1. MELLITUS - A CROSS SECTIONAL OBSERVATIONAL STUDY
IDENTIFICATION OF BARRIERS FOR ADHERENCE TO EXERCISE IN TYPE 2 DIABETES
MELLITUS - A CROSS SECTIONAL OBSERVATIONAL STUDY
Dave D.1, Soni S.1, Irani A.2
1Charotar University of Science & Technology, Ashok & Rita Patel Institute of Physiotherapy, Anand, India,
2Dr Balabhai Nanavati Hospital, Department of Physiotherapy & Sports Medicine, Mumbai, India
Introduction
Regular exercise improves blood glucose control and can prevent or delay type 2 diabetes mellitus (T2DM) related complications. Physical activity can help persons with T2DM to build self esteem and positive self image which are foundations of one’s quality of life.
Exercise in T2DM can be defined as a planned and structured physical activity in order to improve or maintain one or more elements of physical fitness.
Despite that the adherence to regular exercise recommendation in T2DM in India is not known.
Methods
Methodology: Cross-Sectional Observational Study
Time Period: June 2014 to September 2014
Sample Size: 200 (Mean Age ± 5.2 years)
Data Collection Tools: Interview/Questionnaires
Procedure:
Results
Discussion & Conclusions
According to ACSM guidelines, it is recommended that person with T2DM accumulate a minimum of 150 minutes of moderate intensity exercise at least 3 days per week.
In T2DM non-medical treatments like diet, exercise and periodic medical monitoring have a fundamental importance.
Key factors affecting regular exercise are,
Recommendations
Strategies should be aimed at overcoming internal as well as external barriers in doing exercise in persons with T2DM.
Internal Factors
External Factors
Lack of Time
Lack of interest
Tiredness
Body Pain
Unawareness of
exercise importance
Age
Hypoglycemic Episodes
Family Commitments
Lack of Social Support
Bad Weather
Step 1
Participant Recruitment
Study procedure Explanation
Informed Written Consent obtained
Step 2
Confirmation of Diagnosis
Data Collection
Step 3
Intervention:
Exercise for 30 Minutes
Three days per week
Ranking of the most Common Barriers to Regular Exercise
Ranking of Barriers
Male
Female
Overall 1
Lack of Time
Family Commitment 2
Lack of interest
Lack of Social Support 3
Unawareness of exercise importance
Tiredness 4 5
Body Pain
Age 6
Hypoglycemic Episodes 7 8 9 10
Bad Weather 11
Others
Purpose
The purpose of this study is to identify and rank gender wise barriers associated towards exercise adherence among persons with type 2 diabetes mellitus.
References
Thomas et al., Exercise for type 2 diabetes mellitus. Chocrane Database of Systematic Review, issue 3:2006
Eveliina et al., Barriers to regular exercise among adults at high risk or diagnosed with type 2 diabetes : A systematic Review.: 24(4); :
Participants
All participants are recruited from out patient department of three of the secondary care general hospitals in Nadiad and Anand, Gujarat state, India.
A sample of 200 persons (mean age 45.9 ± 5.2 years) with type 2 diabetes mellitus.
Results
Acknowledgements
Ethical approval was taken from Institutional review board (IRB ) of Institute.
This poster is presented at the WCPT Congress 2015, Singapore’
INCLUSION CRITERIA:
Persons with Type 2 Diabetes Mellitus for more than 1 Year
Age: 40 – 75 Years
Those who are willing to participate
EXCLUSION CRITERIA:
Psychosis
Respiratory Co-morbidities
Chronic Renal Insufficiency
Cognitive Deficit
Contact details
For any suggestions or query feel free to contact us at,6
Dr. Dhruv P. Dave –