R M Anjana1, H Ranjani2, R Unnikrishnan2, M B Weber3, V Mohan2, K M Venkat Narayan3. 1. Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Collaborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre of Education, Gopalapuram, Chennai, India. Electronic address: dranjana@drmohans.com. 2. Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Collaborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre of Education, Gopalapuram, Chennai, India. 3. Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Abstract
AIMS: This paper attempts to describe the patterns of exercise and the perceived benefits and barriers to exercise in an urban south Indian population. METHODS:Study participants were recruited from the baseline survey of the D-CLIP (Diabetes Community Lifestyle Improvement Program). Frequency, duration, type and location of exercise were assessed using a questionnaire, while a Likert type scale was used to assess perceived benefits of and barriers to exercise. Quality of life was measured using the EQ-5D. RESULTS: Out of 1281 participants (63.7% males), 24.1% reported doing ≥150min of exercise/week ("exercisers") compared to 75.9% "non-exercisers". Exercisers were significantly older (47 vs. 43 years), better educated (68.8% vs. 60%), had a higher monthly income (41% vs. 29.2%), consumed more fruits (38.2% vs. 25.6%) and vegetables (84.1% vs. 77.7%) and had better perceived state of health (81.1% vs. 76.8%), compared to non-exercisers. Exercisers had significantly lower HOMA-IR, higher Matsuda index and lower prevalence of low HDL cholesterol compared to non-exercisers. However, there were no significant differences in cardio-metabolic risk factors like diabetes, hypertension and obesity between the two groups. Walking was the most common type of exercise. Both exercisers and non-exercisers perceived the benefits of exercising, but barriers weighed more heavily on exercise behaviour. CONCLUSIONS: Urgent steps are needed to improve overall exercise levels in India by addressing barriers and improving the quality of exercise performed so as to enhance overall metabolic health.
RCT Entities:
AIMS: This paper attempts to describe the patterns of exercise and the perceived benefits and barriers to exercise in an urban south Indian population. METHODS: Study participants were recruited from the baseline survey of the D-CLIP (Diabetes Community Lifestyle Improvement Program). Frequency, duration, type and location of exercise were assessed using a questionnaire, while a Likert type scale was used to assess perceived benefits of and barriers to exercise. Quality of life was measured using the EQ-5D. RESULTS: Out of 1281 participants (63.7% males), 24.1% reported doing ≥150min of exercise/week ("exercisers") compared to 75.9% "non-exercisers". Exercisers were significantly older (47 vs. 43 years), better educated (68.8% vs. 60%), had a higher monthly income (41% vs. 29.2%), consumed more fruits (38.2% vs. 25.6%) and vegetables (84.1% vs. 77.7%) and had better perceived state of health (81.1% vs. 76.8%), compared to non-exercisers. Exercisers had significantly lower HOMA-IR, higher Matsuda index and lower prevalence of low HDL cholesterol compared to non-exercisers. However, there were no significant differences in cardio-metabolic risk factors like diabetes, hypertension and obesity between the two groups. Walking was the most common type of exercise. Both exercisers and non-exercisers perceived the benefits of exercising, but barriers weighed more heavily on exercise behaviour. CONCLUSIONS: Urgent steps are needed to improve overall exercise levels in India by addressing barriers and improving the quality of exercise performed so as to enhance overall metabolic health.
Authors: T Sathish; B Oldenburg; R J Tapp; J E Shaw; R Wolfe; B Sajitha; F D'Esposito; P Absetz; E Mathews; P Z Zimmet; K R Thankappan Journal: Diabet Med Date: 2016-07-15 Impact factor: 4.359
Authors: Pallavi Mishra; Tess Harris; Sheila Margaret Greenfield; Mark Hamer; Sarah Anne Lewis; Kavita Singh; Rukamani Nair; Somnath Mukherjee; Nandi Krishnamurthy Manjunath; Nikhil Tandon; Sanjay Kinra; Dorairaj Prabhakaran; Kaushik Chattopadhyay Journal: Int J Environ Res Public Health Date: 2022-05-01 Impact factor: 4.614
Authors: Kaushik Chattopadhyay; Pallavi Mishra; Nandi Krishnamurthy Manjunath; Tess Harris; Mark Hamer; Sheila Margaret Greenfield; Haiquan Wang; Kavita Singh; Sarah Anne Lewis; Nikhil Tandon; Sanjay Kinra; Dorairaj Prabhakaran Journal: Front Public Health Date: 2020-11-17
Authors: Pallavi Mishra; Sheila Margaret Greenfield; Tess Harris; Mark Hamer; Sarah Anne Lewis; Kavita Singh; Rukamani Nair; Somnath Mukherjee; Nandi Krishnamurthy Manjunath; David Ross Harper; Nikhil Tandon; Sanjay Kinra; Dorairaj Prabhakaran; Kaushik Chattopadhyay Journal: Front Public Health Date: 2021-09-03
Authors: Catherine E Cioffi; Harish Ranjani; Lisa R Staimez; Ranjit Mohan Anjana; Viswanathan Mohan; Mary Beth Weber Journal: BMJ Open Diabetes Res Care Date: 2018-10-15