Predictors of Physical Activity in Adults With Type 2 Diabetes
Abstract
OBJECTIVES: To determine demographic, medical, social cognitive, and environmental predictors of aerobic physical activity and resistance training in a population sample of adults with type 2 diabetes. METHODS: Two hundred forty-four (244) participants completed questionnaires with a 3-month follow-up. Multiple and logistic regression models examined predictors of aerobic activity and resistance training. RESULTS: Several factors were associated with higher levels of both aerobic physical activity and resistance training; self-efficacy was the strongest predictor for both modes of activity. CONCLUSIONS: The findings can guide physical activity promotion interventions and programs for this population, profiling those who are least active.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
MI leads to decreased ambivalence, greater intention to change, and increased feelings of control, all of which are consistently associated with greater physical activity.
“Furthermore, MI itself leads to decreased ambivalence, greater intention to change, and increased feelings of control (pathway C1) [113, 133–137], all of which are consistently associated with greater physical activity (pathway C2) [138–140].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [139]
Cited by
Sorted by citations
Social cognitive theory and physical activity: a systematic review and meta‐analysis
Young, M. D., Plotnikoff, R. C., Collins, C. E., Callister, R., & Morgan, P. J. (2014) · Obesity Reviews · doi:10.1111/obr.12225 · Cited by 505 · see citing works
“Forty-nine models (89%) used a non-college sample (47–58,62–68,70– 79,81–90), but only four models randomly selected participants from the target population (60,73,77,86).”
BackgroundInfluentialSelf-citationPhysical Activity and Diabetes
Sigal, R. J., Armstrong, M. J., Colby, P., Kenny, G. P., Plotnikoff, R. C., Reichert, S. M., & Riddell, M. C. (2013) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2013.01.018 · Cited by 256 · see citing works
Self-citationHuffman, J. C., DuBois, C. M., Millstein, R. A., Celano, C. M., & Wexler, D. (2015) · Journal of Diabetes Research · doi:10.1155/2015/428349 · Cited by 127 · see citing works
Positive Psychological Characteristics in Diabetes: A Review
Celano, C. M., Beale, E. E., Moore, S. V., Wexler, D. J., & Huffman, J. C. (2013) · Current Diabetes Reports · doi:10.1007/s11892-013-0430-8 · Cited by 69 · see citing works
“While the crosssectional studies mentioned above cannot clarify the directionality of the relationship between these psychological characteristics and lifestyle changes, observational and intervention-based studies have found that self-efficacy, in particular, is prospectively associated with physical activity [87, 88…”
BackgroundJohnson, M. D., Anderson, J. R., Walker, A., Wilcox, A., Lewis, V. L., & Robbins, D. (2013) · Journal of family psychology · doi:10.1037/a0034006 · Cited by 68 · see citing works
Moreau, M., Gagnon, M.-P., & Boudreau, F. (2015) · JMIR Research Protocols · doi:10.2196/resprot.4099 · Cited by 41 · see citing works
“Nine articles identifying potential determinants of aerobic PA in adults with type 2 diabetes were found in our qualitative review [9,69-76].”
Scruggs, S., Mama, S. K., Carmack, C. L., Douglas, T. C., Diamond, P. M., & Basen-Engquist, K. M. (2017) · Health Promotion Practice · doi:10.1177/1524839917709781 · Cited by 41 · see citing works
Predicting intentions and behaviours in populations with or at-risk of diabetes: A systematic review
Akbar, H. G., Anderson, D. J., & Gallegos, D. (2015) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2015.04.006 · Cited by 38 · see citing works
“These studies were from different locations with two from Canada (Blue, 2007; Chapman et al., 1995); one from the United States (Chapman et al., 1995); one from Portugal (Costa et al., 2012) and one from Malta (Gatt and Sammut, 2008).”
