercise therapy versus home-based exercise therapy: Their effects on Quality of Life and cardiovascular risk factors in women with type 2 diabetes. Diabetes Metab Syndr. 2016;10(2 Suppl 1):S30-6. [DOI:10.1016/j.dsx.2016.01.016] [PMID]
19. Duarte CK, Almeida JC, Merker AJ, Brauer Fde O, Rodrigues Tda C. Physical activity level and exercise in patients with diabetes mellitus. Rev Assoc Med Bras (1992). 2012;58(2):215-21.
https://doi.org/10.1016/S0104-4230(12)70183-5 [DOI:10.1590/S0104-42302012000200018]
20. Nolan RC, Raynor AJ, Berry NM, May EJ. Self-Reported Physical Activity Using the International Physical Activity Questionnaire (IPAQ) in Australian Adults with Type 2 Diabetes, with and Without Peripheral Neuropathy. Can J Diabetes. 2016;40(6):576-9. [DOI:10.1016/j.jcjd.2016.05.013] [PMID]
21. Fennell C. Effects of Supervised Training Compared to Unsupervised Training on Physical Activity, Muscular Endurance, and Cardiovascular Parameters. MOJ Orthoped heumatol. 2016;5(4). [DOI:10.15406/mojor.2016.05.00184]
22. Lacroix A, Hortobagyi T, Beurskens R, Granacher U. Effects of Supervised vs. Unsupervised Training Programs on Balance and Muscle Strength in Older Adults: A Systematic Review and Meta-Analysis. Sports Med. 2017;47(11):2341-61. [DOI:10.1007/s40279-017-0747-6] [PMID]
23. Chen CN, Chuang LM, Korivi M, Wu YT. Home-based exercise may not decrease the insulin resistance in individuals with metabolic syndrome. J Phys Act Health. 2015;12(1):74-9. [DOI:10.1123/jpah.2013-0284] [PMID]
24. Mazzuca P, Montesi L, Mazzoni G, Grazzi G, Micheli MM, Piergiovanni S, et al. Supervised vs. self-selected physical activity for individuals with diabetes and obesity: the Lifestyle Gym program. Intern Emerg Med. 2017;12(1):45-52. [DOI:10.1007/s11739-016-1506-7] [PMID]
25. Mosalman Haghighi M, Mavros Y, Fiatarone Singh MA. The Effects of Structured Exercise or Lifestyle Behavior Interventions on Long-Term Physical Activity Level and Health Outcomes in Individuals With Type 2 Diabetes: A Systematic Review, Meta-Analysis, and Meta-Regression. J Phys Act Health. 2018;15(9):697-707. [DOI:10.1123/jpah.2017-0589] [PMID]
26. Plotnikoff RC, Johnson ST, Karunamuni N, Boule NG. Physical activity related information sources predict physical activity behaviors in adults with type 2 diabetes. J Health Commun. 2010;15(8):846-58. [DOI:10.1080/10810730.2010.522224] [PMID]
27. Sanchez A, Bully P, Martinez C, Grandes G. Effectiveness of physical activity promotion interventions in primary care: A review of reviews. Prev Med. 2015;76 Suppl:S56-67. [DOI:10.1016/j.ypmed.2014.09.012] [PMID]
28. Connelly J, Kirk A, Masthoff J, MacRury S. The use of technology to promote physical activity in Type 2 diabetes management: a systematic review. Diabet Med. 2013;30(12):1420-32. [DOI:10.1111/dme.12289] [PMID]
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