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Physical activity in patients with type 2 diabetes and hypertension--insights into motivations and barriers from the MOBILE study.

Duclos M, Dejager S, Postel-Vinay N, di Nicola S, Quéré S, Fiquet B - Vasc Health Risk Manag (2015)

Bottom Line: The physician's role emerged in the motivations (reassurance on health issues, training on hypoglycemia risk, and prescription/monitoring of the PA by the physician).A negative self-image was the highest ranked barrier for the inactive patients, followed by lack of support and medical concerns.Physicians should consider PA prescription as seriously as any drug prescription, and take into account motivations and barriers to PA to tailor advice to patients' specific needs and reduce their perceived constraints.

View Article: PubMed Central - PubMed

Affiliation: Department of Sport Medicine and Functional Explorations, University-Hospital (CHU), G Montpied Hospital; INRA, UNH, CRNH Auvergne, France ; Nutrition Department, University of Auvergne, Clermont-Ferrand, Auvergne, France.

ABSTRACT

Background: Although physical activity (PA) is key in the management of type 2 diabetes (T2DM) and hypertension, it is difficult to implement in practice.

Methods: Cross-sectional, observational study. Participating physicians were asked to recruit two active and four inactive patients, screened with the Ricci-Gagnon (RG) self-questionnaire (active if score ≥16). Patients subsequently completed the International Physical Activity Questionnaire. The objective was to assess the achievement of individualized glycated hemoglobin and blood pressure goals (<140/90 mmHg) in the active vs inactive cohort, to explore the correlates for meeting both targets by multivariate analysis, and to examine the barriers and motivations to engage in PA.

Results: About 1,766 patients were analyzed. Active (n=628) vs. inactive (n=1,138) patients were more often male, younger, less obese, had shorter durations of diabetes, fewer complications and other health issues, such as osteoarticular disorders (P<0.001 for all). Their diabetes and hypertension control was better and obtained despite a lower treatment burden. The biggest difference in PA between the active vs inactive patients was the percentage who declared engaging in regular leisure-type PA (97.9% vs. 9.6%), also reflected in the percentage with vigorous activities in International Physical Activity Questionnaire (59.5% vs. 9.6%). Target control was achieved by 33% of active and 19% of inactive patients (P<0.001). Active patients, those with fewer barriers to PA, with lower treatment burden, and with an active physician, were more likely to reach targets. The physician's role emerged in the motivations (reassurance on health issues, training on hypoglycemia risk, and prescription/monitoring of the PA by the physician). A negative self-image was the highest ranked barrier for the inactive patients, followed by lack of support and medical concerns.

Conclusion: Physicians should consider PA prescription as seriously as any drug prescription, and take into account motivations and barriers to PA to tailor advice to patients' specific needs and reduce their perceived constraints.

No MeSH data available.


Related in: MedlinePlus

Multivariate analysis – factors significantly associated with control of both diabetes and hypertension.Note: Odds ratio is shown with 95% CI for significant covariates.Abbreviation: CI, confidence interval.
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f1-vhrm-11-361: Multivariate analysis – factors significantly associated with control of both diabetes and hypertension.Note: Odds ratio is shown with 95% CI for significant covariates.Abbreviation: CI, confidence interval.

Mentions: In multivariate analysis, factors significantly and independently associated with the control of both diabetes and hypertension are shown in Figure 1. Patients having achieved the combined glycemic and BP goal were more likely to be in the active cohort, to have an active physician, a lower treatment burden, and fewer barriers to PA.


Physical activity in patients with type 2 diabetes and hypertension--insights into motivations and barriers from the MOBILE study.

Duclos M, Dejager S, Postel-Vinay N, di Nicola S, Quéré S, Fiquet B - Vasc Health Risk Manag (2015)

Multivariate analysis – factors significantly associated with control of both diabetes and hypertension.Note: Odds ratio is shown with 95% CI for significant covariates.Abbreviation: CI, confidence interval.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492639&req=5

f1-vhrm-11-361: Multivariate analysis – factors significantly associated with control of both diabetes and hypertension.Note: Odds ratio is shown with 95% CI for significant covariates.Abbreviation: CI, confidence interval.
Mentions: In multivariate analysis, factors significantly and independently associated with the control of both diabetes and hypertension are shown in Figure 1. Patients having achieved the combined glycemic and BP goal were more likely to be in the active cohort, to have an active physician, a lower treatment burden, and fewer barriers to PA.

Bottom Line: The physician's role emerged in the motivations (reassurance on health issues, training on hypoglycemia risk, and prescription/monitoring of the PA by the physician).A negative self-image was the highest ranked barrier for the inactive patients, followed by lack of support and medical concerns.Physicians should consider PA prescription as seriously as any drug prescription, and take into account motivations and barriers to PA to tailor advice to patients' specific needs and reduce their perceived constraints.

View Article: PubMed Central - PubMed

Affiliation: Department of Sport Medicine and Functional Explorations, University-Hospital (CHU), G Montpied Hospital; INRA, UNH, CRNH Auvergne, France ; Nutrition Department, University of Auvergne, Clermont-Ferrand, Auvergne, France.

ABSTRACT

Background: Although physical activity (PA) is key in the management of type 2 diabetes (T2DM) and hypertension, it is difficult to implement in practice.

Methods: Cross-sectional, observational study. Participating physicians were asked to recruit two active and four inactive patients, screened with the Ricci-Gagnon (RG) self-questionnaire (active if score ≥16). Patients subsequently completed the International Physical Activity Questionnaire. The objective was to assess the achievement of individualized glycated hemoglobin and blood pressure goals (<140/90 mmHg) in the active vs inactive cohort, to explore the correlates for meeting both targets by multivariate analysis, and to examine the barriers and motivations to engage in PA.

Results: About 1,766 patients were analyzed. Active (n=628) vs. inactive (n=1,138) patients were more often male, younger, less obese, had shorter durations of diabetes, fewer complications and other health issues, such as osteoarticular disorders (P<0.001 for all). Their diabetes and hypertension control was better and obtained despite a lower treatment burden. The biggest difference in PA between the active vs inactive patients was the percentage who declared engaging in regular leisure-type PA (97.9% vs. 9.6%), also reflected in the percentage with vigorous activities in International Physical Activity Questionnaire (59.5% vs. 9.6%). Target control was achieved by 33% of active and 19% of inactive patients (P<0.001). Active patients, those with fewer barriers to PA, with lower treatment burden, and with an active physician, were more likely to reach targets. The physician's role emerged in the motivations (reassurance on health issues, training on hypoglycemia risk, and prescription/monitoring of the PA by the physician). A negative self-image was the highest ranked barrier for the inactive patients, followed by lack of support and medical concerns.

Conclusion: Physicians should consider PA prescription as seriously as any drug prescription, and take into account motivations and barriers to PA to tailor advice to patients' specific needs and reduce their perceived constraints.

No MeSH data available.


Related in: MedlinePlus