Affiliations 

  • 1 WASH and CCES Policy, Advocacy and Networking Expert, CIC, UNICEF, Hyderabad, India
  • 2 Department of Physiotherapy, College of Health Professions, Manipal Academy of Higher Education, Manipal, India
  • 3 Department of Medicine, Dr TMA Pai Hospital (Udupi) and Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education, Manipal, India
  • 4 Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India
  • 5 Department of Child Health Nursing and Department of Obstetrical and Gynaecological Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, India
  • 6 Department of Global Health Goveranance, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India
  • 7 Department of Biochemistry, Royal College of Surgeons in Ireland-Bahrain, Adliya, Bahrain
J Phys Act Health, 2024 May 01;21(5):519-527.
PMID: 38402875 DOI: 10.1123/jpah.2023-0574

Abstract

BACKGROUND: Type 2 diabetes mellitus (T2DM) is a complex, chronic condition that can cause multiple complications due to poor glycemic control. Self-management plays a crucial role in the management of T2DM. Lifestyle modifications, including physical activity (PA), are fundamental for self-management. This study explored the knowledge, perception, practice, enablers, and barriers of PA among individuals with T2DM.

METHODS: A mixed-method study was conducted among individuals with T2DM in Udupi taluk, India. A cross-sectional survey (n = 467) followed by an in-depth interview (n = 35) was performed. The data were analyzed using descriptive statistics and thematic analysis, respectively.

RESULTS: About half (48.8%) of the participants engaged in PA of which 28.3% had an adequate score in the practice of PA. Walking was the most preferred mode. Self-realization, Comprehension, perception, and source of information, PA training, Current PA practices, enablers and barriers for PA were 6 themes derived under knowledge, perception, and practice of PA.

CONCLUSION: Despite knowing the importance of PA, compliance with PA was poor. The personal/internal, societal, and external factors constituted the trinity of barriers and enablers in compliance with PA. Behavioral changes, societal changes, policy initiatives, and PA training in health care settings may enhance PA practice among individuals with T2DM.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.