Margaret M McCarthy1, Janice Davey2, Frans J Th Wackers2, Deborah A Chyun3. 1. Yale School of Nursing, Orange, Connecticut, USA (Dr McCarthy) 2. Yale School of Medicine, New Haven, Connecticut, USA (Ms Davey, Dr Wackers) 3. New York University College of Nursing, New York, New York, USA (Dr Chyun)
Abstract
PURPOSE: The purpose of this secondary analysis was to determine changes in physical inactivity from baseline to 5 years and to identify factors associated with and predictive of physical inactivity among individuals with type 2 diabetes enrolled in the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study. METHODS: DIAD was a prospective randomized screening trial that assessed the prevalence of silent ischemia in asymptomatic patients with type 2 diabetes. Subjects were recruited from diabetes and primary care practices at 14 centers throughout the United States and Canada. This is a secondary data analysis of the physical activity data (type and hours/week) collected. No intervention was conducted. RESULTS: In all subjects, physical inactivity rose from 24% at baseline to 33% at 5 years (S = 28.93; P < .0001). This change was significant in both men (S = 11.44; P < .0001), increasing from 23% to 31%, and women (S = 18.05; P < .0001), increasing from 25% to 36%. Gender differences were noted in several factors associated with baseline physical inactivity as well as in factors predictive of physical inactivity at 5 years. Important factors associated at both time points included lower level of education, current employment, presence of peripheral and autonomic neuropathy, and indicators of overweight/obesity. Baseline physical inactivity was strongly predictive of physical inactivity at 5 years (odds ratio, 3.27; 95% confidence interval, 2.36-4.54; P < .0001). CONCLUSIONS: Gender-related differences were noted in factors associated with and predictive of physical inactivity.
RCT Entities:
PURPOSE: The purpose of this secondary analysis was to determine changes in physical inactivity from baseline to 5 years and to identify factors associated with and predictive of physical inactivity among individuals with type 2 diabetes enrolled in the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study. METHODS: DIAD was a prospective randomized screening trial that assessed the prevalence of silent ischemia in asymptomatic patients with type 2 diabetes. Subjects were recruited from diabetes and primary care practices at 14 centers throughout the United States and Canada. This is a secondary data analysis of the physical activity data (type and hours/week) collected. No intervention was conducted. RESULTS: In all subjects, physical inactivity rose from 24% at baseline to 33% at 5 years (S = 28.93; P < .0001). This change was significant in both men (S = 11.44; P < .0001), increasing from 23% to 31%, and women (S = 18.05; P < .0001), increasing from 25% to 36%. Gender differences were noted in several factors associated with baseline physical inactivity as well as in factors predictive of physical inactivity at 5 years. Important factors associated at both time points included lower level of education, current employment, presence of peripheral and autonomic neuropathy, and indicators of overweight/obesity. Baseline physical inactivity was strongly predictive of physical inactivity at 5 years (odds ratio, 3.27; 95% confidence interval, 2.36-4.54; P < .0001). CONCLUSIONS: Gender-related differences were noted in factors associated with and predictive of physical inactivity.
Authors: Ruth E Brown; Michael C Riddell; Alison K Macpherson; Karissa L Canning; Jennifer L Kuk Journal: J Diabetes Complications Date: 2013-07-23 Impact factor: 2.852
Authors: Gang Hu; Pekka Jousilahti; Noël C Barengo; Qing Qiao; Timo A Lakka; Jaakko Tuomilehto Journal: Diabetes Care Date: 2005-04 Impact factor: 19.112
Authors: Patricia M Kluding; Mamatha Pasnoor; Rupali Singh; Stephen Jernigan; Kevin Farmer; Jason Rucker; Neena K Sharma; Douglas E Wright Journal: J Diabetes Complications Date: 2012-06-18 Impact factor: 2.852
Authors: Parveen K Garg; Kiang Liu; Lu Tian; Jack M Guralnik; Luigi Ferrucci; Michael H Criqui; Jin Tan; Mary M McDermott Journal: Circulation Date: 2008-12-31 Impact factor: 29.690
Authors: Peter Kokkinos; Jonathan Myers; Eric Nylen; Demosthenes B Panagiotakos; Athanasios Manolis; Andreas Pittaras; Marc R Blackman; Roshney Jacob-Issac; Charles Faselis; Joshua Abella; Steven Singh Journal: Diabetes Care Date: 2009-02-05 Impact factor: 17.152
Authors: Mary O Whipple; Ana J Pinto; Layla A Abushamat; Audrey Bergouignan; Kristina Chapman; Amy G Huebschmann; Kevin S Masters; Kristen J Nadeau; Rebecca L Scalzo; Irene E Schauer; Deirdre Rafferty; Jane E B Reusch; Judith G Regensteiner Journal: Diabetes Care Date: 2022-09-01 Impact factor: 17.152