Level and correlates of physical activity and sedentary behavior in patients with type 2 diabetes: A cross-sectional analysis of the Italian Diabetes and Exercise Study_2
Open accessAbstract
OBJECTIVE: Patients with type 2 diabetes usually show reduced physical activity (PA) and increased sedentary (SED)-time, though to a varying extent, especially for low-intensity PA (LPA), a major determinant of daily energy expenditure that is not accurately captured by questionnaires. This study assessed the level and correlates of PA and SED-time in patients from the Italian Diabetes and Exercise Study_2 (IDES_2). METHODS: Three-hundred physically inactive and sedentary patients with type 2 diabetes were enrolled in the IDES_2 to be randomized to an intervention group, receiving theoretical and practical exercise counseling, and a control group, receiving standard care. At baseline, LPA, moderate-to-vigorous-intensity PA (MVPA), and SED-time were measured by accelerometer. Physical fitness and cardiovascular risk factors and scores were also assessed. RESULTS: LPA was 3.93±1.35 hours∙day-1, MVPA was 12.4±4.6 min∙day-1, and SED-time was 11.6±1.2 hours∙day-1, with a large range of values (0.89-7.11 hours∙day-1, 0.6-21.0 min∙day-1, and 9.14-15.28 hours∙day-1, respectively). At bivariate analysis, LPA and MVPA correlated with better cardiovascular risk profile and fitness parameters, whereas the opposite was observed for SED-time. Likewise, values of LPA, MVPA, and SED-time falling in the best tertile were associated with optimal or acceptable levels of cardiovascular risk factors and scores. At multivariate analysis, age, female gender, HbA1c, BMI or waist circumference, and high-sensitivity C reactive protein (for LPA and SED-time only) were negatively associated with LPA and MPA and positively associated with SED-time in an independent manner. CONCLUSIONS: Physically inactive and sedentary patients with type 2 diabetes from the IDES_2 show a low level of PA, though values of LPA, MVPA, and SED-time vary largely. Furthermore, there is a strong correlation of these measures with glycemic control, adiposity and inflammation, thus suggesting that even small improvements in LPA, MVPA, and SED-time might be associated with significant improvement in cardiovascular risk profile. TRIAL REGISTRATION: ClinicalTrials.gov NCT01600937.
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Several studies reported a decrease in sedentary time after the interventions.
“Several studies reported a decrease in sedentary time after the interventions [16,24,30].”
The behavioural scaffolding in supervised exercise interventions remains largely shaped by interpersonal support.
“However, the behavioural scaffolding remains largely shaped by interpersonal support [16,24,25,27].”
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- Authors
- Balducci, S., D’Errico, V., Haxhi, J., Sacchetti, M., Orlando, G., Cardelli, P., Di Biase, N., Bollanti, L., Conti, F., Zanuso, S., Nicolucci, A., Pugliese, G., & Italian Diabetes and Exercise Study 2 (IDES_2) Investigators
- Affiliations
- Azienda Ospedaliera Sant'Andrea (IT)
- Foro Italico University of Rome (IT)
- Coventry (United Kingdom) (GB)
- Center for Outcomes Research and Clinical Epidemiology (IT)
- Corresponding author
- Pugliese, Giuseppe
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2017-03-14
- Volume
- 12
- Issue
- 3
- Pages
- e0173337
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5349668
- OpenAlex
- W2696972654
- Cited by
- 46
- References
- 39
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 3
- FWCI
- 3.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Metabolic Fitness Association
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- type 2 diabetes, physical activity, sedentary behavior, light physical activity, moderate-to-vigorous physical activity, accelerometer-measured activity, cardiovascular risk factors, physical fitness, glycemic control, adiposity, inflammation, high-sensitivity C-reactive protein, physical activity counseling, physical inactivity, sex differences, HbA1c
- MeSH terms
- Aged, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Italy, Male, Middle Aged, Cohort Studies, Exercise, Sedentary Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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