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barriers to exercise in DM

Muaddi Alharbi, Robyn Gallagher, Lis Neubeck, Adrian Bauman, Gabrielle Prebill, Ann Kirkness, Sue Randall
BACKGROUND: Barriers to exercise are common in people with coronary heart disease (CHD) and/or diabetes mellitus (DM), and may influence self-efficacy for exercise. PURPOSE: The purpose of this study was to describe the exercise barriers experienced by people who have CHD and/or DM participating in the Healthy Eating and Exercise Lifestyle Program and to determine whether these barriers influence self-efficacy. METHODS: Participants ( n = 134) identified their barriers to exercise and completed the self-efficacy for exercise survey at baseline, at 4 months (following structured and supervised exercise) and at 12 months (following home-based exercise with three follow-up calls)...
April 2017: European Journal of Cardiovascular Nursing
H Kim, H-S Kim, J D Bowman, N H Cho
WHAT IS KNOWN AND OBJECTIVE: Diabetes mellitus (DM) is major cause of death and disability, and regular administration of medications is important in its management. A better understanding of the factors associated with medication non-adherence or underuse may help to improve adherence. This study was performed to identify and compare possible risk factors associated with medication adherence to antidiabetic medication in two different community-based populations in Korea. METHODS: In this large, cross-sectional study, data on DM patients from the rural area of Ansung and the urban area of Ansan obtained during biennial health examinations in 2011-2012 were analysed...
February 2016: Journal of Clinical Pharmacy and Therapeutics
Fiona Campbell, Mike Holmes, Emma Everson-Hock, Sarah Davis, Helen Buckley Woods, Nana Anokye, Paul Tappenden, Eva Kaltenthaler
BACKGROUND: It is estimated that only 39% of men and 29% of women in England achieve the levels of physical activity that are recommended to protect health and prevent disease. One approach to addressing this problem has been the development of exercise referral schemes (ERSs), in which health professionals refer patients to external exercise providers. These schemes have been widely rolled out across the UK despite concerns that they may not produce sustained changes in levels of physical activity and, therefore, may not be cost-effective interventions...
July 2015: Health Technology Assessment: HTA
Takeo Suzuki, Ryoko Takei, Toyoshi Inoguchi, Noriyuki Sonoda, Shuji Sasaki, Toshihiko Kaise, Ryoichi Takayanagi
BACKGROUND: The purpose of this study was to assess actual barriers to blood glucose control in patients with type 2 diabetes mellitus and to investigate barrier-related factors in an exploratory manner. METHODS: This cross-sectional study assessed patients with type 2 diabetes mellitus treated as outpatients at medical institutions within Fukuoka Prefecture, Japan. Barriers to blood glucose control were examined in patients with glycated hemoglobin ≥6.9% using a nine-item questionnaire...
2015: Patient Preference and Adherence
Priscylla Nunes de Senna, Léder Leal Xavier, Pamela Brambilla Bagatini, Lisiani Saur, Fabiana Galland, Caroline Zanotto, Caren Bernardi, Patrícia Nardin, Carlos Alberto Gonçalves, Matilde Achaval
Type 1 diabetes mellitus (T1DM) progressively affects cognitive domains, increases blood-brain barrier (BBB) permeability and promotes neurovascular impairment in specific brain areas. Physical exercise, on the other hand, has beneficial effects on brain functions, improving learning and memory. This study investigated the effects of treadmill training on cognitive and motor behavior, and on the expression of proteins related to BBB integrity, such as claudin-5 and aquaporin-4 (AQP4) in the hippocampus and striatum in diabetic rats...
August 27, 2015: Brain Research
Judith Aponte, Giselle Campos-Dominguez, Diana Jaramillo
Diabetes mellitus is a public health concern disproportionately affecting Hispanics. Because Hispanics are greatly affected by a high prevalence of diabetes, a qualitative study was conducted, which explored how Hispanics understand, perceive, and experience behavioral change and how they maintain such change while managing their diabetes. Twenty Caribbean (Dominican and Puerto Rican) Hispanic adults with diabetes, who were either English- or Spanish-speaking, participated in the study. Twenty individual interviews were conducted, audiotaped, and transcribed and translated...
