Barriers to physical activity in people with diabetes residing in Spain

Authors

  • Jonathan Nicolás López
  • Carmen M. González Carcelén
  • Guillermo Felipe López Sánchez

Keywords:

Barriers; Physical activity; Mediterranean diet; Diabetes; Diabetic retinopathy; Spain.

Abstract

Objectives: The objective of the present study was to perform an analysis of the barriers to the practice of physical activity and diet in people with diabetes mellitus residing in Spain.

Methods: Ninety participants (40 men and 50 women) with type 1 diabetes mellitus (71) and type 2 diabetes mellitus (19) residing in Spain, and aged between 12 and 80 years (average age 41.12 ± 17.04) were part of the present study. The participants were asked about the sociodemographic variables of sex and age, as well as the type of diabetes, the presence of other associated pathologies and the years elapsed since their diagnosis. The participants were also asked about the consumption of tobacco and alcohol. Afterwards, the barriers or difficulties perceived in relation to physical exercise were assessed through the Barriers Self-Report for the Practice of Physical Activity (BSPPA) and the diet with the Questionnaire of Adherence to the Mediterranean Diet (MEDAS-14). Then, the participants provided information regarding their last blood test with respect to the levels of glycosylated hemoglobin (HbA1c) and fasting glucose. A descriptive analysis was carried out to present the characteristics of the sample as well as the barriers for the practice of physical activity presented by the sample studied. Finally, a comparison analysis of means was carried out using the Student's t test for independent samples, showing the significant differences between the barriers for the practice of physical activity according to the characteristics of the sample.

Findings: The data showed how the Obligations / Lack of time factor represents the main barrier to the practice of physical activity in this population, especially in women, in those under 65 and in people with type 1 diabetes.

Conclusions: In general, it is observed that all those categories that may indicate a less healthy lifestyle have a greater degree of agreement with the perceived barriers.

References

Quiroz-Mora CA, Serrato DM, Bergonzoli-Pelaez G. Factores asociados con la adherencia a la actividad física en pacientes con enfermedades crónicas no transmisibles. Rev. Salud Pública. 2018;20(4):460–464. https://doi.org/10.15446/rsap.v20n4.62959

Caro Bautista J. Evaluación de barreras de autocuidado en Diabetes Mellitus tipo 2 [doctoral thesis]. Málaga:Universidad de Málaga; 2015. 193 p.

Canivell S, Gomis R. Diagnosis and classification of autoimmune diabetes mellitus. Autoimmunity Reviews. 2014;13(4–5):403–407. https://doi.org/10.1016/j.autrev.2014.01.020

Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065–2079. https://doi.org/10.2337/dc16-1728

Hu FB. Globalization of diabetes: the role of diet, lifestyle, and genes. Diabetes care. 2011;34(6):1249-1257. https://doi.org/10.2337/dc11-0442

Díaz-Naya L, Delgado-Álvarez E. Diabetes mellitus. Criterios diagnósticos y clasificación. Epidemiología. Etiopatogenia. Evaluación inicial del paciente con diabetes. Rev Medicine. 2016;12(17):935–946. https://doi.org/10.1016/j.med.2016.09.001

Krug, EG. Trends in diabetes: sounding the alarm. The Lancet. 2016;387(10027): 1485–1486. https://doi.org/10.1016/S0140-6736(16)30163-5

Oliveira PS, Costa MM, Ferreira J, Lopes D, Lima CL. Self care in diabetes mellitus: Bibliometric study. Enfermeria Global. 2017;16(1):634-652. https://doi.org/10.6018/eglobal.16.1.249911

Smith-Spangler CM, Bhattacharya J, Goldhaber-Fiebert JD. Diabetes, its treatment, and catastrophic medical spending in 35 developing countries. Diabetes Care. 2012;35(2):319-326. https://doi.org/10.2337/dc11-1770

International Diabetes Federation [Internet]. Atlas de la Diabetes de la FID. 2015 [cited 2019 Nov 10]. Available from : https://www.fundaciondiabetes.org/upload/publicaciones_ficheros/95/IDF_Atlas_2015_SP_WEB_oct2016.pdf

Zhou B, Lu Y, Hajifathalian K, Bentham J, Di Cesare M, Danaei G et al. Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4· 4 million participants. The Lancet. 2016;387(10027):1513-1530. https://doi.org/10.1016/S0140-6736(16)00618-8