BackgroundInfluentialBourne, J. E., Little, J. P., Beauchamp, M. R., Barry, J., Singer, J., & Jung, M. E. (2019) · JMIR Research Protocols · doi:10.2196/11226 · Cited by 22 · see citing works
“In relation to T2D, self-efficacy has been shown to increase after free-living exercise interventions [23] and has been found to mediate the relationship between intervention delivery and objectively measured physical activity behavior [24].”
Lin, C., Chiang, S., Yates, P. M., Tzeng, W., Lee, M., & Chiang, L. (2016) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000354 · Cited by 21 · see citing works
Miles, S. R., Khambaty, T., Petersen, N. J., Naik, A. D., & Cully, J. A. (2018) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-017-9527-6 · Cited by 19 · see citing works
“In support of this hypothesis, PA was associated with greater frequency of exercise (Plotnikoff et al., 2011; Pressman & Cohen, 2005; Rhodes & Smith, 2006; Ryff, Singer, & Love, 2004), greater intake of dietary zinc (Cohen, Doyle, Turner, Alper, & Skoner, 2003), and lower mortality rates (Moskowitz, Epel, & Acree, 200…”
BackgroundZhu, Y., Cheng, K., Wang, H., Xu, Z., Zhang, R., Cheng, W., Wang, Y., & Lyu, W. (2022) · Patient Preference and Adherence · doi:10.2147/ppa.s374120 · Cited by 16 · see citing works
“It was described as an excessive, irrational fear of physical movement or activity due to a sense of vulnerability to injury or re-injury.(33) Previous studies have shown that some diabetic patients, especially individuals with type 1 diabetes (T1DM), are prone to hypoglycemic fear,(34) which may lead to reluctance to…”
BackgroundSalman, A., Ukwaja, K. N., & AlKhatib, A. H. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16203857 · Cited by 15 · see citing works
“This is consistent with lower physical activity levels in diabetic women than diabetic men reported in different populations, including Canadian (n = 244) [30], Omani (n = 305) [32], Jamaican (n = 194) [27] and US (n = 2977) [27] cohorts.”
ResultFowles, J. R., Shields, C. A., d’Entremont, L., McQuaid, S., Barron, B. J., & Dunbar, P. (2014) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2014.02.008 · Cited by 10 · see citing works
Mutikainen, S., Föhr, T., Karhunen, L., Kolehmainen, M., Kainulainen, H., Lappalainen, R. I., & Kujala, U. M. (2015) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2015.05.001 · Cited by 9 · see citing works
Pai, L., Chang, P.-Y., Chen, W., Hwu, Y., & Lai, C.-H. (2012) · JBI Library of Systematic Reviews · doi:10.11124/jbisrir-2012-251 · Cited by 9 · see citing works
Fowles, J. R., Shields, C. A., Barron, B. J., McQuaid, S., & Dunbar, P. (2014) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2014.02.020 · Cited by 8 · see citing works
Cassimatis, M., Kavanagh, D. J., Hills, A. P., Smith, A. C., Scuffham, P., Gericke, C. A., & Parham, S. C. (2015) · JMIR Research Protocols · doi:10.2196/resprot.2813 · Cited by 7 · see citing works
“Self-efficacy has significant positive associations with behavioral outcomes including physical activity participation [46,47], nutrition intake [48,49], weight loss [50], and diabetes self-care [51], as well as with emotional outcomes, including depressive symptoms [52], in people with diabetes.”
Using social–cognitive constructs to predict preoperative exercise before total joint replacement.
Fiala, B., Rhodes, R. E., Blanchard, C. M., & Anderson, J. O. (2013) · Rehabilitation Psychology · doi:10.1037/a0032196 · Cited by 7 · see citing works
Zambrano, J., Celano, C. M., Chung, W., Massey, C. N., Feig, E. H., Millstein, R. A., Healy, B. C., Wexler, D. J., Park, E. R., Golden, J., et al. (2020) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2020.1815538 · Cited by 7 · see citing works
“…2013; Majer, Jason, & Olson, 2004; Scheier et al., 2007) are likely to improve self-efficacy, confidence, resilience, and motivation, which in turn could translate to increased activity (Dutton et al., 2009; Littlecott, Moore, Moore, & Murphy, 2014; Plotnikoff et al., 2011; Sweet et al., 2009).”