2015: Hispanic Health Care International: the Official Journal of the National Association of Hispanic Nurses
Liliana Laranjo, Ana L Neves, Alexandra Costa, Rogério T Ribeiro, Luciana Couto, Armando B Sá
BACKGROUND: Patients with type 2 diabetes mellitus (DM) have a central role in managing their disease, but the effective adoption of self-management behaviours is often challenging. OBJECTIVES: The main objective of this study was to assess the facilitators, barriers and expectations in the self-management of type 2 DM, as perceived by patients. METHODS: Patients with type 2 DM were recruited at the Portuguese Diabetes Association outpatient clinic, using a convenient sampling technique...
June 2015: European Journal of General Practice
Amarasekara Appuhamillage Thamara Dilhani Amarasekara, Warunee Fongkaew, Savithri Wasundara Wimalasekera, Sue Turale, Chawapornpan Chanprasit
Type 2 diabetes mellitus is a chronic condition, a global concern, and a serious issue in Sri Lanka, where there is little data regarding the influence of dietary control, exercise, and adherence to medication behaviors among adults diabetes. In this cross-sectional, descriptive study, we identified current factors influencing glycemic control and glycemic control behavior among adults with diabetes. A total of 230 people attending diabetes clinics in a tertiary hospital and a primary care institute were administered the self-report Diabetes Information Form, assessing their socioeconomic and medical information and glycemic control behaviors...
June 2015: Nursing & Health Sciences
R M Anjana, H Ranjani, R Unnikrishnan, M B Weber, V Mohan, K M Venkat Narayan
AIMS: This paper attempts to describe the patterns of exercise and the perceived benefits and barriers to exercise in an urban south Indian population. METHODS: Study participants were recruited from the baseline survey of the D-CLIP (Diabetes Community Lifestyle Improvement Program). Frequency, duration, type and location of exercise were assessed using a questionnaire, while a Likert type scale was used to assess perceived benefits of and barriers to exercise...
January 2015: Diabetes Research and Clinical Practice
Richard Charlton, Michael B Gravenor, Anwen Rees, Gareth Knox, Rebecca Hill, Muhammad A Rahman, Kerina Jones, Danielle Christian, Julien S Baker, Gareth Stratton, Sinead Brophy
BACKGROUND: Fitness and physical activity are important for cardiovascular and mental health but activity and fitness levels are declining especially in adolescents and among girls. This study examines clustering of factors associated with low fitness in adolescents in order to best target public health interventions for young people. METHODS: 1147 children were assessed for fitness, had blood samples, anthropometric measures and all data were linked with routine electronic data to examine educational achievement, deprivation and health service usage...
July 29, 2014: BMC Public Health
Erin Poe Ferranti, K M Venkat Narayan, Carolyn M Reilly, Jennifer Foster, Marjorie McCullough, Thomas R Ziegler, Ying Guo, Sandra B Dunbar
PURPOSE: The purpose of this study was to examine the association of intrapersonal influences of diet quality as defined by the Health Belief Model constructs in women with recent histories of gestational diabetes. METHODS: A descriptive, correlational, cross-sectional design was used to analyze relationships between diet quality and intrapersonal variables, including perceptions of threat of type 2 diabetes mellitus development, benefits and barriers of healthy eating, and dietary self-efficacy, in a convenience sample of 75 community-dwelling women (55% minority; mean age, 35...
September 2014: Diabetes Educator
L Maez, L Erickson, L Naumuk
INTRODUCTION: Diabetes mellitus type II is a growing concern in the USA, with 6% of the population diagnosed with diabetes and another 5% having pre-diabetes. The prevalence of diabetes is 17% higher in rural areas than in central cities{1}. Adult diabetics living in rural areas often see negative outcomes related to their limited access to care, cultural barriers, and lack of educational resources. This article seeks to evaluate best evidence-based strategies directed at improving diabetic outcomes of rural populations through hemoglobin A1C (HbA1C) reductions...
2014: Rural and Remote Health
Tamer G Yacoub
The rising toll of type 2 diabetes mellitus (T2DM) on patients and society has resulted in a wide variety of guidelines and therapies to address the need to combat this trend. Given the heterogeneity of T2DM and the different responses patients have to therapies, as well as the continued need for patients to institute lifestyle changes, guidelines published by the American Diabetes Association/European Association for the Study of Diabetes and the American Association of Clinical Endocrinologists/American College of Endocrinology have in recent years increased the focus on personalized and patient-centered care...
