The impact of mental and somatic stressors on physical activity and sedentary behaviour in adults with type 2 diabetes mellitus: a diary study.

Louise Poppe,Geert Crombez,Iris Maes,Annick L De Paepe,Dimitri M.L Van Ryckeghem,Delfien Van Dyck

doi:10.7717/peerj.11579

Louise Poppe, Geert Crombez + Show 4 more

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https://doi.org/10.7717/peerj.11579

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Abstract

BackgroundAdopting an active lifestyle is key in the management of type 2 diabetes mellitus (T2DM). Nevertheless, the majority of individuals with T2DM fails to do so. Additionally, individuals with T2DM are likely to experience mental (e.g., stress) and somatic (e.g., pain) stressors. Research investigating the link between these stressors and activity levels within this group is largely lacking. Therefore, current research aimed to investigate how daily fluctuations in mental and somatic stressors predict daily levels of physical activity (PA) and sedentary behaviour among adults with T2DM.MethodsIndividuals with T2DM (N = 54) were instructed to complete a morning diary assessing mental and somatic stressors and to wear an accelerometer for 10 consecutive days. The associations between the mental and somatic stressors and participants’ levels of PA and sedentary behaviour were examined using (generalized) linear mixed effect models.ResultsValid data were provided by 38 participants. We found no evidence that intra-individual increases in mental and somatic stressors detrimentally affected participants’ activity levels. Similarly, levels of sedentary behaviour nor levels of PA were predicted by inter-individual differences in the mental and somatic stressors.

Highlights

Diabetes mellitus is a significant problem in Western society and the number of individuals with diabetes mellitus is still growing (International Diabetes Federation, 2019)
Adults with type 2 diabetes mellitus (T2DM) are encouraged to minimize the amount of time spent being sedentary (WHO, 2020) and to interrupt prolonged sitting time with bouts of light-intensity physical activity (PA) (LPA) every 30 min (Colberg et al, 2016)
Despite the intensive recruitment process, only 54 adults with T2DM agreed to participate in the study

Summary

Introduction

Diabetes mellitus is a significant problem in Western society and the number of individuals with diabetes mellitus is still growing (International Diabetes Federation, 2019). The impact of mental and somatic stressors on physical activity and sedentary behaviour in adults with type 2 diabetes mellitus: a diary study. Adults with T2DM are encouraged to minimize the amount of time spent being sedentary (WHO, 2020) and to interrupt prolonged sitting time with bouts of light-intensity PA (LPA) every 30 min (Colberg et al, 2016) Despite this knowledge, the majority of patients fails to reach the predefined health guidelines regarding PA and accumulates high levels of sitting time (Hamer et al, 2013; Morrato et al, 2007). Current research aimed to investigate how daily fluctuations in mental and somatic stressors predict daily levels of physical activity (PA) and sedentary behaviour among adults with T2DM. Levels of sedentary behaviour nor levels of PA were predicted by inter-individual differences in the mental and somatic stressors

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