BackgroundDineen, T. E., Locke, S., Cranston, K. D., Beauchamp, M. R., & Jung, M. E. (2021) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2021.102001 · Cited by 4 · see citing works
A trajectory analysis of daily step counts during a physician-delivered intervention
Cooke, A. B., Rahme, E., Defo, A. K., Chan, D., Daskalopoulou, S. S., & Dasgupta, K. (2020) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2020.04.010 · Cited by 4 · see citing works
INCREASING SELF-EFFICACY TO REGULATE EXERCISE IN ADULT PATIENTS WITH TYPE 2 DIABETES MELLITUS
Siregar, R., Stongpat, S., & Wattanakul, B. (2018) · Belitung Nursing Journal · doi:10.33546/bnj.586 · Cited by 4 · see citing works
“ORIGINAL RESEARCH ISSN: 2477-4073 Belitung Nursing Journal, Volume 4, Issue 6, November - December 2018 Webster, 2010; Plotnikoff et al., 2011).”
BackgroundKalka, D., & Pawłowska, M. (2015) · Polish Psychological Bulletin · doi:10.1515/ppb-2015-0043 · Cited by 3 · see citing works
Sigal, R. J., Armstrong, M. J., Colby, P., Kenny, G. P., Plotnikoff, R. C., Reichert, S. M., & Riddell, M. C. (2013) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2013.07.047 · Cited by 2 · see citing works
Self-citationMisra, R., Choi, S.-M., Guerrero, J., & Lee, S. (2016) · The Korean Journal of Rehabilitation Nursing · doi:10.15758/jkak.2016.18.3.51 · Cited by 1 · see citing works
Permana, R. H. (2016) · INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) · doi:10.24990/injec.v1i1.86
Hansen, E., Gundersen, K. T., & Svebak, S. (2017) · Health · doi:10.4236/health.2017.95062
“Measures of self-efficacy among adults in coping with life challenges have been strong predictors of participation in endurance as well as resistance activities [11].”
BackgroundThiel, D. M. (2016) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r3w08ws8w
UPAYA MEMINIMALISIR INDIKASI KRIMINALISASI PRILAKU NGELEM ANAK JALANAN DI KOTA MEDANPreprint
Erwinsyahbana, T. (2018) · doi:10.31227/osf.io/grfc2
Palanisamy, R., Norman, A. A., Kiah, M. L. M., & Herawan, T. (2025) · Information systems engineering and management · doi:10.1007/978-3-031-86801-6_2
- Authors
- Plotnikoff, R. C., Trinh, L., Courneya, K. S., Karunamuni, N., & Sigal, R. J.
- Affiliations
- University of Newcastle Australia (AU)
- University of Alberta (CA)
- University of Calgary (CA)
- Venue
- American Journal of Health Behavior
- Publisher
- JCFCorp SG PTE LTD
- Published
- 2011-05-01
- Volume
- 35
- Issue
- 3
- Pages
- 359-370
- ISSN
- 1087-3244 (ISSN-L)
- OpenAlex
- W1979181175
- Cited by
- 33
- References
- 0
- Citations by year
- 2025: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 6 · 2014: 4 · 2013: 5 · 2012: 2
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Health Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- type 2 diabetes, physical activity, aerobic exercise, resistance training, self-efficacy, predictors of physical activity, socio-cognitive factors, environmental factors, physical activity promotion
- MeSH terms
- Adult, Aged, Cognition, Diabetes Mellitus, Type 2, Female, Follow-Up Studies, Humans, Male, Middle Aged, Models, Psychological, Motor Activity, Surveys and Questionnaires, Social Behavior, Social Environment, Socioeconomic Factors, Exercise, Body Mass Index, Logistic Models, Self Efficacy, Resistance Training
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 ›
Are you an author, or do you see a problem with this page? Request a review
