Ministry of Health, Directorate General of Health Services, Muscat, Oman.
Centrefor Public Health Nutrition Research, Ninewells Hospitaland Medical School., University of Dundee, Dundee, United Kingdom.
BMJ Open. 2017 Nov 3;7(11):e016946. doi: 10.1136/bmjopen-2017-016946.
Physical activity is fundamental in diabetes management for good metabolic control. This study aimed to identify barriers to performing leisure time physical activity and explore differences based on gender, age, marital status, employment, education, income and perceived stages of change in physical activity in adults with type 2 diabetes in Oman.
Cross-sectional study using an Arabic version of the 'Barriers to Being Active' 27-item questionnaire.
Seventeen primary health centres randomly selected in Muscat.
Individuals>18 years with type 2 diabetes, attending diabetes clinic for >2 years and with no contraindications to performing physical activity.
Participants were asked to rate how far different factors influenced their physical activity under the following categories: fear of injury, lack of time, social support, energy, willpower, skills, resources, religion and environment. On a scale of 0-9, barriers were considered important if scored ≥5.
A total of 305 questionnaires were collected. Most (96%) reported at least one barrier to performing leisure time physical activity. Lack of willpower (44.4%), lack of resources (30.5%) and lack of social support (29.2%) were the most frequently reported barriers. Using χ test, lack of willpower was significantly different in individuals with low versus high income (54.2%vs40%, P=0.002) and in those reporting inactive versus active stages of change for physical activity (50.7%vs34.7%, P=0.029), lack of resources was significantly different in those with low versus high income (40%vs24.3%, P=0.004) and married versus unmarried (33.8%vs18.5%, P=0.018). Lack of social support was significant in females versus males (35.4%vs20.8%, P=0.005).
The findings can inform the design on physical activity intervention studies by testing the impact of strategies which incorporate ways to address reported barriers including approaches that enhance self-efficacy and social support.
身体活动对于 2 型糖尿病患者的代谢控制至关重要。本研究旨在确定 2 型糖尿病患者进行休闲时间身体活动的障碍，并根据性别、年龄、婚姻状况、就业、教育、收入以及身体活动变化感知阶段，探讨这些障碍在患者中的差异。
横断面研究，使用阿拉伯语版“积极活动障碍”27 项问卷。
随机选择在阿曼的 17 个初级保健中心。
年龄>18 岁、患有 2 型糖尿病、参加糖尿病诊所治疗>2 年且无身体活动禁忌证的个体。
要求参与者根据以下类别评估不同因素对其身体活动的影响程度：对受伤的恐惧、缺乏时间、社会支持、精力、意志力、技能、资源、宗教和环境。如果得分≥5，则认为障碍的重要性为 0-9 分。
共收集了 305 份问卷。大多数（96%）报告了至少一个进行休闲时间身体活动的障碍。缺乏意志力（44.4%）、缺乏资源（30.5%）和缺乏社会支持（29.2%）是最常报告的障碍。使用卡方检验，低收入个体与高收入个体之间（54.2%vs40%，P=0.002）以及报告身体活动处于不活跃阶段与活跃阶段个体之间（50.7%vs34.7%，P=0.029）缺乏意志力存在显著差异，缺乏资源在低收入个体与高收入个体之间（40%vs24.3%，P=0.004）和已婚个体与未婚个体之间（33.8%vs18.5%，P=0.018）存在显著差异。女性与男性之间（35.4%vs20.8%，P=0.005）缺乏社会支持存在显著差异。
研究结果可以通过测试包含解决报告障碍策略的身体活动干预研究的设计，为信息提供参考，这些策略包括增强自我效能和社会支持的方法。
