Relationship between self-management behaviors related to physical activity and level of physical activity in patients with type 2 diabetes

Transcription

1 Relationship between self-management behaviors related to physical activity and level of physical activity in patients with type 2 diabetes Yuri Tokunaga Chiemi Taru Ikuko Miyawaki 2 Key Wordstype 2 diabetes, physical activity, self-management behavior r Aim : To provide effective self-management education and support related to physical activity for patients with type 2 diabetes, it is important to identify self-management behaviors related to physical activity that patients can perform in their daily lives and that these are associated with an increased physical activity level. Thus, we assessed the relationship between self-management behaviors related to physical activity in the patients with type 2 diabetes as assessed by the Evaluation Scale for Self-Management Behavior Related to Physical Activity of Type 2 Diabetic Patients and physical activity levels calculated by a portable pedometer with an acceleration measurement device. Methods : Patients with type 2 diabetes (male, 95; female, 55) completed a self-administered questionnaire on selfmanagement behavior related to physical activity. Mean physical activity levels for 1 month were measured using pedometers. Relationships between self-management behaviors related to physical activity and physical activity levels were examined using Pearson s correlation coefficient. Results : Male patients showed significantly positive correlations between Exercising to stimulate the enjoyment of eating, Self-monitoring of physical activities, and Increasing the number of steps through commuting activities and physical activity levels. Female patients showed a significantly positive correlation between Increasing the number of steps through commuting activities and physical activity levels. Conclusion : This study disclosed differences among physical activity self-management behaviors related to physical activity levels between male and female patients with type 2 diabetes. We anticipate that educational support using these findings will substantially contribute to diabetes self-management education in terms of increasing physical activity levels among such patients. Received : October31, 2013 Accepted : February17, 2014 Yokohama Journal of Nursing Vol.7, No1, pp.9-15,

2 2 Non-exercise activity thermogenesis: NEAT NEAT / / HbA1CBMI HbA1cBMI 2 2 HbA1CBMI HbA1CBMI 1 A Evaluation Scale for Self- Management Behavior related to Physical Activity of type 2 Diabetic patients 2 ES-SMBPA-2D ES-SMBPA-2D International Physical Activity Questionnairelong version r KenzEX kcal/ / Vol.7, No1, pp.9-15, 2014

3 HbA1cJDS 6 2BMIYamato EX/P DF830WM BMI 1 BMI 5 t 2 HbA1CBMI 5IBM SPSS Statistics version 22.0 for Microsoft Windows % r=-0.48 p=0.01r =-0.27 p=0.03 (n=90 n=65 p a BMI kg/m cm HbA1c JDS mg/dl * HDL mg/dl < *** mmhg mmhg kcal/ < *** / * / / / * / kcal/ kg/ < *** ** b < *** * ****** Yokohama Journal of Nursing Vol.7, No1, pp.9-15,

4 n=90 n=65 kcal/ / / kcal/ / / * 0.27 * * 0.25 * 0.27 * 0.25 * * * 0.32 ** 0.31 ** 0.28 * 0.30 * 0.36 ** * * 0.30 ** 0.33 ** ** 0.34 ** 0.34 ** * ** : p0.01* : p n=90 n=65 2 BMI cm HbA1c BMI cm HbA1c kcal/ * 0.27 * r= p< / / / 0.21 * * * * * * r=0.25 p<0.05r=0.30 p<0.01r=0.33 p<0.01 r=0.31 (g/kg/) SBW kcal/kg/ (g/) /SBW (g/) 0.25 * 0.31 ** 0.30 ** 0.34 ** 0.33 ** 0.34 ** p<0.01r=0.34 p<0.01r=0.34 p< * r=0.29 p<0.01 r=0.28 p<0.05r=0.27 p<0.05 HbA1c JDS SBWStandard Body Weight ** : p0.01* : p0.05 r=0.26 p<0.05 r=-0.28 p< HbA1cBMI 3HbA1cBMI BMI HbA1c r=0.34 p<0.01 r=-0.36 p<0.01 r=-0.35 p<0.01r=-0.42 p< Vol.7, No1, pp.9-15, 2014

5 2 1 5 Stimulus control Helping relationship /78.1 / Mets 4Mets 2 HbA1C HbA1C 0.3 Yokohama Journal of Nursing Vol.7, No1, pp.9-15,

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