Abate Hailemicahel Kindie, Azage Abere Woretaw, Zegeye Alebachew Ferede, Tsega Sintayehu Sime, Agimas Muluken Chanie, Mekonnen Habtamu Sewunet, Nega Gashaw Adane, Beko Zarko Wako, Mekonnen Chilot Kassa
Department Medical Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Institute of Public Health Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One. 2024 Dec 4;19(12):e0314389. doi: 10.1371/journal.pone.0314389. eCollection 2024.
Physical exercise non-adherence is one of the leading risk behavioral factors for type two diabetic patients and one of the leading causes of mortality of patients worldwide. Therefore, the current study was conducted to determine the pooled prevalence and its determinants of non-adherence to physical exercise among type two diabetes adult patients in Ethiopia.
Studies were searched systematically using International databases from PubMed, Google Scholar, Cochrane Library, Embase, and CINAHL. The quality of articles that were searched was assessed using the New Castle Ottawa scale for a cross-sectional study design. Statistical analysis was performed using STATA version 14 and a meta-analysis was carried out using a random effect model method. Assessment of the certainty evidence's was done by applying the GRADE method. The Preferred Reporting Item for Systematic Review and Meta-analyses (PRISMA) guideline was followed for reporting results. The title and the protocol of this meta-analysis were registered at the online database PROSPERO registration number CRD42023430579.
From the total 1711 records screened, 7 studies with 3437 participants who fulfilled the inclusion criteria were included in this systematic review. The estimated pooled prevalence of exercise non-adherence in Ethiopia was 50.59%. Being female (OR = 1.27, 95% CI (1.82, 1.97)), primary level education (OR = 1.19, 95% CI (1.01, 1.39)) and rural residency (OR = 4.87, 95% CI (2.80, 8.48)) were significantly associated with exercise non-adherence.
According to papers evaluated by the GRADE assessment the certainty of evidence's was poor. More than half of the diabetes patients had physical exercise non-adherence. Strategies such as emotional support, health education, and emphasis on rural diabetic patients can improve the problem of non-adherence.
体育锻炼不依从是2型糖尿病患者主要的风险行为因素之一，也是全球患者死亡的主要原因之一。因此，本研究旨在确定埃塞俄比亚2型糖尿病成年患者体育锻炼不依从的合并患病率及其决定因素。
使用来自PubMed、谷歌学术、Cochrane图书馆、Embase和CINAHL的国际数据库系统检索研究。使用纽卡斯尔渥太华量表对检索到的文章进行横断面研究设计的质量评估。使用STATA 14版进行统计分析，并使用随机效应模型方法进行荟萃分析。通过应用GRADE方法评估证据的确定性。遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南报告结果。本荟萃分析的标题和方案已在在线数据库PROSPERO注册，注册号为CRD42023430579。
在总共筛选的1711条记录中，7项研究的3437名参与者符合纳入标准，被纳入本系统评价。埃塞俄比亚体育锻炼不依从的估计合并患病率为50.59%。女性（OR = 1.27，95%CI（1.82，1.97））、小学教育水平（OR = 1.19，95%CI（1.01，1.39））和农村居住（OR = 4.87，95%CI（2.80，8.48））与体育锻炼不依从显著相关。
根据GRADE评估的论文，证据的确定性很差。超过一半 的糖尿病患者存在体育锻炼不依从的情况。情感支持、健康教育以及关注农村糖尿病患者等策略可以改善不依从问题。
