Adherence to physical activity in people with type 2 diabetes
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Résumé
Objectives: To determine the adherence to physical activity among people with type 2 diabetes Methods: Quantitative, cross-sectional, nonexperimental, descriptive, and correlational study, with a sample of 102 people suffering from type 2 diabetes whose age ranged between 40 and 85 years. Most of the participants were male (51.96%). The evaluation protocol included a sociodemographic and clinical questionnaire, Diabetes Self-Care Scale(1) and the Diabetes Knowledge Questionnaire(2). The HbA1c clinical parameter was used to directly assess adherence. Results: The self-care activity in which respondents showed higher level of involvement was glucose monitoring that had an average participation of 5.73 days per week. Inversely, participants did not seem interested in physical activity. In this sort of activity participation amounted to 1 mere day per week on average. The study also showed that people with type 2 diabetes show minimal knowledge of areas related to the identity of the illness, its causes, complications, and treatment. 53.9% of the respondents did not recognise the role played by physical exercise in the treatment of their condition. Conclusion: Reducing the incidence of this disease is an imperative and preventive measure must be implemented to prevent the appearance of the problem, especially for people at higher risk. Among all the possible measures to be implemented, special focus will have to be placed on physical activity and weight loss. Physical activity has a direct impact on the control of the disease through the reduction of HbA1c levels, but its influence is also evident in other parameters, like weight loss, prevention of risk factors for cardiovascular diseases and it also plays a crucial role in increasing quality of life.
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Références
Bastos, F., Severo, M., & Lopes, C. (2007). Propriedades psicométricas da escala de autocuidado com a diabetes traduzida e adaptada. Acta Médica Portuguesa. 20 (1):11–20.
Bastos, F. (2014). Adesão e gestão do regime terapêutico do diabético tipo 2. Dissertação de Mestrado. Porto: FMUP.
Wordl Health Organization (2016). Global report on diabetes. Geneva; WHO . Available from: http://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf;jsessionid=D6B9F9754A2B13ECE08C918B6C0F4EC1?sequence=1
Cho. N,, Shaw, J., Karuranga, S., Huang, Y., Rocha Fernandes ,J., Ohlrogge, A., & Malanda, B. (2018). IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Research and Clinical Practice. 138:271–81. https://doi.org/10.1016/j.diabres.2018.02.023
Sociedade Portuguesa de Diabetologia (2015). Diabetes: Factos e Números – O Ano de 2014 − Relatório Anual do Observatório Nacional da Diabetes 2015. Lisboa: Letra Solúvel. http://spd.pt/images/ond_2015.pdf
Lima, A., Araújo, M., Freitas, R., Zanetti, M., Almeida, P., & Damasceno, M. (2014). Fatores de risco para diabetes mellitus tipo 2 em universitários: associação com variáveis sociodemográficas. Revista Latino-Americana de Enfermagem. 22(3):484–490. https://doi.org/10.1590/0104-1169.3053.2441
Bueno, D., Marucci, M., Gouveia, L., Duarte, Y., & Lebrão, L. (2017). Abdominal obesity and healthcare costs related to hypertension and diabetes in older adults. Revista de Nutrição. 30(2):209–218. https://doi.org/10.1590/1678-98652017000200006
Barroso, T., Marins, L., Alves, R., Gonçalves, A., Barroso, S.; & Rocha, G. (2017). Association of Central Obesity with The Incidence of Cardiovascular Diseases and Risk Factors. International Journal of Cardiovascular Sciences. 30(5): 416–424. http://dx.doi.org/10.5935/2359-4802.20170073
Albarello, R.A., Boufleur Farinha, J., Reckelberg Azambuja, C., & Lopes dos Santos, D. (2017). Efeitos do treinamento resistido sobre o perfil lipídico de indivíduos com síndrome metabólica. Revista Andaluza de Medicina del Deporte. 10(3): 142-146. https://www.redalyc.org/articulo.oa?id=323352592010
