Volume 16, Issue 2 (6-2024)
IJDO 2024, 16(2): 90-102 |
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Msc of Sport Management, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
Abstract: (300 Views)
Objective: Exercise and physical activity as an essential factor and an integral part in the prevention of standard management of diabetes, however, most people with diabetes are not active enough. The objective of this research was to identify the obstacles hindering the participation of diabetic patients in sports activities in Khuzestan province.
Materials and Methods: The study followed an exploratory-applicative approach, utilizing a mixed qualitative-quantitative methodology. The qualitative section involved 18 knowledgeable experts, while the quantitative section included all diabetes patients in Khuzestan province. The sample size for the quantitative section was determined to be 384 patients, based on Morgan's table. Data collection in the qualitative part was conducted through semi-structured interviews, resulting in the extraction of 46 concepts, 19 sub-categories, and 8 main categories over three stages. In the quantitative part, a researcher-designed questionnaire was used, based on the interview findings. The reliability of the questionnaire was assessed using Cronbach's alpha coefficient, which yielded a value of 0.90. Data analysis was performed using SPSS and Smart PLS software.
Results: The findings indicated that various factors act as barriers to the participation of diabetic patients in sports activities, including self-actualization (7.79), environmental (6.10), educational and research (5.83), managerial (5.72), cultural (2.85), physical and supportive (2.8), time (2.62), and economic (2.15) factors.
Conclusion: Therefore, it is recommended that sports and health officials in the province take measures to alleviate these obstacles and improve the quality of life for diabetic patients.
Materials and Methods: The study followed an exploratory-applicative approach, utilizing a mixed qualitative-quantitative methodology. The qualitative section involved 18 knowledgeable experts, while the quantitative section included all diabetes patients in Khuzestan province. The sample size for the quantitative section was determined to be 384 patients, based on Morgan's table. Data collection in the qualitative part was conducted through semi-structured interviews, resulting in the extraction of 46 concepts, 19 sub-categories, and 8 main categories over three stages. In the quantitative part, a researcher-designed questionnaire was used, based on the interview findings. The reliability of the questionnaire was assessed using Cronbach's alpha coefficient, which yielded a value of 0.90. Data analysis was performed using SPSS and Smart PLS software.
Results: The findings indicated that various factors act as barriers to the participation of diabetic patients in sports activities, including self-actualization (7.79), environmental (6.10), educational and research (5.83), managerial (5.72), cultural (2.85), physical and supportive (2.8), time (2.62), and economic (2.15) factors.
Conclusion: Therefore, it is recommended that sports and health officials in the province take measures to alleviate these obstacles and improve the quality of life for diabetic patients.
Type of Study: Research |
Subject:
Special
Received: 2024/01/24 | Accepted: 2024/04/14 | Published: 2024/06/21
Received: 2024/01/24 | Accepted: 2024/04/14 | Published: 2024/06/21
References
1. Stumvoll M, Goldstein BJ, Van Haeften TW. Type 2 diabetes: principles of pathogenesis and therapy. The Lancet. 2005;365(9467):1333-46. [DOI:10.1016/S0140-6736(05)61032-X]
2. Del Prato S. Role of glucotoxicity and lipotoxicity in the pathophysiology of Type 2 diabetes mellitus and emerging treatment strategies. Diabetic Medicine. 2009;26(12):1185-92. [DOI:10.1111/j.1464-5491.2009.02847.x]
3. Naderi A, Zagatto AM, Akbari F, Sakinepoor A. Body composition and lipid profile of regular recreational table tennis participants: a cross-sectional study of older adult men. Sport Sciences for Health. 2018:265-74. [DOI:10.1007/s11332-017-0422-1]
4. Reusch JE, Regensteiner JG, Stewart KJ, Veves A, editors. Diabetes and exercise: from pathophysiology to clinical implementation. Humana Press; 2017.
