Physical environmental correlates of self-reported and objectively assessed physical activity in Belgian type 2 diabetes patients: Correlates of physical activity in diabetes patients
Open accessAbstract
Despite the well-known beneficial effects of physical activity (PA) on the long-term outcomes of type 2 diabetes patients, the majority of this patient group remains inactive. Therefore, it is necessary to understand the most important PA determinants in type 2 diabetes patients in order to develop efficacious interventions to increase PA participation. The main aim of this study was to investigate the associations of physical environmental factors with objectively assessed and self-reported PA in type 2 diabetes patients. A total of 133 type 2 diabetes patients participated in this cross-sectional study (response rate: 43.3%). All participants completed the long International PA Questionnaire and two validated questionnaires to measure physical environmental perceptions and psychosocial factors. They also wore an accelerometer and a pedometer to measure PA objectively. Selection criteria were age 35-80, BMI 25-35 kg m(-²), treated for type 2 diabetes and no PA limitations. Data were collected in 2007. Physical environmental factors contributed significantly to the explained variance of all objective and self-reported PA measures (explained variance from 4% to 18%) after controlling for sociodemographic variables. Home PA equipment, walkability, aesthetics and convenience of PA facilities were the most consistent environmental correlates. The contribution of physical environmental factors remained significant for most PA measures after taking into account the variance explained by psychosocial factors (explained variance from 4% to 10%), except for step counts and recreational walking. Physical environmental factors could be important correlates of PA in type 2 diabetes patients, even beyond the contribution of sociodemographic and psychosocial variables, but additional research is needed. Nevertheless, sociodemographic and psychosocial factors remain very important and when developing future interventions, all these multidimensional correlates should be kept in mind.
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Research indicates an association between environmental factors and how much physical activity people do.
“Studies have shown a link between the environment and people's levels of physical activity.”
From The Impact of Physical Activity in Patients With Type 2 Diabetes (2025) · cites this paper as [112]
For people with T2DM, physical environment features like home exercise equipment, nearby activity facilities, and neighborhood walkability explain as much as 18% of the variation in physical activity amount.
“Physical environmental factors, such as home exercise equipment, proximity of a PA facility, and walkability of the neighborhood, account for up to 18% of the variance in amount of PA in amongst T2DM.111,112”
From The Impact of Physical Activity in Patients With Type 2 Diabetes (2025) · cites this paper as [112]
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The Impact of Physical Activity in Patients With Type 2 Diabetes
Bassin, S. R., & Srinath, R. (2025) · American Journal of Lifestyle Medicine · doi:10.1177/15598276231180541 · Cited by 17 · see citing works
- Authors
- De Greef, K., Van Dyck, D., Deforche, B., & De Bourdeaudhuij, I.
- Affiliations
- Vrije Universiteit Brussel (BE)
- ORCID
- Deforche, Benedicte
- Venue
- Health & Social Care in the Community
- Publisher
- Hindawi Limited
- Published
- 2010-09
- Volume
- 19
- Issue
- 2
- Pages
- no-no
- ISSN
- 0966-0410 (ISSN-L)
- OpenAlex
- W1566914728
- Cited by
- 44
- References
- 57
- Citations by year
- 2024: 4 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 3 · 2012: 7
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health & Social Care in the Community (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Transportation › Urban Transport and Accessibility
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
- Keywords
- type 2 diabetes, physical activity, physical environment, walkability, home exercise equipment, recreational walking, step count, psychosocial factors, sociodemographic factors, determinants of physical activity, physical activity interventions
- MeSH terms
- Adult, Aged, Aged, 80 and over, Belgium, Diabetes Mellitus, Type 2, Environment, Female, Humans, Male, Middle Aged, Socioeconomic Factors, Health Behavior, Exercise, Walking, Self Efficacy, Self Report
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