Department of Quantitative Health Sciences; Department of Medicine, Division of Preventive and Behavioral Medicine
Behavior and Behavior Mechanisms | Cardiovascular Diseases | Community Health and Preventive Medicine | Diagnosis | Endocrine System Diseases | Endocrinology, Diabetes, and Metabolism | Exercise Science | Nutritional and Metabolic Diseases | Women's Health
INTRODUCTION: Moderate intensity physical activity is recommended for individuals with diabetes to control glucose and prevent diabetes-related complications. The extent to which a diabetes diagnosis motivates patients to increase physical activity is unclear. This study used data from the Women's Health Initiative Observational Study (baseline data collected from 1993-1998) to examine change in physical activity and sedentary behavior in women who reported a diabetes diagnosis compared to women who did not report diabetes over 7 years of follow-up (up to 2005).
METHODS: Participants (n=84,300) were post-menopausal women who did not report diabetes at baseline [mean age=63.49; standard deviation (SD)=7.34; mean BMI=26.98 kg/m; SD=5.67]. Linear mixed model analyses were conducted adjusting for study year, age, race/ethnicity, BMI, education, family history of diabetes, physical functioning, pain, energy/fatigue, social functioning, depression, number of chronic diseases and vigorous exercise at age 18. Analyses were completed in August 2012.
RESULTS: Participants who reported a diabetes diagnosis during follow-up were more likely to report increasing their total physical activity (p=0.002), walking (p
CONCLUSION: A diabetes diagnosis may prompt patients to increase physical activity. Healthcare professionals should consider how best to capitalize on this opportunity to encourage increased physical activity and maintenance.
Type 2 diabetes, Exercise, Sedentary behavior, Sedentary activity, Women's Health Initiative
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DOI of Published Version
Schneider KL, Andrews C, Hovey KM, Seguin RA, Manini T, Lamonte MJ, Margolis KL, Waring ME, Ning Y, Sims S, Ma Y, Ockene J, Stefanick ML, Pagoto SL. Change in physical activity after a diabetes diagnosis: opportunity for intervention. Med Sci Sports Exerc. 2014 Jan;46(1):84-91. doi:10.1249/MSS.0b013e3182a33010. Link to article on publisher's site
Medicine and science in sports and exercise
Schneider KL, Andrews C, Hovey KM, Seguin RA, Manini T, Lamonte MJ, Margolis KL, Waring ME, Ning Y, Sims S, Ma Y, Ockene JK, Stefanick ML, Pagoto SL. (2013). Change in Physical Activity after a Diabetes Diagnosis: Opportunity for Intervention. University of Massachusetts Medical School Faculty Publications. https://doi.org/10.1249/MSS.0b013e3182a33010. Retrieved from https://escholarship.umassmed.edu/faculty_pubs/264
Behavior and Behavior Mechanisms Commons, Cardiovascular Diseases Commons, Community Health and Preventive Medicine Commons, Diagnosis Commons, Endocrine System Diseases Commons, Endocrinology, Diabetes, and Metabolism Commons, Exercise Science Commons, Nutritional and Metabolic Diseases Commons, Women's Health Commons