Self-efficacy to Engage in Physical Activity and Overcome Barriers, Sedentary Behavior, and Their Relation to Body Mass Index Among Elderly Indonesians With Diabetes
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Objectives: Elderly individuals with diabetes should maintain a normal body mass index (BMI) to help control their blood glucose levels. This study investigated barriers to physical activity (PA), self-efficacy to overcome those barriers, and PA self-efficacy among elderly individuals with diabetes in relation to BMI. Methods: This cross-sectional study included 56 participants. Data were collected by a questionnaire interview and direct measurements for anthropometric data. PA self-efficacy was measured using 8 questions describing different levels of PA, where participants rated the strength of their belief that they could engage in that activity. Self-efficacy to overcome barriers was measured using 10 questions capturing participants’ confidence in their ability to engage in PA despite different possible barriers. Mean scores for these parameters were analyzed using the chi-square test and the independent t-test. Results: In total, 89.3% of participants had a low PA level and 58.9% had more than 3 hours of sedentary activity per day. Furthermore, 55.4% were obese and 14.3% were overweight. The mean scores for PA self-efficacy and self-efficacy to overcome barriers were 59.1±26.4 and 52.5±13.8, respectively. PA level was related to BMI (p<0.001; r=0.116) and sedentary activity (p<0.05; r=0.274). PA self-efficacy and age were not related to BMI. Barriers to PA were associated with PA levels (p<0.05). Conclusions: Physical inactivity was a major problem in elderly individuals with diabetes, and was correlated with higher BMI. Lower levels of PA might be mediated by sedentary activity.
Abstract
Objectives: Elderly individuals with diabetes should maintain a normal body mass index (BMI) to help control their blood glucose levels. This study investigated barriers to physical activity (PA), self-efficacy to overcome those barriers, and PA self-efficacy among elderly individuals with diabetes in relation to BMI. Methods: This cross-sectional study included 56 participants. Data were collected by a questionnaire interview and direct measurements for anthropometric data. PA self-efficacy was measured using 8 questions describing different levels of PA, where participants rated the strength of their belief that they could engage in that activity. Self-efficacy to overcome barriers was measured using 10 questions capturing participants’ confidence in their ability to engage in PA despite different possible barriers. Mean scores for these parameters were analyzed using the chi-square test and the independent t-test. Results: In total, 89.3% of participants had a low PA level and 58.9% had more than 3 hours of sedentary activity per day. Furthermore, 55.4% were obese and 14.3% were overweight. The mean scores for PA self-efficacy and self-efficacy to overcome barriers were 59.1±26.4 and 52.5±13.8, respectively. PA level was related to BMI (p<0.001; r=0.116) and sedentary activity (p<0.05; r=0.274). PA self-efficacy and age were not related to BMI. Barriers to PA were associated with PA levels (p<0.05). Conclusions: Physical inactivity was a major problem in elderly individuals with diabetes, and was correlated with higher BMI. Lower levels of PA might be mediated by sedentary activity.
참고문헌 (32)
- Ali R, "Non-communicable diseases", Paper presented at: 4th International Conference on Public Health (2018)
- Number of population and growth rate of population by region, "city in East Java Province, 2010, 2014, and 2015", Center of Statistic of East Java, 2015
- "Health service and improvement for elderly" (2015)[URL]
- "Diabetes prevalence: Thailand"[URL]
- Kurniawan I, "Type 2 diabetes mellitus among elderly", Indones Med Assoc, 60(12), pp.582~ (2010)
- "Report of Indonesia basic health survey 2013"[URL]
- Wild SH, "ABC of obesity. Risk factors for diabetes and coronary heart disease", BMJ, 333(7576), pp.1009~1011 (2006)
- Chao M, "The effects of tai chi on type 2 diabetes mellitus : a meta-analysis", J Diabetes Res, 2018, pp.7350567~ (2018)
- Bandura A, "Self-efficacy in changing societies", pp.307~311 (2009), Cambridge University Press
- "Physical activity basics: how much physical activity do you need?"[URL]
- Amati F, "Physical inactivity and obesity underlie the insulin resistance of aging", Diabetes Care, 32(8), pp.1547~1549 (2009)
- Bull FC, "Global physical activity questionnaire(GPAQ) : nine country reliability and validity study", J Phys Act Health, 6(6), pp.790~804 (2009)
- "Global recommendations on physical activity for health" (2010)[URL]
- Indonesia Ministry of Labor, "Normal retirement age and the age of maximum retirement for participants in the pension fund regulation", Indonesia Ministry of Labor, ~ (1995)
- Scavini M, "Prevalence of diabetes is higher among female than male Zuni indians", Diabetes Care, 26(1), pp.55~60 (2003)
- Alice JayaPradha, "Prevalence of type 2 diabetes mellitus among women and the associated risk factors", Res Rev J Nurs Health Sci, 2(2), pp.26~30 (2016)
- Kautzky-Willer A, "Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus", Endocr Rev, 37(3), pp.278~316 (2016)
- Aru WS, "Textbook of internal medicine; vol. 3", pp.1857~1858 (2015), Interna Publishing
- Koopman RJ, "Changes in age at diagnosis of type 2 diabetes mellitus in the United States, 1988 to 2000", Ann Fam Med, 3(1), pp.60~63 (2005)
- Moretto MC, "Association between race, obesity and diabetes in elderly community dwellers : data from the FIBRA study", Cad Saude Publica, 32(10), pp.e00081315~ (2016)
- DeFronzo RA, "Pathogenesis of type 2 diabetes mellitus", Med Clin North Am, 88(4), pp.787~835 (2004)
- Meneilly GS, "Diabetes in elderly adults", J Gerontol A Biol Sci Med Sci, 56(1), pp.M5~M13 (2001)
- Knowler WC, "Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin", N Engl J Med, 346(6), pp.393~403 (2002)
- McCarthy MM, "Predictors of physical inactivity in men and women with type 2 diabetes from the Detection of Ischemia in Asymptomatic Diabetics(DIAD)study", Diabetes Educ, 40(5), pp.678~687 (2014)
- Wadén J, "Leisure time physical activity is associated with poor glycemic control in type 1 diabetic women : the FinnDiane study", Diabetes Care, 28(4), pp.777~782 (2005)
- Hu G, "Physical activity, cardiovascular risk factors, and mortality among Finnish adults with diabetes", Diabetes Care, 28(4), pp.799~805 (2005)
- Mora S, "Physical activity and reduced risk of cardiovascular events : potential mediating mechanisms", Circulation, 116(19), pp.2110~2118 (2007)
- Katzmarzyk PT, "Sedentary behaviour and life expectancy in the USA : a cause-deleted life table analysis", BMJ Open, 2(4), pp.e000828~ (2012)
- Allison MJ, "Self-efficacy intervention effect on physical activity in older adults", West J Nurs Res, 26(1), pp.31~46 (2004)
- Gray PM, "Motives and barriers to physical activity among older adults of different socioeconomic status", J Aging Phys Act, 24(3), pp.419~429 (2016)
- Guicciardi M, "Type 2 diabetes mellitus, physical activity, exercise self-efficacy, and body satisfaction. An application of the transtheoretical model in older adults", Health Psychol Behav Med, 2(1), pp.748~758 (2014)
- Bethancourt HJ, "Barriers to and facilitators of physical activity program use among older adults", Clin Med Res, 12(1-2), pp.10~20 (2014)