scholarly journals Effect of Physical Activity and Obesity on Type 2 Diabetes in a Middle-Aged Population

2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Rashid M. Ansari
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Proportional Hazards Model ◽  
Cox Proportional Hazards Model ◽  
Stair Climbing ◽  
High Risk Population ◽  
Middle Aged ◽  
Aged Population ◽  
Reduced Risk

Background. The physical activity has been associated with a reduced risk of type 2 diabetes. The aim of this study was to examine the effect of physical activities such as occupational, household and daily lifestyle activities and obesity on the prevalence of type 2 diabetes in middle-aged population.Methods. All people (n= 2053), aged 45–64 years were selected for this study from the large sample of population-based cross-sectional data collected in the 1990–1994 by National Health Survey of Pakistan. The participants completed in-person interviews at baseline; the overall response rate was 92.6%. The Cox proportional hazards model was used to estimate the risk of developing the type 2 diabetes.Results. Stair climbing was found to be inversely associated with the risk of diabetes and cycling was also associated with a reduced risk of type 2 diabetes (; 95% CI 0.68–1.00, ). The relationship between physical activity and reduced risk of diabetes adjusted for age and body mass index was statistically significant only in women ().Conclusions. This study provides an incentive that physical activity in leisure-time exercise or daily activity reduces the risk of type 2 diabetes in a high-risk population.

scholarly journals Is Colectomy Associated with the Risk of Type 2 Diabetes in Patients without Colorectal Cancer? A Population-Based Cohort Study

2021 ◽  
Vol 10 (22) ◽  
pp. 5313
Author(s):  
Chin-Chia Wu ◽  
Cheng-Hung Lee ◽  
Ta-Wen Hsu ◽  
Chia-Chou Yeh ◽  
Mei-Chen Lin ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Type 2 Diabetes ◽  
Cohort Study ◽  
Proportional Hazards Model ◽  
Population Based ◽  
Cox Proportional Hazards Model ◽  
Colonic Disease ◽  
Research Database ◽  
Reduced Risk

Type 2 diabetes might be influenced by colonic disease; however, the association between colonic resection and type 2 diabetes has rarely been discussed. This population-based cohort study explored the association between colectomy and type 2 diabetes in patients without colorectal cancer. A total of 642 patients who underwent colectomy for noncancerous diseases at any time between 2000 and 2012 in the National Health Insurance Research Database of Taiwan were enrolled. The enrolled patients were matched with 2568 patients without colectomy at a 1:4 ratio using a propensity score that covered age, sex, and comorbidities. The risk of type 2 diabetes was assessed using a Cox proportional hazards model. The mean (standard deviation) follow-up durations in colectomy cases and non-colectomy controls were 4.9 (4.0) and 5.6 (3.6) years, respectively; 65 (10.1%) colectomy cases and 342 (15.5%) non-colectomy controls developed type 2 diabetes. After adjustment, colectomy cases still exhibited a decreased risk of type 2 diabetes (adjusted HR = 0.80, 95% CI: 0.61–1.04). A stratified analysis for colectomy type indicated that patients who underwent right or transverse colectomy had a significantly lower risk of developing type 2 diabetes (adjusted HR = 0.57, 95% CI: 0.34–0.98). In the present study, colectomy tended to be at a reduced risk of type 2 diabetes in patients without colorectal cancer, and right or transverse colectomies were especially associated with a significantly reduced risk of type 2 diabetes.

scholarly journals Physical Activity, Smoking, and Alcohol Consumption in Association with Incidence of Type 2 Diabetes among Middle-Aged and Elderly Chinese Men

PLoS ONE ◽  
2013 ◽  
Vol 8 (11) ◽  
pp. e77919 ◽  
Author(s):  
Liang Shi ◽  
Xiao-Ou Shu ◽  
Honglan Li ◽  
Hui Cai ◽  
Qiaolan Liu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Alcohol Consumption ◽  
Middle Aged ◽  
Chinese Men ◽  
Elderly Chinese

scholarly journals Factors associated with the self-management practices of Type 2 diabetes among the middle-aged population of rural area of Pakistan

2019 ◽  
Author(s):  
Rashid M Ansari ◽  
Mark Harris ◽  
Hassan Hosseinzadeh ◽  
Nicholas Zwar
Keyword(s):  
Type 2 Diabetes ◽  
Rural Area ◽  
Management Practices ◽  
The Self ◽  
Self Management ◽  
Medical Clinic ◽  
Middle Aged ◽  
Aged Population ◽  
Factors Associated

