Environmental correlates of physical activity among individuals with diabetes in the rural midwest
Open accessAbstract
OBJECTIVE—To determine the relationship between physical and social environment attributes and levels of physical activity in a population-based sample of diabetic individuals living in rural areas. RESEARCH DESIGN AND METHODS—Cross-sectional telephone survey data from rural communities of southeastern Missouri, Tennessee, and Arkansas were used. Logistic regression was used to calculate crude and adjusted prevalence odds ratios (PORs) and 95% CIs. RESULTS—A total of 278 (11%) individuals with diabetes were identified. Almost 37% of this group reported no leisure-time physical activity. Individuals with diabetes who reported regular physical activity were more likely to report better general health status, normal BMI, and no physical impairment. After adjustment, regular activity was positively associated with use of three or more facilities (POR 14.3, 95% CI 3.0–67.3) in the past 30 days, the availability of many nearby places to walk (2.3, 1.1–4.8), the availability of shoulders on streets (2.4, 1.3–4.5), often walking to nearby places (4.1, 2.0–8.3), and rating the community for physical activity as generally pleasant (2.3, 1.1–4.8). Additionally, the regular activity group was more likely to report their physician had helped make a plan to increase physical activity (2.8, 1.3–5.8) and followed up on their plan (2.2, 1.1–4.4). Social environment variables were not associated with physical activity after adjustment. CONCLUSIONS—Physical inactivity is a significant problem in rural diabetic populations. We have identified aspects of the social and physical environment that are positively associated with physical activity. Understanding the role of the environment may result in increased physical activity for individuals with diabetes.
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The availability of facilities or pleasant and safe places to walk may also be important predictors of regular PA.
“The availability of facilities or pleasant and safe places to walk may also be important predictors of regular PA ( 59 ).”
From Exercise and Type 2 Diabetes (2010) · cites this paper as [59]
The Results (page unavailable) associate facility use, a pleasant community rating, and places to walk with regular physical activity among people with diabetes. The paper also reports earlier studies linking safety to physical activity, but its own adjusted results do not show a significant association for safety from crime or traffic; the safety portion is therefore less directly supported. (LLM, conf=0.84)
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- Authors
- Deshpande, A. D., Baker, E. A., Lovegreen, S. L., & Brownson, R. C.
- Affiliations
- Saint Louis University (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2005-05-01
- Volume
- 28
- Issue
- 5
- Pages
- 1012-1018
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2108333037
- Cited by
- 103
- References
- 30
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 7 · 2013: 2 · 2012: 3
- FWCI
- 4.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Missouri
- McGill University
- National Institutes of Health (5r18dk061706-04)
- Centers for Disease Control and Prevention (U48/CCU 710806)
- National Institute of Diabetes and Digestive and Kidney Diseases (5 R18DK061706)
- 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
- physical activity, diabetes mellitus, rural population, built environment, social environment, leisure-time physical activity, physical inactivity, walking, neighborhood amenities, physician recommendations, health status, body mass index, rural Midwest
- MeSH terms
- Adult, Aged, Cross-Sectional Studies, Diabetes Mellitus, Environment, Female, Humans, Life Style, Male, Middle Aged, Motor Activity, Rural Population, Telephone, Midwestern United States, Prevalence
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.
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