scholarly journals Comorbidities and Ethnocultural Factors Limit the Physical Activity of Rural Sri Lankan Patients with Diabetes Mellitus

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Arjuna Medagama ◽  
Manoj Galgomuwa

South Asians have high prevalence of diabetes, cardiovascular risk, and physical inactivity. Reasons for physical inactivity have not been explored among Asians living within their endogenous environments. During phase 1 of the study, we assessed the physical activity (PA) of the population using a quantitative, descriptive, cross-sectional research method. During phase 2 of the study, a qualitative method with in-depth interviews was used to collect data on barriers of PA. Four hundred patients with type 2 diabetes, comprising 113 (28.2%) males and 287 (71.7%) females, were enrolled. The overall prevalence of physical inactivity was 21.5% (males: 15.9%, females: 23.7%). The majority (44.8%) of the study population was active and 33.8% were minimally active. The mean weekly MET minutes was 4381.6 (SD 4962). The qualitative study (n=45) identified health-related issues—lifestyle and time management and social embarrassment, prioritizing household activities over PA as significant factors that limited PA.

2015 ◽  
Vol 12 (2) ◽  
pp. 193-199 ◽  
Author(s):  
Laura Kestilä ◽  
Tomi Mäki-Opas ◽  
Anton E Kunst ◽  
Katja Borodulin ◽  
Ossi Rahkonen ◽  
...  

Background:Limited knowledge exists on how childhood social, health-related and economic circumstances predict adult physical inactivity. Our aim was a) to examine how various childhood adversities and living conditions predict leisure-time physical inactivity in early adulthood and b) to find out whether these associations are mediated through the respondent’s own education.Methods:Young adults aged 18−29 were used from the Health 2000 Study of the Finnish. The cross-sectional data were based on interviews and questionnaires including retrospective information on childhood circumstances. The analyses were carried out on 68% of the original sample (N = 1894). The outcome measure was leisure-time physical inactivity.Results:Only a few of the 11 childhood adversities were related with physical activity in early adulthood. Having been bullied at school was associated with physical inactivity independently of the other childhood circumstances and the respondent’s own education. Low parental education predicted leisure-time physical inactivity in men and the association was mediated by the respondent´s own education. Respondents with only primary or vocational education were more likely to be physically inactive during leisure-time compared with those with secondary or higher education.Conclusions:There is some evidence that few specific childhood adversities, especially bullying at school, have long-lasting effects on physical activity levels.


2018 ◽  
Vol 17 ◽  
pp. 183-188 ◽  
Author(s):  
Claudio Andre Barbosa de Lira ◽  
Henrique Viana Taveira ◽  
Weverton Rufo-Tavares ◽  
Alexandre dos Santos Amorim ◽  
Lucas Matos Costa Ferreira ◽  
...  

2013 ◽  
Vol 29 (11) ◽  
pp. 2217-2229 ◽  
Author(s):  
Gabriel Gustavo Bergmann ◽  
Mauren Lúcia de Araújo Bergmann ◽  
Alexandre Carriconde Marques ◽  
Pedro Curi Hallal

This study aimed to identify the prevalence of physical inactivity and associated factors in adolescents, using a cross-sectional design with a sample of 1,455 adolescents (741 females). Data were collected using a questionnaire consisting of socio-demographic, perceptual, and behavioral variables. Physical activity was estimated with the Physical Activity Questionnaire for Older Children and Adolescents. Prevalence of physical inactivity was 68% (95%CI: 65.6%-70.4%). The following variables remained associated with physical inactivity in the adjusted analysis (p < 0.05): living in an apartment, female gender, older adolescents, lower self-rated physical activity compared to peers, low perception of maternal physical activity, passive commuting to school, non-participation in physical education at school, non-enjoyment of physical education classes, and limited involvement in other types of physical exercise besides physical education at school. There were a high proportion of inactive adolescents. Strategies to prevent physical inactivity in adolescents should be elaborated with a central role for the school and family.


Author(s):  
Meriam El Ghardallou ◽  
Jihene Maatoug ◽  
Imed Harrabi ◽  
Sihem Ben Fredj ◽  
Sahli Jihene ◽  
...  