Soriguer F, Goday A, Bosch-Comas A, Bordiú E, Calle-Pascual A, Carmena R et al. Prevalence of diabetes mellitus and impaired glucose regulation in Spain: the Di@bet.es Study. Diabetologia. 2012;55(1):88–93. https://doi.org/10.1007/s00125-011-2336-9

Basterra-Gortari FJ, Bes-Rastrollo M, Ruiz-Canela M, Gea A, Martinez-González MÁ. Prevalencia de obesidad y diabetes en adultos españoles, 1987-2012. Medicina Clínica. 2017;148(6):250–256. https://doi.org/10.1016/J.MEDCLI.2016.11.022

Chimen M, Kennedy A, Nirantharakumar K, Pang TT, Andrews R, Narendran P. What are the health benefits of physical activity in type 1 diabetes mellitus? A literature review. Diabetologia. 2012;55(3):542–551. https://doi.org/10.1007/s00125-011-2403-2

Snowling NJ, Hopkins WG. Effects of Different Modes of Exercise Training on Glucose Control and Risk Factors for Complications in Type 2 Diabetic Patients. Diabetes Care. 2006;29(11):2518–2527. https://doi.org/10.2337/DC06-1317

Arrieta F, Iglesias P, Pedro-Botet J, Tébar FJ, Ortega E, Nubiola A et al. Diabetes mellitus y riesgo cardiovascular: recomendaciones del Grupo de Trabajo Diabetes y Enfermedad Cardiovascular de la Sociedad Española de Diabetes. Clínica e Investigación en Arteriosclerosis. 2015;27(4):181-92. https://doi.org/10.1016/J.ARTERI.2014.12.003

Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet. New England Journal of Medicine. 2013;368(14):1279–1290. https://doi.org/10.1056/NEJMoa1200303

Salas-Salvadó J, Bulló M, Estruch R, Ros E, Covas MI, Ibarrola-Jurado N, et al. Prevention of diabetes with Mediterranean diets: a subgroup analysis of a randomized trial. Annals of internal medicine. 2014;160(1):1-10. https://doi.org/10.7326/M13-1725

López-Amador KH, Ocampo-Barrio P. Creencias sobre su enfermedad, hábitos de alimentación, actividad física y tratamiento en un grupo de diabéticos mexicanos. Archivos en Medicina Familiar. 2007;9(2):80-86.

Dubé MC, Valois P, Prud’Homme D, Weisnagel SJ, Lavoie C. Physical activity barriers in diabetes: development and validation of a new scale. Diabetes research and clinical practice. 2006;72(1):20-7. https://doi.org/10.1016/j.diabres.2005.08.008

Dias DF, Loch MR, Ronque ER. Barreiras percebidas à prática de atividades físicas no lazer e fatores associados em adolescentes. Ciência & Saúde Coletiva. 2015;20:3339-3350. https://doi.org/10.1590/1413-812320152011.00592014

Niñerola J, Capdevila L, Pintanel M. Barreras percibidas y actividad física: el autoinforme de barreras para práctica de ejercicio físico. Rev Psicol Deporte. 2007;15(1).

Zaragoza Martí A, Ferrer Cascales R, Cabañero Martínez M, Hurtado Sánchez JA, Laguna Pérez A. Adherencia a la dieta mediterránea y su relación con el estado nutricional en personas mayores. Nutrición Hospitalaria. 2015;31(4):1667-1674. https://doi.org/10.3305/nh.2015.31.4.8553

Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd Edition. Hillsdale: Lawrence Erlbaum. 1988.

Thomas N, Alder E, Leese GP. Barriers to physical activity in patients with diabetes. Postgraduate medical journal. 2004;80(943):287-291. https://doi.org/10.1136/pgmj.2003.010553

Lidegaard LP, Schwennesen N, Willaing I, Færch K. Barriers to and motivators for physical activity among people with Type 2 diabetes: patients' perspectives. Diabetic Medicine. 2016;33(12):1677-1685. https://doi.org/10.1111/dme.13167

Manzaneda AJ, Lazo-Porras M, Málaga G. Actividad física en pacientes ambulatorios con diabetes mellitus 2 de un hospital nacional del Perú. Rev Peru Med Exp Salud Publica. 2015;32(2):311-315.