Abstract Background: This study is aimed at identifying the factors associated with the self-management practices of type 2 diabetes among the middle-aged population of rural area of Pakistan. . Methods: The sample of participants was purposively recruited from the medical clinic of rural area of Pakistan. The participants (n=200) recruited were asked to complete the questionnaire following their informed consents. The study questionnaire consisted of three main sections: socio-demographics, the Urdu-version of Summary of Diabetes Self-care Activities (U-SDSCA), and the extended version of U-SDSCA. In addition, glycosylated hemoglobin (HbA1c) level results were obtained from the medical clinic. The study explored the factors associated with the self-management practices of type 2 diabetes among the middle-aged population of rural area of Pakistan. Results: The current study has demonstrated that self-management activities level among the patients of type 2 diabetes in the rural area of Pakistan was not achieved in majority of patients, and that glycemic control was unsatisfactory. The medications sub-scale mean (Mean: 6.17 ± 1.18 SD) was the highest among all the U-SDSCA instrument sub-scales. The results of blood glucose monitoring subscale revealed that longer duration of diabetes ≥8 years) was associated significantly with poor glycemic control (Diff= -.299; p = .120). The multivariate regression analysis revealed that the participants’ characteristics accounted for 21% of the variability in the total self-management score (R²=0.211). In addition, women were more inclined to undertake appropriate diabetes self-management activities (β .302; p = .001). Conclusion: This study has identified the factors associated with the self-management activities among the patients with type 2 diabetes in rural area of Pakistan. In order to overcome the influence of these factors, healthcare professionals should pay special attention to the patients of middle-aged population of rural area of Pakistan and provide them educational programme that emphasizes lifestyle modification with importance of adherence to treatment and encourage them to make diabetes self-management activities as part of their day to day life.

Accelerometer-measured Physical Activity of Older Adults with Type 2 Diabetes: A scoping review (Preprint)

2021 ◽  
Author(s):  
Ioana A. Moldovan ◽  
Alexa Bragg ◽  
Anna Nidhiry ◽  
Barbara A. De La Cruz ◽  
Suzanne E. Mitchell
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Older Adults ◽  
Scoping Review ◽  
Self Report ◽  
Physical Activity Intensity ◽  
Middle Aged ◽  
Promising Alternative ◽  
Activity Intensity

BACKGROUND Incorporating physical activity in lifestyle routines is recommended for individuals living with type 2 diabetes. Accelerometer devices offer a promising alternative to self-report methods for measuring physical activity performance. However, the extant literature for accelerometer-measured physical activity among middle-aged/older adults with chronic conditions is lacking. OBJECTIVE We conducted a comprehensive scoping review of the literature to capture accelerometry methodologies in older adults with type 2 diabetes, specifically in relation to cutpoints that classify physical activity into intensity categories (sedentary, light, moderate, vigorous, very vigorous). METHODS Applying the Joanna Briggs Institute’s methodology, we searched PubMed, Web of Science, EMBASE, and Engineering Village to identify studies that used research-grade accelerometers to objectively measure physical activity intensity levels of adults with type 2 diabetes using cutpoints in participant samples of mean age 50 years and older. RESULTS We identified 46 studies that met our inclusion criteria. The ActiGraph was the most popular accelerometer among researchers, and the Freedson (1998) and Troiano (2008) cutpoints were favored the most. The Lopes (2009) cutpoints were developed by calibrating the ActiGraph accelerometer in middle-aged and older adults with overweight/ obesity and type 2 diabetes. Several studies noted limitations of accelerometry use that could lead to an underestimation or inaccurate representation of physical activity for our population of interest. Limitations included decreased accuracy due to variation in device placement and underestimation of activity intensity attributed to using cutpoints in older adults with lower fitness levels that were originally validated with younger adults. CONCLUSIONS Considering the high variability among accelerometry methodologies, more work needs to be done to understand activity intensity cut-offs for populations with a high burden of chronic disease, older age, and suboptimal physical functioning.

scholarly journals Effects of smoking, obesity and physical activity on the risk of type 2 diabetes in middle-aged Finnish men and women

2005 ◽  
Vol 258 (4) ◽  
pp. 356-362 ◽  
Author(s):  
K. PATJA ◽  
P. JOUSILAHTI ◽  
G. HU ◽  
T. VALLE ◽  
Q. QIAO ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Middle Aged ◽  
Men And Women

scholarly journals Factors associated with the self-management practices of Type 2 diabetes among the middle-aged population of rural area of Pakistan