Kolchraiber, F., Rocha, J., César, D., Monteiro, O., Frederico, G., & Gamba, M. (2018). Nível de atividade física em pessoas com diabetes mellitus tipo 2. Revista Cuidarte, 9(2): 2105-2116. https://doi.org/10.15649/cuidarte.v9i2.512
Balducci, S., D’Errico, V., Haxhi, J., Sacchetti, M., Orlando, G., Cardelli, P., Di Biase, N., Bollanti, L., Conti, F., Zanuso, S., Nicolucci, A., Pugliese, G., & Italian Diabetes and Exercise Study 2 (IDES_2) Investigators (2017). Level and correlates of physical activity and sedentary behavior in patients with type 2 diabetes: A cross-sectional analysis of the Italian Diabetes and Exercise Study_2. PloS one, 12(3), e0173337. https://doi.org/10.1371/journal.pone.0173337
Mendes, R., Sousa, N., Reis, V., & Themudo Barata, F. (2011). Programa de Exercício na Diabetes Tipo 2. Revista Portuguesa de Diabetes. 6 (2): 62-70. http://www.revportdiabetes.com/wpcontent/uploads/2017/10/RPD-Vol-6-n%C2%BA-2-Junho-2011-Artigo-Original-p%C3%A1g-62-70.pdf
Bueno, D., Rosa, C., Codogno, J., Junior, I., & Monteiro, H. (2013). Nível de atividade física, comorbidades e idade de pacientes hipertensos. Motriz Revista de Educação Física, 19(3 suppl): S16-S24. https://doi.org/10.1590/S1980-65742013000700004
Marquez, D. X., Hoyem, R., Fogg, L., Bustamante, E. E., Staffileno, B., & Wilbur, J. (2011). Physical activity of urban community-dwelling older Latino adults. Journal of physical activity & health, 8 (Suppl 2): S161–S170. https://pubmed.ncbi.nlm.nih.gov/21918229/
Faria, H., Santos, M., Arrelias, C., Rodrigues, F., Gonela, J., Teixeira, C., & Zanetti, M. (2014). Adherence to diabetes mellitus treatments in family health strategy units. Rev Esc Enferm USP. 48(2):254-260. https://doi.org/10.1590/S0080-623420140000200009
Vilas-Boas, L., Foss, M., Freitas, M., Torres, H., Monteiro, L., & Pace, A. (2011). Adesão à dieta e ao exercício físico das pessoas com diabetes mellitus. Texto Contexto Enfermagem. 20(2):272–279. https://doi.org/10.1590/S0104-07072011000200008
Lima, D., Moreira, T., Borges, J., & Rodrigue, M. (2016). Association Between Treatment Compliance and Different Types of Cardiovascular Complications in Arterial. Texto Contexto Enfermagem. 25(3):1–9. https://doi.org/10.1590/0104-07072016000560015
Wild H. (2012). The economic rationale for adherence in the treatment of type 2 diabetes mellitus. The American Journal of Managed Care, 18(3 Suppl), S43–S48. https://ajmc.s3.amazonaws.com/_media/_pdf/A405_12apr_Wild_S43toS48.pdf
Campbell, R. K. (2012). Recommendations for improving adherence to type 2 diabetes mellitus therapy—focus on optimizing insulin-based therapy. The American journal of managed care, 18(3 Suppl), S55–S61. https://pubmed.ncbi.nlm.nih.gov/22558943/
Caetano, I., Santiago, L., & Marques M. (2018). Impact of written information on control and adherence in type 2 diabetes. Revista Associação Med Bras. 64(2):140–1477. https://doi.org/10.1590/1806-9282.64.02.140
Loureiro, I. (2017). Adesão ao regime terapêutico da diabetes. Rev Port Diabetes. 2(2):18–21. http://www.revportdiabetes.com/journals-archive/
Correia de Sousa, M., Grilo, R., & McIntyre, T. (2008). Conhecimento do diabético sobre a doença e a repercussão no tratamento. Revista Brasileira em Promoção da Saúde, 21(4): 281-289. https://www.redalyc.org/articulo.oa?id=40811508009
Okolie, V., Ehiemere, O., Iheanacho, N., & Kalu-Igwe, I., (2009). Knowledge of diabetes management and control by diabetic patients at Federal Medical Center Umuahia Abia State, Nigeria. International Journal of Medicine and Medical Sciences. 1(9):353–58. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1029.6808&rep=rep1&type=pdf
Boulé N, Haddad E, Kenny G, Wells G, & Sigal R. (2001) Effects of exercise on glycemic control and body mass in type 2 Diabetes Mellitus: a meta-analysis of controlled clinical trials. J Am Med Assoc. 286(10):1218–1227. https://doi.org/10.1001/jama.286.10.1218