Physical Activity Correlates among Jordanian Diabetes Patients

Main Article Content

Bouthayna Damen AL-Dalaen
Zeinab Hassan Al-Wahsh

Abstract

Introduction: An important keystone in preventing diabetes mellitus (DM) complications are performing Self-Care Behaviors (SCB) such as engaging in Physical Activity (PA). The objectives of the present research project are to identify PA levels among Jordanian patients with diabetes, explore the associations between PA and the socio-demographic characteristics of the participants, and recognize its predictors. Method: This study utilized quantitative descriptive cross-sectional design. The authors used purposive sampling method to recruit bout four hundred patients. Those patients were selected from the governmental sector of the Jordanian hospitals. Results: The inferential statistics illustrated that three factors were significant predictors to PA: complication presence (p=0.001), social norms (p= 0.01) in addition to perceived behavioral control (p= 0.001). The results indicated that about 65% of the participants had inadequate participation in the recommended physical activity. Similar findings were reported in the Arabic context, for example about 65 % of the Yemini patients had inadequate physical activity. Concerning the predictors the study results showed that those patients with diabetes complication have higher adherence to the prescribed physical activity. Dissimilar findings were evident in the literature For example, Shiriyedeve et al. found that there was association between adherence to PA and age (r = −0.085). However, this association was not statically significant. One of the most chronic illnesses in Jordan is diabetes mellitus. This could increase the responsibilities of the Jordanian health care providers especially the nurses. Conclusion: Being active participants in the physical activity is highly recommended measure to manage diabetes mellitus signs and symptoms appropriately.

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AL-Dalaen, B. D., & Al-Wahsh, Z. H. (2024). Physical Activity Correlates among Jordanian Diabetes Patients. Malaysian Journal of Medicine and Health Sciences, 18(1), 105–113. Retrieved from http://mjmhsojs.upm.edu.my/index.php/mjmhs/article/view/307
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Original Articles

References

Association AD. Enfermedad cardiovascular y gestión de riesgo (Sección 10): Estándares para la Atención Médica de la Diabetes− 2019. Diabetes Care. 2019;42(Suppl 1):S4-S6.

Organization WH. Classification of diabetes mellitus. 2019.

Roglic G. WHO Global report on diabetes: A summary. International Journal of Noncommunicable Diseases. 2016;1(1):3.

Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes research and clinical practice. 2019;157:107843.

Choi, Lee M, Lee J-k, Kang D, Choi J-Y. Correlates associated with participation in physical activity among adults: a systematic review of reviews and update. BMC public health. 2017;17(1):356.

Alghadir A, Alghwiri AA, Awad H, Anwer S. Ten-year diabetes risk forecast in the capital of Jordan: Arab Diabetes Risk Assessment Questionnaire perspective—A strobe-complaint article. Medicine. 2016;95(12).

Ajlouni, Batieha A, Jaddou H, Khader Y, Abdo N, El‐Khateeb M, et al. Time trends in diabetes mellitus in Jordan between 1994 and 2017. Diabetic Medicine. 2019;36(9):1176-82.

Bhupathiraju SN, Hu FB. Epidemiology of obesity and diabetes and their cardiovascular complications. Circulation research. 2016;118(11):1723-35.

Wexler DJ, Powe CE, Barbour LA, Buchanan T, Coustan DR, Corcoy R, et al. Research Gaps in Gestational Diabetes Mellitus: Executive Summary of an National Institute of Diabetes and Digestive and Kidney Workshop. Obstetrics and gynecology. 2018;132(2):496.

Aschalew AY, Yitayal M, Minyihun A, Bisetegn TA. Self-care practice and associated factors among patients with diabetes mellitus on follow up at University of Gondar Referral Hospital, Gondar, Northwest Ethiopia. BMC research notes. 2019;12(1):591.

Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G. Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC research notes. 2019;12(1):34.

Lima APd, Benedetti TRB, Oliveira LZd, Bavaresco SS, Rech CR. Physical activity is associated with knowledge and attitudes to diabetes Type 2 in elderly. Journal of Physical Education. 2019;30.

