Change in Physical Activity after a Diabetes Diagnosis: Opportunity for Intervention.

• Autores: Kristin L. Schneider, Molly Waring, Sherry L. Pagoto, Christopher Andrews, Kathleen M. Hovey, Rebecca A. Seguin, Todd M. Manini, Michael J. Lamonte, Karen L. Margolis, Judith K. Ockene, Marcia L. Stefanick, Yi Ning, Stacy T. Sims, Yunsheng Ma
• Localización: Medicine & Science in Sports & exercise: Official Journal of the American College of Sports Medicine, ISSN 0195-9131, Vol. 46, Nº. 1, 2014, págs. 84-91
• Idioma: inglés
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• Resumen

  • AB Introduction: Moderate-intensity physical activity is recommended for individuals with diabetes to control glucose and prevent diabetes-related complications. The extent to which a diabetes diagnosis motivates patients to increase physical activity is unclear. This study used data from the Women's Health Initiative Observational Study (baseline data collected from 1993 to 1998) to examine change in physical activity and sedentary behavior in women who reported a diabetes diagnosis compared with women who did not report diabetes during 7 yr of follow-up (up to 2005). Methods: Participants (n = 84,300) were postmenopausal women who did not report diabetes at baseline (mean +/- SD; age = 63.49 +/- 7.34 yr; body mass index = 26.98 +/- 5.67 kg[middle dot]m-2). Linear mixed-model analyses were conducted adjusting for study year, age, race/ethnicity, body mass index, education, family history of diabetes, physical functioning, pain, energy/fatigue, social functioning, depression, number of chronic diseases, and vigorous exercise at age 18 yr. Analyses were completed in August 2012. Results: Participants who reported a diabetes diagnosis during follow-up were more likely to report increasing their total physical activity (P = 0.002), walking (P < 0.001), and number of physical activity episodes (P < 0.001) compared with participants who did not report a diabetes diagnosis. On average, participants reporting a diabetes diagnosis reported increasing their total physical activity by 0.49 MET[middle dot]h[middle dot]wk-1, their walking by 0.033 MET[middle dot]h[middle dot]wk-1, and their number of physical activity episodes by 0.19 MET[middle dot]h[middle dot]wk-1. No differences in reported sedentary behavior change were observed (P = 0.48). Conclusions: A diabetes diagnosis may prompt patients to increase physical activity. Healthcare professionals should consider how best to capitalize on this opportunity to encourage increased physical activity and maintenance