May 2014: Postgraduate Medicine
Megan R Waterman, John M Wiecha, Jennifer Manne, Stephen M Tringale, Elizabeth Costa, Jean L Wiecha
Physical activity (PA) reduces the risk for a number of chronic diseases including heart disease, hypertension, hyperlipidemia, and diabetes mellitus type 2. However, most Americans do not meet expert recommendations for exercise, and minorities and low-income persons are the most inactive. Community-based approaches to promoting PA include primary care exercise referral programs. This study examines patient characteristics associated with utilization of a community health center-based exercise referral program...
December 2014: Journal of Community Health
Ciarán L Joyce, Colm M O'Tuathaigh
BACKGROUND: Recent systematic reviews have established that brief interventions in primary care are effective and economic at promoting physical activity. Lack of training has previously been identified as a barrier to lifestyle counselling in Ireland. OBJECTIVES: This study evaluates frequency of exercise counselling (EC), in patients with six chronic illnesses (type 2 diabetes mellitus, stable coronary heart disease, hypertension, depression, obesity, osteoarthritis) and healthy adults, by general practitioners (GPs) in the mid-west of Ireland, as well as, whether training in EC influences the frequency of EC...
December 2014: European Journal of General Practice
Penglai Chen, Jing Chai, Jing Cheng, Kaichun Li, Shaoyu Xie, Han Liang, Xingrong Shen, Rui Feng, Debin Wang
BACKGROUND: Increasing cases of diabetes, a general lack of routinely operational prevention, and a long history of separating disease prevention and treatment call for immediate engagement of frontier clinicians. This applies especially to village doctors who work in rural China where the majority of the nation's vast population lives. OBJECTIVE: This study aims to develop and test an online Smart Web Aid for Preventing Type 2 Diabetes (SWAP-DM2) capable of addressing major barriers to applying proven interventions and integrating diabetes prevention into routine medical care...
2014: Journal of Medical Internet Research
Stefano Balducci, Maria Chiara Vulpiani, Luca Pugliese, Valeria D'Errico, Stefano Menini, Gerardo Salerno, Luca Gargiulo, Andrea Ferretti, Giuseppe Pugliese
Musculoskeletal disorders are common in subjects with type 2 diabetes mellitus (T2DM) and may represent a barrier to physical activity (PA). In the Italian Diabetes and Exercise Study, we assessed whether a strategy aimed at minimizing the risk of injury and worsening of musculoskeletal symptoms favors participation in exercise training and results in improvements in joint-specific functional scores, along with amelioration of metabolic profile. Sedentary patients with T2DM (n = 606) from 22 outpatient diabetes clinics were randomized to twice-a-week supervised aerobic and resistance training plus exercise counseling (EXE) versus counseling alone (CON) for 12 months...
August 2014: Acta Diabetologica
Corey A Rynders, Arthur Weltman
Aerobic exercise training and diet are recommended for the primary prevention of type 2 diabetes mellitus and cardiovascular disease. The American Diabetes Association (ADA) recommends that adults with prediabetes engage in ≥ 150 minutes per week of moderate activity and target a 7% weight loss. However, traditional moderate-intensity (MI) exercise training programs are often difficult to sustain for prediabetic adults; a commonly cited barrier to physical activity in this population is the "lack of time" to exercise...
February 2014: Physician and Sportsmedicine
Rhiannon E Halse, Karen E Wallman, John P Newnham, Kym J Guelfi
PURPOSE: Regular maternal exercise may play an important role in the management of gestational diabetes mellitus (GDM), yet specific exercise guidelines to achieve glycemic control have not been established. Furthermore, many women remain sedentary during pregnancy because of perceived barriers to exercise participation. This study examined the effectiveness of a home-based cycling program commenced upon diagnosis of GDM on daily fasting and postprandial blood glucose levels, glycosylated hemoglobin (HbA1c), and the response of glucose and insulin to a 75-g oral glucose load...
September 2014: Medicine and Science in Sports and Exercise
M R Hayden, W A Banks, G N Shah, Z Gu, J R Sowers
The prevalence of the cardiorenal metabolic syndrome (CRS) is increasing in parallel with obesity, type 2 diabetes mellitus, Alzheimer's disease, and other forms of dementia. Along with metabolic, inflammatory, and immunological abnormalities, there is maladaptive structural remodeling of the heart, kidney, and brain. The term 'diabetic cognopathy' (DC) may be used when discussing functional and structural changes in the brain of the diabetic patient. DC likely represents an advanced form of these changes in the brain that evolve with increasing duration of the CRS and subsequent clinical diabetes...
December 2013: Cardiorenal Medicine
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