International Diabetes Federation. (2020). About Diabetes. Retrieved 26 May 2020, from https://www.idf.org/

Ajlouni K, Batieha A, Jaddou H, Khader Y, Abdo N, El-Khateeb M, et al. Time trends in diabetes mellitus in Jordan between 1994 and 2017. Diabetic medicine : a journal of the British Diabetic Association. 2019;36(9):1176-82.

Abraham TM, Pencina KM, Pencina MJ, Fox CS. Trends in diabetes incidence: the Framingham Heart Study. Diabetes care. 2015;38(3):482-7.

Ajlouni K, Khader YS, Batieha A, Ajlouni H, El-Khateeb M. An increase in prevalence of diabetes mellitus in Jordan over 10 years. Journal of Diabetes and its Complications. 2008;22(5):317-24.

Devarajooh C, Chinna K. Depression, distress and self-efficacy: The impact on diabetes self-care practices. PloS one. 2017;12(3):e0175096.

Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. Journal of diabetes and metabolic disorders. 2013;12(1):14.

Amente T, Belachew T, Hailu E, Berhanu N. Self care practice and its predictors among adults with diabetes mellitus on follow up at Nekemte hospital diabetic clinic, West Ethiopia. World J Med Med Sci. 2014;2(3):1-16.

Ayele K, Tesfa B, Abebe L, Tilahun T, Girma E. Self care behavior among patients with diabetes in Harari, Eastern Ethiopia: the health belief model perspective. PloS one. 2012;7(4):e35515.

Gautam A, Bhatta DN, Aryal UR. Diabetes related health knowledge, attitude and practice among diabetic patients in Nepal. BMC endocrine disorders. 2015;15(1):1-8.

Lam W, Fresco P. Medication Adherence Measures: An Overview. BioMed Research International. Hindawi Publishing Corporation; 2015.

Hailu E, Mariam WH, Belachew T, Birhanu Z. Self-care practice and glycaemic control amongst adults with diabetes at the Jimma University Specialized Hospital in south-west Ethiopia: A cross-sectional study. African journal of primary health care & family medicine. 2012;4(1).

Kim MY, Lee EJ. Factors affecting self-care behavior levels among elderly patients with type 2 diabetes: A quantile regression approach. Medicina. 2019;55(7):340.

Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice: Lippincott Williams & Wilkins; 2009.

LoBiondo-Wood G, Haber J. Nursing research-e-book: methods and critical appraisal for evidence-based practice: Elsevier Health Sciences; 2017.

Boas LCG-V, Lima MLSAPd, Pace AE. Adherence to treatment for diabetes mellitus: validation of instruments for oral antidiabetics and insulin. Rev Lat Am Enfermagem. 2014;22(1):11-8.

Ghazanfari Z, Niknami S, Ghofranipour F, Hajizadeh E, Montazeri A. Development and psychometric properties of a belief-based Physical Activity Questionnaire for Diabetic Patients (PAQ-DP). BMC medical research methodology. 2010;10(1):104.

Jannuzzi FF, Rodrigues RCM, Cornélio ME, São-João TM, Gallani MCBJ. Beliefs related to adherence to oral antidiabetic treatment according to the Theory of Planned Behavior. Rev Lat Am Enfermagem. 2014;22(4):529-37.

Jadawala HD, Pawar AB, Patel PB, Patel KG, Patel SB, Bansal R. Factors associated with non adherence to diet and physical activity among diabetes patients: a cross sectional study. National Journal of Community Medicine. 2017;8(2):68-73.

Abate TW, Tareke M, Tirfie M. Self-care practices and associated factors among diabetes patients attending the outpatient department in Bahir Dar, Northwest Ethiopia. BMC research notes. 2018;11(1):1-5.

Gharaibeh B, Tawalbeh LI. Diabetes self-care management practices among insulin-taking patients. Journal of Research in Nursing. 2018;23(7):553-65.

Koponen AM, Simonsen N, Suominen S. Determinants of physical activity among patients with type 2 diabetes: the role of perceived autonomy support, autonomous motivation and self-care competence. Psychology, Health & Medicine. 2017;22(3):332-44.