Abstract Introduction: A better understanding of socio-demographic characteristics of subgroups, which have a high risk to develop chronic diseases, is essential to develop more efficient interventional programs especially for youth. This study aimed to determine the association between clusters of non communicable diseases (NCDs’) risk factors and the socio-demographic characteristics among a sample of Tunisian school children. Materials and methods: We conducted, in 2013/2014, a cross-sectional study among a proportional and stratified school children sample, selected in 17 elementary public schools in Sousse (Tunisia). A cluster analysis was used to identify different NCDs risk factors clusters, based on tobacco use, physical inactivity, unhealthy diet, and excess weight. Subsequent χ2-tests were used to identify differences between the NCDs risk factors clusters in regards to socio-demographic characteristics. Results: Four clusters of NCDs risk factors were found: 1) Cluster 1: physical inactivity behavior with normal weight, 2) Cluster 2: physical inactivity behavior associated to excess weight, 3) Cluster 3: unhealthy diet associated to excess weight and low practice of physical activity, and 4) Cluster 4: smoking behavior with physical activity behavior. The pattern of cluster membership differed across sex (<10–3), school level, and socioeconomic level (<10–3) but there was no significant difference between clusters for mother’s education levels and household tenure. Conclusion: This study can have important implications for health policy and practice. Indeed, it found that many subjects have simultaneous multiple NCDs risk factors which leads to identify groups at risk and implement integrated intervention program.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Dhea Tiara ◽  
Murniati Tiho ◽  
Yanti M. Mewo

Abstract: Humans spend most of their time on activities. In this modern era, due to increasing competitiveness, everyone is demanded to work harder, causing an ineffective time management. The increase of activity can affect health if not accompanied with adequate rest. The increase of activity can affect physiological function that can cause stress to the body. When stress occured, sympathic nervous and adrenal gland will affect the body's immune system, one of them is lymphoid tissue. Physical activity with moderate to high intensity can cause a change of lymphocyte level in the body. Construction workers are one of the kind of high intensity physical activity. This study aimed to discover the description of lymphocyte level on construction workers. This study was conducted on August 2016 to December 2016. This study is a descriptive study with cross sectional design and the sampling technique was total sampling, 30 respondents were participating. The study result showed that lymphocyte level on 17 respondents (56,7%) was normal, 4 respondents (13,3%) had an elevated lymphocyte level and 9 respondents (30%) had a depressed lymphocyte level. Conclusion: This study result that most of the respondents had a normal lymphocyte level.Keywords: lymphocyte level, construction worker, physical activity. Abstrak: Manusia menghabiskan sebagian besar waktu untuk beraktivitas. Di era modern ini, karena tingkat persaingan semakin tinggi, setiap orang dituntut untuk bekerja lebih keras, sehingga menyebabkan orang tidak dapat mengatur waktu secara efektif. Peningkatan aktivitas dapat mempengaruhi kesehatan jika tidak disertai dengan istirahat yang cukup. Peningkatan aktivitas fisik dapat mempengaruhi fungsi fisiologi tubuh yang akhirnya akan menimbulkan stres pada tubuh. Pada saat terjadi stres, saraf simpatik dan kelenjar adrenal akan mempengaruhi sistem imun, salah satunya adalah jaringan limfoid. Aktivitas fisik dengan intensitas sedang sampai berat dapat menyebabkan perubahan jumlah limfosit dalam tubuh. Pekerja bangunan merupakan salah satu aktivitas fisik dengan intensitas berat. Penelitian ini bertujuan untuk mengetahui gambaran kadar limfosit pada pekerja bangunan. Penelitian ini dilakukan pada bulan Agustus 2016 sampai dengan Desember 2016. Penelitian ini merupakan penelitian deskriptif dengan desain penelitian cross-sectional dan pengambilan sampel secara total sampling dengan 30 orang responden. Dari hasil penelitian didapatkan bahwa gambaran kadar limfosit pada pekerja bangunan terdapat 17 responden (56,7%) memiliki kadar limfosit normal, 4 responden (13,3%) memiliki kadar limfosit meningkat dan 9 responden (30%) memiliki kadar limfosit menurun. Simpulan: Sebagian besar responden memiliki kadar limfosit normal. Kata kunci: kadar limfosit, pekerja bangunan, aktivitas fisik.


2018 ◽  
Vol 15 (5) ◽  
pp. 331-337
Author(s):  
Rafaela Costa Martins ◽  
Luiza Isnardi Cardoso Ricardo ◽  
Gerfeson Mendonça ◽  
Daiana Lopes de Rosa ◽  
Letícia Lemos Ayres da Gama Bastos ◽  
...  