Rubio Henao RF, Varela Arevalo MT. Barreras percibidas en jóvenes universitarios para realizar actividad física. Rev Cubana Salud Pública. 2016;42.

Leyva-Moral JM. La entrevista motivacional como instrumento para promover la actividad física y la adhesión dietética en personas con diabetes: revisión bibliográfica. Nure Investigación. 2006;29.

Velasco-Fuentes N. Terapia insulínica y ejercicio en diabetes tipo I. ARS MEDICA Revista de Ciencias Médicas. 2017;21(1):29-31.

Brazeau AS, Rabasa-Lhoret R, Strychar I, Mircescu H. Barriers to physical activity among patients with type 1 diabetes. Diabetes care. 2008;31(11):2108-2109. https://doi.org/10.2337/dc08-0720

Capdevila Ortís L, Niñerola i Maymì J, Pintanel i Bassets M. Motivación y actividad física: el autoinforme de motivos para la práctica de ejercicio físico (AMPEF). Revista de Psicología del Deporte. 2004;13(1):55-74.

Lazo C, Durán-Agüero S. Efecto del diagnóstico de la diabetes mellitus y su complicación con los trastornos de la conducta alimentaria. Rev. chil. nutr. 2019;46(3):352-360. https://doi.org/10.4067/S0717-75182019000300352

Gazmararian JA, Ziemer DC, Barnes C. Perception of barriers to self-care management among diabetic patients. The Diabetes Educator. 2009 Sep;35(5):778-788. https://doi.org/10.1177/0145721709338527

Amesty SC. Barriers to physical activity in the Hispanic community. J. Public Health Policy. 2003;24(1):41-58. https://doi.org/10.2307/3343176

Massanet FA, Pérez JR, Cobos EF, Osorio JA, de Vera Porcell M, Sánchez LM. Percepción de la propia imagen corporal en pacientes obesos o con sobrepeso. Revista ENE de Enfermería. 2012;6(2):24-31.

Ledón Llanes L. Psychosocial impact of diabetes mellitus, experiences, meanings, and responses to disease. Rev Cuba Endoc. 2012;23(1).

Shirreffs SM, Maughan RJ. Restoration of fluid balance after exercise-induced dehydration: effects of alcohol consumption. J. Appl. Physiol. 1997;83(4):1152-1158. https://doi.org/10.1152/jappl.1997.83.4.1152

Palomares Estrada L. Pacientes diabéticos: barreras para mantener una alimentación saludable y actividad física diaria [doctoral tesis]. Lima: Universidad Nacional Mayor de San Marcos; 2014.

Siqueira PD, Dos Santos MA, Zanetti ML, Ferronato AA. Dificultades de los pacientes diabéticos para el control de la enfermedad: sentimientos y comportamientos. Rev Latino-Am Enfermagem. 2007;15(6):1105-1112.

González NF, Rivas AD. Actividad física y ejercicio en la mujer. Rev. Colomb. Cardiol. 2018;25:125-131. https://doi.org/10.1016/J.RCCAR.2017.12.008

Cruz-Bello P, Vizcarra-Bordi I, Kaufer-Horwitz M, Benítez-Arciniega AD, Misra R, Valdés-Ramos R. Género y autocuidado de la diabetes mellitus tipo 2 en el Estado de México. Papeles de población. 2014;20(80):119-44.

García Sánchez C, Zauder R, López Sánchez GF. Analysis of body composition and physical fitness of futsal players at school age according to their level of physical activity, diet and body image. Atena Journal of Sports Sciences. 2019; 1:1-20.

Trott M, Smith L. What are the associations between extroversion, enjoyment, and wellness in group vs non-group physical activity? A pilot study. Atena Journal of Sports Sciences. 2019; 1:1-11.

El Haddad RF, Yahfoufi N, Haidar MA, Hoteit M. Knowledge, Attitude and Practices of Lebanese Married Women towards Food Safety. Atena Journal of Public Health. 2020; 2:1-12.

Published

2020-01-03

How to Cite

Nicolás López, J. ., González Carcelén, C. M. ., & López Sánchez, G. F. (2020). Barriers to physical activity in people with diabetes residing in Spain. Atena Journal of Public Health, 2. Retrieved from https://atenajournals.com/index.php/ajph/article/view/15

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