Italian Agency for Development Cooperation, Jerusalem 9135400, Israel.
The Cambridge Centre for Sport & Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK.
Int J Environ Res Public Health. 2019 Jul 12;16(14):2489. doi: 10.3390/ijerph16142489.
Appropriate management of diabetes mellitus (DM) includes following a healthy lifestyle, in which reaching physical activity (PA) recommendations is an important factor. Despite this, it remains unclear whether people with DM meet the recommended PA targets. We therefore aimed to investigate the proportion of older adults with DM (type 1 and 2) engaging in the recommended amount of PA per week in a cross-sectional study. PA levels were objectively measured using the GT1M ActiGraph accelerometer for seven consecutive days, and the cut-off of 150 min of moderate-to-vigorous PA (MVPA) was used. To assess the relationship between not meeting the recommendation for, and the significant factors associated with PA level (MVPA < 150 min/week), a multivariable logistic regression analysis was applied. 197 diabetic participants (mean age = 66.8 years; 46.7% males) spent only 74.5 ± 94.4 min/weekly in MVPA, and only 39 (=19.8%) reached the cut-off for sufficient PA levels. Significant correlates of not meeting the recommendation for PA levels were female sex, depressive symptoms, and age. In conclusion, only one-fifth of diabetic people reached the recommended amount of PA, suggesting that more intervention is needed to increase PA levels in this population.
适当的糖尿病（DM）管理包括遵循健康的生活方式，其中达到身体活动（PA）建议是一个重要因素。尽管如此，目前尚不清楚是否有糖尿病患者达到了推荐的 PA 目标。因此，我们旨在调查横断面研究中，每周进行推荐量 PA 的 1 型和 2 型糖尿病老年患者的比例。使用 GT1M ActiGraph 加速度计连续 7 天客观测量 PA 水平，使用 150 分钟中等到剧烈 PA（MVPA）的截止值。为了评估未达到建议的 PA 水平与与 PA 水平（MVPA<150 分钟/周）相关的显著因素之间的关系，应用了多变量逻辑回归分析。197 名糖尿病患者（平均年龄=66.8 岁；46.7%为男性）每周仅进行 74.5±94.4 分钟的 MVPA，只有 39 名（19.8%）达到足够 PA 水平的标准。未达到 PA 水平建议的显著相关因素为女性、抑郁症状和年龄。总之，只有五分之一的糖尿病患者达到了推荐的 PA 量，这表明需要更多的干预措施来提高该人群的 PA 水平。