Alhariri A, Daud F, Saghir SAM. Factors associated with adherence to diet and exercise among type 2 diabetes patients in Yemen. Diabetes Management. 2017;7(3):264-71.

Bukht MS, Ahmed KR, Hossain S, Masud P, Sultana S, Khanam R. Association between physical activity and diabetic complications among Bangladeshi type 2 diabetic patients. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;13(1):806-9.

Shiriyedeve S, Dlungwane TP, Tlou B. Factors associated with physical activity in type 2 diabetes mellitus patients at a public clinic in Gaborone, Botswana, in 2017. African journal of primary health care & family medicine. 2019;11(1):1-7.

Basu S, Sharma N. Diabetes self-care in primary health facilities in India-challenges and the way forward. World Journal of Diabetes. 2019;10(6):341.

Mutyambizi C, Pavlova M, Hongoro C, Groot W. Inequalities and factors associated with adherence to diabetes self-care practices amongst patients at two public hospitals in Gauteng, South Africa. BMC Endocrine Disorders. 2020;20(1):15.

Bhatti ZI, Manzoor N, Korai NA, Khaliq IH. Impact of sociodemographic factors on self-care practices among patients with type 2 diabetes in Lahore, Pakistan: an exploratory study. Journal of Fatima Jinnah Medical University. 2018;12(4).

Nejaddadgar N, Solhi M, Jegarghosheh S, Abolfathi M, Ashtarian H. Self-care and related factors in patients with type 2 diabetes. Asian J Biomed Pharm Sci. 2017;7(61):6-10.

Shettigar S, Shivaraj K, Shettigar S. A Study to Assess the Factors Affecting Adherence to Exercise in the Indian Population. Cureus. 2019;11(11):e6062.

Bilal MM, Osman AAM, Omer AR. Association of Physical Activity and Complications of Diabetes among Patients Having Type 2 Diabetes Miletus. Int J Cur Res Rev| Vol. 2017;9(8):12.

Karimy M, Koohestani HR, Araban M. The association between attitude, self-efficacy, and social support and adherence to diabetes self-care behavior. Diabetology & metabolic syndrome. 2018;10(1):86.

Al-Sahouri A, Merrell J, Snelgrove S. Barriers to good glycemic control levels and adherence to diabetes management plan in adults with Type-2 diabetes in Jordan: a literature review. Patient preference and adherence. 2019;13:675-93.

Paleeratana W. Predicting diabetic self-care management based on the theory of planned behavior among elderly with type 2 diabetes in Thailand. Сахарный диабет. 2019;22(4).

Plotnikoff RC, Lippke S, Courneya K, Birkett N, Sigal R. Physical activity and diabetes: an application of the theory of planned behaviour to explain physical activity for Type 1 and Type 2 diabetes in an adult population sample. Psychology and Health. 2010;25(1):7-23.

Dashtian M, Eftekhar Ardebili H, Karimzadeh Shirazi K, Shahmoradi M, Azam K. Predicting factors affecting medication adherence and physical activity in patients with type-2 diabetes mellitus based on the theory of planned behavior. Journal of School of Public Health and Institute of Public Health Research. 2017;15(2):133-46.

Rahmati-Najarkolaei F, Pakpour AH, Saffari M, Hosseini MS, Hajizadeh F, Chen H, et al. Determinants of Lifestyle Behavior in Iranian Adults with Prediabetes: Applying the Theory of Planned Behavior. Archives of Iranian medicine. 2017;20(4):198-204.

Plotnikoff RC, Lippke S, Courneya K, Birkett N, Sigal R. Physical activity and diabetes: an application of the theory of planned behaviour to explain physical activity for Type 1 and Type 2 diabetes in an adult population sample. Psychology & health. 2010;25(1):7-23.

Bukht MS, Ahmed KR, Hossain S, Masud P, Sultana S, Khanam R. Association between physical activity and diabetic complications among Bangladeshi type 2 diabetic patients. Diabetes & metabolic syndrome. 2019;13(1):806-9.