Edmealem Afework, Ademe Sewunet, Tegegne Belachew
Department of Nursing, School of Nursing and Midwifery, Wollo University, Dessie, Ethiopia.
Diabetes Metab Syndr Obes. 2020 Oct 29;13:4067-4075. doi: 10.2147/DMSO.S279772. eCollection 2020.
Overweight and obesity results in poor control of chronic illnesses such as diabetes mellitus. The main reason for being overweight and obese among patients with chronic illness is low level of physical activity. Thus, this study aimed to assess level of physical activity and its associated factors among type II diabetes patients at Dessie Referral Hospital, Northeast Ethiopia.
A hospital-based cross-sectional study was employed from October 1 to November 25 2019 in Dessie Referral Hospital. The study utilized systematic sampling technique to recruit the sample population of 364 diabetic patients. Face-to-face exit interview was used to collect the data. The data were presented with text and tables. Bivariable and multivariable binary logistic regression was employed to identify independent predictors of low level of physical activity at a -value of <0.05.
From the total study participants, 110 (33.1%) of them did not perform health enhancing physical activity. Patients whose body mass index was below 18.5 kg/m did not perform health enhancing physical activity twice more likely compared with patients whose weight was normal (AOR=2.36, 95%CI: 0.02-5.42). Patients who were depressed did not perform health enhancing physical activity five times more likely compared with their counterparts (AOR=4.83, 95%CI: 1.46-15.96). In addition, being widowed (=0.037), living in an urban area (=0.028) and duration of disease (=0.020) were statistically associated with low level of physical activity.
The level of physical activity among patients with type II diabetes was low. Being widowed, living in an urban area, being underweight, duration of disease and being depressed were independent predictors of low level of physical activity. Health education should be given in every visit to patients with type II diabetes. Promotion of physical activity through campaign should be done.
超重和肥胖会导致糖尿病等慢性病控制不佳。慢性病患者超重和肥胖的主要原因是身体活动水平低。因此，本研究旨在评估埃塞俄比亚东北部德西转诊医院II型糖尿病患者的身体活动水平及其相关因素。
2019年10月1日至11月25日在德西转诊医院开展了一项基于医院的横断面研究。该研究采用系统抽样技术招募了364名糖尿病患者作为样本群体。通过面对面的出院访谈收集数据。数据以文本和表格形式呈现。采用双变量和多变量二元逻辑回归来确定身体活动水平低的独立预测因素，显著性水平设定为<0.05。
在所有研究参与者中，110人（33.1%）未进行增进健康的身体活动。体重指数低于18.5kg/m²的患者进行增进健康身体活动的可能性是体重正常患者的两倍多（调整后比值比[AOR]=2.36，95%置信区间[CI]：0.02 - 5.42）。抑郁患者进行增进健康身体活动的可能性是未抑郁患者的五倍多（AOR=4.83，95%CI：1.46 - 15.96）。此外，丧偶（P=0.037）、居住在城市地区（P=0.028）和病程（P=0.020）与身体活动水平低在统计学上相关。
II型糖尿病患者的身体活动水平较低。丧偶、居住在城市地区、体重过轻、病程和抑郁是身体活动水平低的独立预测因素。每次对II型糖尿病患者进行访视时都应开展健康教育。应通过开展活动来促进身体活动。
