Barriers to and motivators for physical activity among people with Type 2 diabetes: patients' perspectives
Abstract
Aim: To explore barriers to and motivators for physical activity in a group of overweight and obese individuals with dysregulated Type 2 diabetes. Methods: Data were collected from the Steno Diabetes Center's outpatient clinic in Denmark. Four focus groups were conducted including 28 individuals with Type 2 diabetes aged 39–71 years. The facilitators used open‐ended questions and probes such as images, statements and quotations about physical activity to foster active participation and interaction among participants. Focus groups were recorded on video and the discussions were transcribed and analysed thematically. Results: We identified four main themes: 1) the body as a barrier to physical activity because of functional limitations; 2) logistical challenges, including lack of time and awareness of where to exercise in the local area; 3) being physically active with others, providing a sense of mutual commitment and enjoyment; and 4) goal‐setting and self‐tracking, which was seen as an opportunity to track physical improvement over time. Conclusions: The findings suggest that, once people are active, a high level of social interaction may help maintain their activity levels. Further research is needed to investigate the effect of combining individually tailored exercise plans with the establishment of customized and locally based exercise communities that offer enjoyment and support. Additionally, it is relevant to explore experiences of using self‐tracking technologies to review short‐ and long‐term goals.
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Participants do not receive appropriate support from health providers in the time between scheduled meetings.
“One such barrier is that participants do not receive appropriate support from health providers in the time between scheduled meetings.22”
Barriers reported by patients with type 2 diabetes include poor physical conditioning or disability and logistical challenges such as lack of time and knowledge of where to engage in physical activity.
“Barriers reported by patients with T2DM included poor physical conditioning or disability and logistical challenges, including lack of time and knowledge of where to engage in physical activity.”
From The Impact of Physical Activity in Patients With Type 2 Diabetes (2025) · cites this paper as [95]
Participating in group activities like tennis, zumba, walking, or soccer can foster commitment through a sense of community.
“Group activities, such as tennis, zumba, walking, and soccer can encourage commitment by creating a sense of community.95,108”
From The Impact of Physical Activity in Patients With Type 2 Diabetes (2025) · cites this paper as [95]
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Physical Activity Indicators, Metabolic Biomarkers, and Comorbidity in Type 2 Diabetes
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Towards an Ontology to Identify Barriers to Physical Activityfor Type 2 Diabetes
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Connections Among Daily Occupational Participation, Diabetes Self-Management, and Quality of Life
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Lifestyle and the early onset of diabetes mellitus among young adults
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Reflections on a year at Diabetic Medicine
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Motivational Factors in Adherence among Elderly with Diabetes and Hypertension
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The Role of Exercise and Physical Activity in Diabetic Neuropathy
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Disability in diabetes mellitus: how important is physical activity?
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- Authors
- Lidegaard, L. P., Schwennesen, N., Willaing, I., & Færch, K.
- Affiliations
- Steno Diabetes Center Gentofte Denmark
- University of Copenhagen (DK)
- Corresponding author
- Færch, K.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2016-07-09
- Volume
- 33
- Issue
- 12
- Pages
- 1677-1685
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W2410973546
- Cited by
- 92
- References
- 42
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 9 · 2023: 8 · 2022: 4 · 2021: 17 · 2020: 11 · 2019: 13 · 2018: 8 · 2017: 5 · 2016: 2 · 2015: 1
- FWCI
- 7.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Novo Nordisk Foundation
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
- Keywords
- type 2 diabetes, physical activity, barriers to exercise, exercise motivation, overweight, obesity, functional limitations, social support, goal setting, self-tracking, exercise adherence, patient perspectives
- MeSH terms
- Adult, Aged, Attitude to Health, Denmark, Diabetes Mellitus, Type 2, Female, Humans, Interpersonal Relations, Male, Middle Aged, Motivation, Obesity, Exercise, Focus Groups, Overweight
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