Abstract
Objectives
Individuals with type 2 diabetes should engage in ≥150 min of moderate- to vigorous-intensity
physical activity (MVPA) weekly, but most do not meet this guideline. Understanding
how social determinants correlate with physical activity in adults with type 2 diabetes
may improve development and delivery of physical activity interventions. This study
aimed to explore associations between objectively measured MVPA with sociodemographic
characteristics in adults with type 2 diabetes.
Methods
Cross-sectional data from cycles 1 through 5 of the Canadian Health Measures Survey
were analyzed. Participants (N=876) 20 to 79 years of age with type 2 diabetes and
≥4 days of valid activity monitor wear were included. Proportions with 95% confidence
intervals for objectively measured MVPA were compared according to sociodemographic
characteristics. Ordinal logistic regression was used. Secondary outcomes included
light-intensity physical activity, screen time and proportion of activity monitor
wear time spent sedentary.
Results
Only 15.5% of women and 26.2% of men met Diabetes Canada physical activity guidelines,
and approximately 75% of activity monitor wear time was spent in a sedentary state.
Higher odds of achieving low levels of physical activity were observed among women
who were former or current smokers (odds ratio [OR], 4.51; p<0.001), and among men
who were ≥65 years of age (OR, 2.92; p<0.001), of middle (OR, 2.20; p<0.05) and lowest
income tertiles (OR, 3.06; p<0.05) and current or former smokers (OR, 3.01; p<0.05).
Conclusions
Sociodemographic factors are strongly associated with levels of MVPA in adults with
type 2 diabetes. Sociodemographic information should be routinely collected by clinicians
and used to inform more tailored and effective interventions for this patient population.
Résumé
Objectifs
Les individus atteints du diabète de type 2 devraient faire ≥ 150 min d’activité physique
d’intensité modérée à vigoureuse (APMV) par semaine, mais la plupart ne se conforment
pas à cette recommandation. La compréhension de la façon dont les déterminants sociaux
sont en corrélation avec l’activité physique chez les adultes atteints du diabète
de type 2 peut améliorer l’élaboration et la prestation d’interventions en matière
d’activité physique. La présente étude visait à explorer les associations entre l’APMV
mesurée objectivement et les caractéristiques sociodémographiques chez les adultes
atteints du diabète de type 2.
Méthodes
Les données transversales recueillies des cycles 1 à 5 de l’Enquête canadienne sur
les mesures de la santé ont fait l’objet d’une analyse. Nous avons sélectionné les
participants (N = 876) atteints du diabète de type 2 qui avaient de 20 à 79 ans et
qui avaient porté ≥ 4 jours un moniteur d’activité valide. Nous avons comparé les
pourcentages (intervalles de confiance à 95 %) d’APMV mesurée objectivement selon
les caractéristiques sociodémographiques. Nous avons utilisé la régression logistique
ordinale. Les critères secondaires étaient l’activité physique d’intensité légère,
le temps passé devant un écran et le pourcentage de temps de port du moniteur d’activité
passé dans la sédentarité.
Résultats
Seulement 15,5 % des femmes et 26,2 % des hommes se conformaient aux recommandations
en matière d’activité physique de Diabète Canada, et approximativement 75 % du temps
de port du moniteur d’activité physique était passé dans la sédentarité. Nous avons
observé une plus grande probabilité d’avoir de faibles niveaux d’activité physique
chez les femmes qui étaient d’anciennes fumeuses ou des fumeuses actuelles (rapport
de cotes [RC], 4,51; p < 0,001), et chez les hommes qui avaient ≥ 65 ans (RC, 2,92;
p < 0,001), étaient dans le tertile de revenu intermédiaire (RC, 2,20; p < 0,05) et
le tertile de revenu plus faible (RC, 3,06; p < 0,05), et qui étaient des fumeurs
actuels ou d’anciens fumeurs (RC, 3,01; p < 0,05).
Conclusions
Les facteurs sociodémographiques sont fortement associés aux niveaux d’APMV chez les
adultes atteints du diabète de type 2. Les renseignements sociodémographiques devraient
être collectés de façon systématique par les cliniciens et utilisés pour élaborer
des interventions plus efficaces et mieux adaptées à cette population de patients.
Keywords
Mots clés
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Article Info
Publication History
Published online: April 06, 2022
Accepted:
April 2,
2022
Received in revised form:
February 24,
2022
Received:
July 27,
2021
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Canadian Diabetes Association.
