Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Self-efficacy to Engage in Physical Activity and Overcome Barriers, Sedentary Behavior, and Their Relation to Body Mass Index Among Elderly Indonesians With Diabetes

  • Received : 2019.01.03
  • Accepted : 2019.06.13
  • Published : 2019.07.31
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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 $59.1{\pm}26.4$ and $52.5{\pm}13.8$, 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.

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References

  1. Ali R. Non-communicable diseases. Paper presented at: 4th International Conference on Public Health; 2018 Jul 19-21; Bangkok, Thailand.
  2. Center of Statistic of East Java. Number of population and growth rate of population by region/city in East Java Province, 2010, 2014, and 2015. Jawa Timur: Center of Statistic of East Java; 2015 (Indonesian).
  3. Indonesia Ministry of Health. Health service and improvement for elderly; 2015 [cited 2019 Jul 20]. Available from: http://www.depkes.go.id/ (Indonesian).
  4. International Diabetes Federation. Diabetes prevalence: Thailand [cited 2018 Jul 22]. Available from: https://www.idf.org/our-network/regions-members/western-pacific/members/115-thailand.html.
  5. Kurniawan I. Type 2 diabetes mellitus among elderly. Indones Med Assoc 2010;60(12):582 (Indonesian).
  6. Indonesia Ministry of Health. Report of Indonesia basic health survey 2013 [cited 2019 Jul 20]. Available from: http://www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf (Indonesian).
  7. Wild SH, Byrne CD. ABC of obesity. Risk factors for diabetes and coronary heart disease. BMJ 2006;333(7576):1009-1011. https://doi.org/10.1136/bmj.39024.568738.43
  8. Chao M, Wang C, Dong X, Ding M. The effects of tai chi on type 2 diabetes mellitus: a meta-analysis. J Diabetes Res 2018;2018:7350567. https://doi.org/10.1155/2018/7350567
  9. Bandura A. Self-efficacy in changing societies. New York: Cambridge University Press; 2009, p. 307-311.
  10. Centers for Disease Control and Prevention. Physical activity basics: how much physical activity do you need? [cited 2018 Jul 22]. Available from: https://www.cdc.gov/physicalactivity/basics/adding-pa/barriers.html.
  11. Amati F, Dube JJ, Coen PM, Stefanovic-Racic M, Toledo FG, Goodpaster BH. Physical inactivity and obesity underlie the insulin resistance of aging. Diabetes Care 2009;32(8):1547-1549. https://doi.org/10.2337/dc09-0267
  12. Bull FC, Maslin TS, Armstrong T. Global physical activity questionnaire (GPAQ): nine country reliability and validity study. J Phys Act Health 2009;6(6):790-804. https://doi.org/10.1123/jpah.6.6.790
  13. World Health Organization. Global recommendations on physical activity for health; 2010 [cited 2019 Jan 23]. Available from: https://www.who.int/dietphysicalactivity/factsheet_recommendations/en/.
  14. Indonesia Ministry of Labor. Normal retirement age and the age of maximum retirement for participants in the pension fund regulation. Jakarta: Indonesia Ministry of Labor; 1995 (Indonesian).
  15. Scavini M, Stidley CA, Shah VO, Narva AS, Tentori F, Kessler DS, et al. Prevalence of diabetes is higher among female than male Zuni indians. Diabetes Care 2003;26(1):55-60. https://doi.org/10.2337/diacare.26.1.55
  16. Alice JayaPradha Cheekurthy AJ, Rambabu C, Kumar A. Prevalence of type 2 diabetes mellitus among women and the associated risk factors. Res Rev J Nurs Health Sci 2016;2(2):26-30.
  17. Kautzky-Willer A, Harreiter J, Pacini G. Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus. Endocr Rev 2016;37(3):278-316. https://doi.org/10.1210/er.2015-1137
  18. Aru WS, Bambang S, Idrus A, Marcellus SK, Siti S. Textbook of internal medicine; vol. 3. 54th ed. Jakarta: Interna Publishing; 2015, p. 1857-1858 (Indonesian).
  19. Koopman RJ, Mainous AG 3rd, Diaz VA, Geesey ME. Changes in age at diagnosis of type 2 diabetes mellitus in the United States, 1988 to 2000. Ann Fam Med 2005;3(1):60-63. https://doi.org/10.1370/afm.214
  20. Moretto MC, Fontaine AM, Garcia CA, Neri AL, Guariento ME. Association between race, obesity and diabetes in elderly community dwellers: data from the FIBRA study. Cad Saude Publica 2016;32(10):e00081315.
  21. DeFronzo RA. Pathogenesis of type 2 diabetes mellitus. Med Clin North Am 2004;88(4):787-835. https://doi.org/10.1016/j.mcna.2004.04.013
  22. Meneilly GS, Tessier D. Diabetes in elderly adults. J Gerontol A Biol Sci Med Sci 2001;56(1):M5-M13. https://doi.org/10.1093/gerona/56.1.M5
  23. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346(6):393-403. https://doi.org/10.1056/NEJMoa012512
  24. McCarthy MM, Davey J, Wackers FJ, Chyun DA. Predictors of physical inactivity in men and women with type 2 diabetes from the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study. Diabetes Educ 2014;40(5):678-687. https://doi.org/10.1177/0145721714540055
  25. Waden J, Tikkanen H, Forsblom C, Fagerudd J, Pettersson-Fernholm K, Lakka T, et al. Leisure time physical activity is associated with poor glycemic control in type 1 diabetic women: the FinnDiane study. Diabetes Care 2005;28(4):777-782. https://doi.org/10.2337/diacare.28.4.777
  26. Hu G, Jousilahti P, Barengo NC, Qiao Q, Lakka TA, Tuomilehto J. Physical activity, cardiovascular risk factors, and mortality among Finnish adults with diabetes. Diabetes Care 2005;28(4):799-805. https://doi.org/10.2337/diacare.28.4.799
  27. Mora S, Cook N, Buring JE, Ridker PM, Lee IM. Physical activity and reduced risk of cardiovascular events: potential mediating mechanisms. Circulation 2007;116(19):2110-2118. https://doi.org/10.1161/CIRCULATIONAHA.107.729939
  28. Katzmarzyk PT, Lee IM. Sedentary behaviour and life expectancy in the USA: a cause-deleted life table analysis. BMJ Open 2012;2(4):e000828. https://doi.org/10.1136/bmjopen-2012-000828
  29. Allison MJ, Keller C. Self-efficacy intervention effect on physical activity in older adults. West J Nurs Res 2004;26(1):31-46. https://doi.org/10.1177/0193945903259350
  30. Gray PM, Murphy MH, Gallagher AM, Simpson EE. Motives and barriers to physical activity among older adults of different socioeconomic status. J Aging Phys Act 2016;24(3):419-429. https://doi.org/10.1123/japa.2015-0045
  31. Guicciardi M, Lecis R, Anziani C, Corgiolu L, Porru A, Pusceddu M, et al. 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 2014;2(1):748-758. https://doi.org/10.1080/21642850.2014.924858
  32. Bethancourt HJ, Rosenberg DE, Beatty T, Arterburn DE. Barriers to and facilitators of physical activity program use among older adults. Clin Med Res 2014;12(1-2):10-20. https://doi.org/10.3121/cmr.2013.1171

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