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Leisure-Time Physical Activity Patterns in the U.S. Diabetic Population: Findings from the 1990 National Health Interview Survey—Health Promotion and Disease Prevention Supplement
Abstract
OBJECTIVE: Despite the scientific community's recognition of the importance of exercise, little is known about the epidemiology of exercise among persons with diabetes in the U.S. Our goals were to examine whether people with diabetes were more sedentary than people without diabetes, to examine the effect of activity limitations on the prevalence of exercise, and to examine whether the choice of activities differs among people with and without diabetes. RESEARCH DESIGN AND METHODS: We examined the 1990 Health Promotion and Disease Prevention Supplement of the National Health Interview Survey to describe leisure-time physical activity patterns in a representative sample of the U.S. population with diabetes. RESULTS: People with diabetes were less likely to report exercising regularly than people without this disease (34.3 ± 2.2% vs. 40.9 ± 0.5%, P < 0.05). When the data were stratified by activity limitation status, no significant differences were observed. People with diabetes were equally likely to have engaged in exercise in the preceding 2 weeks and to have expended ≥2,000 kcal/week as people without diabetes. Walking was the activity of choice for both groups: 49.2 ± 2.1% of people with diabetes reported walking during the previous 2 weeks compared with 44.2 ± 0.5% of people without diabetes (P < 0.05). People with diabetes were less likely to engage in jogging, aerobics, dancing, calisthenics, bicycling, weight lifting, several ball sports, and skiing than people without diabetes. CONCLUSIONS: After adjusting for activity limitations and age, people with and without diabetes are equally likely to exercise. The majority of people with diabetes, like their nondiabetic counterparts, are not meeting national physical activity goals. Individuals with diabetes should be encouraged to exercise regularly in accordance with their capabilities, physical limitations, and personal interests.
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“However, most patients with type 2 diabetes still struggle to adhere to 1 or more major cornerstones of treatment: physical activity, healthy eating, blood glucose monitoring, and medication. 4-6”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [6]
In the citing paper
“Most patients with type 2 diabetes (T2D) have suboptimal adherence to recommended diet, physical activity, and/or medication.”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [9]
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“Further, empirical evidence suggests that walking is the most common form of physical activity for adults with type 2 diabetes (45,46).”
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“Despite the positive effects of physical activity in the prevention and control of diabetes, some studies show that diabetic patients have less mobility compared to healthy people.(11) This sedentary lifestyle can be caused by various factors.”
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A Diabetes Intervention Program of Physical Activity carried out at primary care settings in Mexico
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Moghetti, P., Balducci, S., Guidetti, L., Mazzuca, P., Rossi, E., Schena, F. F., Italian Society of Diabetology (SID), Moghetti, P., Balducci, S., Guidetti, L., et al. (2020) · Sport Sciences for Health · doi:10.1007/s11332-020-00690-y · Cited by 13
“Walking is the activity of choice for most diabetic patients [88], while being effective in promoting weight loss and maintenance, and in improving glycemic control [31].”
BackgroundTakeuchi, M., Horikawa, C., Hatta, M., Takeda, Y., Nedachi, R., Ikeda, I., Morikawa, S. Y., Kato, N., Yokoyama, H., Aida, R., et al. (2021) · Nutrients · doi:10.3390/nu13103428 · Cited by 8
“A comparison of the activity levels between people with diabetes and the general population found no significant difference in physical activity levels and leisure-time physical activity patterns, and reported that neither groups achieved the recommended physical activity goals [18,19].”
Backgroundde Almeida, L. A. B., Pitanga, F. J. G., Freitas, M. M., Pitanga, C. P. S., Dantas, E. H. M., & Beck, C. C. (2012) · Revista Brasileira de Medicina do Esporte · doi:10.1590/s1517-86922012000100003 · Cited by 9
Cardiovascular Risk in Diabetes
Fagot‐Campagna, A., Gary‐Webb, T. L., & Benjamin, S. M. (2001) · Diabetes Care · doi:10.2337/diacare.24.11.2015 · Cited by 9
Lucha-López, M. O., Lucha-López, A. C., Vidal-Peracho, C., et al. (2014) · BMC Research Notes · doi:10.1186/1756-0500-7-48 · Cited by 8
Horikawa, C., Tsuda, K., Oshida, Y., Satoh, J., Hayashino, Y., Tajima, N., Nishimura, R., Sone, H., JDCP Study Group, Koya, D., et al. (2022) · Diabetology International · doi:10.1007/s13340-022-00575-0 · Cited by 10
“There were no significant differences in physical activity levels and patterns between the general population and patients with diabetes, and the recommended physical activity goals were not achieved, regardless of the presence or absence of diabetes [51, 52].”
BackgroundMurano, I., ASAKAWA, Y., Mizukami, M., & Takihara, J. (2013) · Rigakuryoho Kagaku · doi:10.1589/rika.28.101 · Cited by 8
Kono, S., Kim, J. S., Gui, J., & McDaniel, J. T. (2018) · International Journal of the Sociology of Leisure · doi:10.1007/s41978-018-0018-6 · Cited by 9
Physical activity of Aboriginals with type 2 diabetes: an exploratory study.
Brunet, S., Plotnikoff, R. C., Raine, K. D., & Courneya, K. S. (2005) · PubMed · Cited by 8
Verch, R., Stoll, J., Hadzic, M., Quarmby, A., & Völler, H. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.715417 · Cited by 8
Tight control of type 1 diabetes: recommendations for patients.
Havas, S., & Donner, T. W. (2006) · PubMed · Cited by 7
Metadata
- Authors
- Ford, E. S., & Herman, W. H.
- Affiliations
- National Center for Environmental Health (US)
- Centers for Disease Control and Prevention (US)
- ORCID
- Herman, William H
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 1995-01-01
- Volume
- 18
- Issue
- 1
- Pages
- 27-33
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2088378838
- Cited by
- 126
- References
- 0
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 1 · 2021: 5 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 4 · 2016: 10 · 2015: 4 · 2014: 10 · 2013: 2 · 2012: 3
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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
- diabetes mellitus, leisure-time physical activity, sedentary behavior, activity limitation, walking, physical activity patterns, physical activity goals, National Health Interview Survey
- MeSH terms
- Adolescent, Adult, Aged, Diabetes Mellitus, Female, Health Surveys, Humans, Male, Middle Aged, Retrospective Studies, United States, Exercise
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