Objective: To evaluate trends in physical activity and sedentary behavior simultaneity among Brazilian students from 2009 to 2015 and its association with independent variables. Methods: This study presents a panel of 3 cross-sectional studies carried out in 2009, 2012, and 2015 (Pesquisa Nacional de Saúde do Escolar—PeNSE). The population was comprised of ninth-grade public and private schools students from Brazilian capitals. Physical activity and sedentary behavior variables were combined to create the outcome of simultaneity of these risk factors. Results: A large proportion of students were simultaneously inactive and sedentary in the 3 surveys. However, it was possible to observe a downward trend (2009: 56.4%; 95% confidence interval, 55.7–57.1; 2012: 53.7%; 95% confidence interval, 53.0–54.4; 2015: 51.9%; 95% confidence interval, 51.2–52.7). In 2015, estimates of physical inactivity and sedentary behavior simultaneity were greater than 48% for 20 out of 27 of the Brazilian states. Significant declining trends were observed among mideast residents, females, nonwhite, and those attending private schools. Only around 5%–7% of the adolescents were both active and nonsedentary in the 3 surveys. Conclusion: Despite of a slight decreasing trend in the proportion of Brazilian students simultaneously inactive and sedentary throughout the period, the prevalence remained elevated across the surveys.


BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036106
Author(s):  
Bikila Regassa Feyisa ◽  
Mekdes Tigistu Yilma ◽  
Belachew Etana Tolessa

ObjectiveTo assess health-related quality of life (HRQoL) and its predictors among patients with diabetes on follow-up at Nekemte Specialised Hospital in Western Ethiopia.Design, setting and participantsThis facility-based cross sectional study was conducted among 224 patients with diabetes mellitus (types I and II) on follow-up at one of the public hospitals in western Ethiopia. Respondents were selected by systematic random sampling and interviewed with the aid of a questionnaire.Main outcome measuredHRQoL was measured by using the Medical outcomes study 36-item Short Form (SF-36) Health Survey from 15 April to 5 June 2019. A structured questionnaire was used for data collection from participants selected by systematic random sampling. Multiple linear regression was used for the final model.ResultA total of 215 patients with diabetes consented and completed the study, giving a response rate of 96%. The mean score of the overall HRQoL of the study participants was 50.3±18.1. The highest mean score was obtained in the physical functioning domain and the lowest mean score in the general health domain. Age, education status, history of smoking, feeling of stigmatisation and body mass index were inversely associated with the overall HRQoL. Gender (male), marital status (currently married), absence of comorbidity and absence of chronic complications related to diabetes mellitus were positively associated with overall HRQoL.ConclusionThe overall HRQoL of patients with diabetes on follow-up at the study area was found to be moderate. General health, mental health, bodily pain and vitality were the most affected domains. Both the mental and physical components need to be considered when caring for the patients with diabetes on follow-up beyond provision of treatment.


Author(s):  
Mónica Machón ◽  
Kalliopi Vrotsou ◽  
Isabel Larrañaga ◽  
Itziar Vergara

The aim was to examine how proximity to facilities, as a component of community determinants, is associated with the health-related habits of functionally independent community-dwelling older adults. This was a cross-sectional study. Data were collected by face-to-face interviews. Participants were >65 years old, living in 15 municipalities of Gipuzkoa (Basque Country, Spain). Proximity to park-green spaces, cultural-sport centers, market-food stores, retirement associations, religious centers, primary care centers and hospitals was explored. Sociodemographic variables and health-related habits (diet, physical activity and self-perceived social life) were collected. Logistic regression models were performed. The sample comprised of 634 individuals (55% women; mean age: 74.8, SD 6.7 years). Older age (odds ratio-OR: 0.94, 95% CI: 0.91–0.97) was associated with lower physical activity, while being male (OR: 1.71, 95% CI: 1.08–2.68) and proximity to park-green spaces (OR: 1.64, 95% CI: 1.03–2.61) were related to more physical activity. Individuals with good self-perceived health (OR: 3.50, 95% CI: 1.82–6.74) and religious centers within walking distance (OR: 2.66, 95% CI: 1.40–5.04) had higher odds of a satisfactory social life. Encouraging the creation of park-green spaces and leisure centers near residential areas can assist in promoting physical activity and improving the social life of older adults.


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