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.
Highlights
This article is an open access articleHospitalization is often associated with sedentary behavior [1]
A total of 160 patients with diabetes were screened to be recruited, 14 patients did not wish to participate, 26 patients were discharged before inclusion, and 42 patients were excluded; 79 patients were included in the study
type 2 diabetes mellitus (T2DM) from the present study reported more frequently that bodily pain, dizziness, and fear of falling were barriers to physical activity compared to data reported by the cohort of older admitted patients with different underlying diseases (Table 2)
Summary
Hospitalization is often associated with sedentary behavior [1]. A very low level of physical activity may, even in the short term, affect physical function and the course of the admission negatively. When sedentary behavior happens in concert with type 2 diabetes mellitus (T2DM) and old age, the detrimental effects may be even greater [2]. 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
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