ABSTRACT
BACKGROUND: Exercise training during hospitalization may prevent loss of physical function and hyperglycemia in patients with type 2 diabetes. The aim of this study was to assess motives and barriers to exercise training in hospitalized patients with type 2 diabetes. METHODS: Data were collected using a questionnaire about motives and barriers to exercise training during hospitalization. Additional data for clinical characteristics of the participants were collected from patient records. RESULTS: 79 patients participated (mean ± SD age 72 ± 12 years; 42% women), of whom 25% had a low level of education and 46% lived alone. The median (IQR) length of the stay was 6 (4-10) days. A total of 67% of the participants wished to be more physically active. Walking as exercise was preferred by 51%. The most frequently reported barriers to exercise training were bodily pain (48%) and dizziness (42%). Low vs. high level of education, and living alone vs. being married/living with a partner were associated with reduced odds of a wish to be more physically active, odds ratio (OR) 0.15 [95% CI 0.03; 0.76], p = 0.022, and 0.21 [0.05; 0.82], p = 0.025, respectively. CONCLUSION: Two out of three hospitalized patients with type 2 diabetes wished to be more physically active during admission. Bodily pain was a barrier to exercise training and needs attention in training programs. As a low level of education was associated with reduced odds of a wish to be more active, a strategy to include all patients in training programs which considers social inequality is needed.
Subject(s)
Diabetes Mellitus, Type 2 , Aged , Aged, 80 and over , Cross-Sectional Studies , Diabetes Mellitus, Type 2/therapy , Exercise , Female , Hospitalization , Humans , Male , Middle Aged , MotivationABSTRACT
Correspondence to Karen Kotila, Danish Society for Sports Physical Therapy, Nyborg, Denmark;kkotila@live.dk Come join us at the 4th World Congress of Sports Physical Therapy (WCSPT2022) in Denmark! Breakout sessions will follow up on the main talks, focusing on the discussion of clinical application and implementation in a smaller setting. The final show of the congress is the oral abstract presentation-competition judged by editors from international sports physical therapy and sports medicine journals.