2019 ◽  
Author(s):  
Rashid M Ansari ◽  
Mark Harris ◽  
Hassan Hosseinzadeh ◽  
Nicholas Zwar
Keyword(s):  
Type 2 Diabetes ◽  
Rural Area ◽  
Management Practices ◽  
The Self ◽  
Self Management ◽  
Middle Aged ◽  
Aged Population ◽  
Factors Associated ◽  
Medical Clinics

Abstract Background: This study is aimed at identifying the factors associated with the self-management practices of type 2 diabetes among the middle-aged population of rural area of Pakistan. Methods: The sample of 200 participants was purposively recruited from the medical clinics of rural area of Pakistan. The study questionnaire consisted of three main sections: socio-demographics, the Urdu-version of Summary of Diabetes Self-care Activities (U-SDSCA), and the extended version of U-SDSCA. In addition, glycosylated hemoglobin (HbA1c) level results were obtained from the medical clinics. The study explored the factors associated with the self-management practices of type 2 diabetes among the middle-aged population of Pakistan. Results: The current study has demonstrated that self-management activities level among the patients of type 2 diabetes in the rural area of Pakistan was not achieved in majority of patients, and that glycemic control was unsatisfactory. The bi-variate analysis showed the differences in all the sub-scales but some of these differences are not statistically significant (p > 0.05). The exception was statistically significant exercise sub-scale (Diff.= .404; p= .047) at p<0.05. The participants with lower income tested blood glucose less often as compared to those with higher income (Diff= -.598; p = .003). The longer duration of diabetes associated significantly with poor glycemic control (Diff.= -.438; p = .032). The difference between the controlled blood glucose levels (≤ 7%) and uncontrolled (> 7%) was statistically significant (Diff= .88; p = .015). The multivariate regression analysis revealed that the participants’ characteristics accounted for 21% of the variability in the total self-management score (R²=0.211). In addition, women were more inclined to undertake appropriate diabetes self-management activities (β= .302; p = .001). Conclusion: This study has identified the factors associated with the self-management activities among the patients with type 2 diabetes in rural area of Pakistan. In order to overcome the influence of these factors, healthcare professionals should pay special attention to the patients of rural area of Pakistan to ensure that the population is aware of diabetes and its complications, emphasizing lifestyle modification with importance of adherence to treatment which would be most beneficial to their self-management activities

scholarly journals Experiences of Diabetes Self-Management: A Focus Group Study among the Middle-Aged Population of Rural Pakistan with Type 2 Diabetes

Diabetology ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. 17-29
Author(s):  
Rashid M. Ansari ◽  
Mark F. Harris ◽  
Hassan Hosseinzadeh ◽  
Nicholas Zwar
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Rural Areas ◽  
Healthcare Professionals ◽  
Self Management ◽  
Middle Aged ◽  
Aged Population ◽  
Rural Pakistan

Objectives: The middle-aged population from rural areas of Pakistan is disproportionately at risk of developing and mismanaging their diabetes. The purpose of this study was to explore the self-management experiences of two focus groups in the middle-aged population with type 2 diabetes mellitus living in rural Pakistan. Methods: The study design is based on the exploratory research using a qualitative approach. Purposive sampling was used to recruit patients with diabetes from the metabolic outpatient clinics of medical centers in rural areas of Pakistan. The data were collected for two focus groups consisting of 20 persons (10 men and 10 women) with type 2 diabetes mellitus, ranging in age from 40 to 65 years, who were receiving diabetic care at a local health facility. Focus group discussions with a sample size of 10 participants each were all recorded, transcribed, and analyzed. The data were evaluated thematically. Results: Participants described diabetes management as emotionally, physically, and socially taxing. The analysis of the data indicated three major themes: (1) diabetes as a challenging disease; (2) understanding diabetes and its challenges; (3) following diabetes self-management practices. Throughout the session, participants discussed the impact of diabetes on their daily life. This study provided new insights into the experiences of the middle-aged population of Pakistan regarding their self-management of diabetes. Conclusions: Healthcare professionals should become involved in diabetes self-management education as soon as feasible to alleviate patient worry and establish better patient-centered, culturally sensitive professional abilities. Along with monitoring patients’ self-management, healthcare professionals should place a greater emphasis on patients’ understanding of the disease and its challenges and associated complications. It is recommended to establish diabetes support groups to encourage patients to share their experiences of diabetes self-management.

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