5. Nelson AG, Kokkonen J, Arnall DA. Twenty minutes of passive stretching lowers glucose levels in an at-risk population: an experimental study. Journal of physiotherapy. 2011;57(3):173-8. [DOI:10.1016/S1836-9553(11)70038-8]
6. Gurudut P, Rajan AP. Immediate effect of passive static stretching versus resistance exercises on postprandial blood sugar levels in type 2 diabetes mellitus: a randomized clinical trial. Journal of exercise rehabilitation. 2017;13(5):581. [DOI:10.12965/jer.1735032.516]
7. Duclos M, Oppert JM, Verges B, Coliche V, Gautier JF, Guezennec Y, et al. Physical activity and type 2 diabetes. Recommandations of the SFD (Francophone Diabetes Society) diabetes and physical activity working group. Diabetes & metabolism. 2013;39(3):205-16. [DOI:10.1016/j.diabet.2013.03.005]
8. Amin M, Kerr D, Atiase Y, Yakub Y, Driscoll A. Expert Opinions about Barriers and Facilitators to Physical Activity Participation in Ghanaian Adults with Type 2 Diabetes: A Qualitative Descriptive Study. Sports. 2023;11(7):123. [DOI:10.3390/sports11070123]
9. Parent C, Lespagnol E, Berthoin S, Tagougui S, Heyman J, Stuckens C, et al. Barriers to physical activity in children and adults living with type 1 diabetes: a complex link with real-life glycemic excursions. Canadian journal of diabetes. 2023;47(2):124-32. [DOI:10.1016/j.jcjd.2022.10.006]
10. Hasan AN, Sharif AB, Jahan I. Perceived barriers to maintain physical activity and its association to mental health status of Bangladeshi adults: a quantile regression approach. Scientific Reports. 2023;13(1):8993. [DOI:10.1038/s41598-023-36299-7]
11. Tripathi D, Vikram NK, Chaturvedi S, Bhatia N. Barriers and facilitators in dietary and physical activity management of type 2 diabetes: Perspective of healthcare providers and patients. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2023;17(3):102741. [DOI:10.1016/j.dsx.2023.102741]
12. Bytyci Katanolli A, Probst-Hensch N, Ann Obas K, Gerold J, Zahorka M, Jerliu N, Ramadani Q, et al. Perceived barriers to physical activity behaviour among patients with diabetes and hypertension in Kosovo: a qualitative study. BMC Primary Care. 2022;23(1):257. [DOI:10.1186/s12875-022-01866-w]
13. Finn M, Sherlock M, Feehan S, Guinan EM, Moore KB. Adherence to physical activity recommendations and barriers to physical activity participation among adults with type 1 diabetes. Irish Journal of Medical Science.2022;191(4):1639-46. [DOI:10.1007/s11845-021-02741-w]
14. Vilafranca Cartagena M, Tort-Nasarre G, Rubinat Arnaldo E. Barriers and facilitators for physical activity in adults with type 2 diabetes mellitus: a scoping review. International journal of environmental research and public health. 202;18(10):5359. [DOI:10.3390/ijerph18105359]
15. Danaeifard H, Alvani SM, Azar A. Qualitative research methodology in management: a comprehensive approach. Tehran:Saffar Publications:2004.
16. Waxman A. Why a global strategy on diet, physical activity and health?. Nutrition and fitness: mental health, aging, and the implementation of a healthy diet and physical activity lifestyle. 2005;95:162-6. [DOI:10.1159/000088302]
17. Bekele H, Asefa A, Getachew B, Belete AM. Barriers and strategies to lifestyle and dietary pattern interventions for prevention and management of type-2 diabetes in Africa, systematic review. Journal of Diabetes Research. 2020;2020:7948712. [DOI:10.1155/2020/7948712]
18. Cradock KA, Quinlan LR, Finucane FM, Gainforth HL, Martin Ginis KA, Barros AC, et al. Identifying barriers and facilitators to diet and physical activity behaviour change in type 2 diabetes using a design probe methodology. Journal of Personalized Medicine. 2021;11(2):72. [DOI:10.3390/jpm11020072]
19. Lim RB, Wee WK, For WC, Ananthanarayanan JA, Soh YH, Goh LM, et al. Correlates, facilitators and barriers of physical activity among primary care patients with prediabetes in Singapore-a mixed methods approach. BMC Public Health. 2020;20:1-3. [DOI:10.1186/s12889-019-7969-5]
20. Nicolás López J, González Carcelén CM, López Sánchez GF. Barriers to physical activity in people with diabetes residing in Spain. Atena Journal of Public Health. 2020;2:3.
21. Forughifard N, Seyed Ameri MH. Investigating Bariers to Participation in Sport Activities in Diabetic Patients in Urmia City. Sport Physiology & Management Investigations. 2020;12(1):59-69.(in Persian)
22. Esteves MD, Gouveia Rodrigues RJ, Pinheiro PG, Brás RM, Rodrigues Gouveia AI, de Oliveira Duarte PA. Physical activity patterns and perceptions among type 2 diabetic and non-diabetic Portuguese. Annals of Applied Sport Science. 2019;7(4):36-42. [DOI:10.29252/aassjournal.810]
23. Sanghamitra P, Eunice L, Sandipana P, Shayma D, Pranab M. Type 2 diabetes and physical activity: barriers and enablers to diabetes control in Eastern India. Primary Health Care Research & Development. 2019;20:e44. [DOI:10.1017/S146342361800097X]
24. Koponen AM, Simonsen N, Suominen S. Success in increasing physical activity (PA) among patients with type 2 diabetes: A self-determination theory perspective. Health psychology and behavioral medicine. 2018;6(1):104-19. [DOI:10.1080/21642850.2018.1462707]
25. Alharbi M, Gallagher R, Neubeck L, Bauman A, Prebill G, Kirkness A, et al. Exercise barriers and the relationship to self-efficacy for exercise over 12 months of a lifestyle-change program for people with heart disease and/or diabetes. European Journal of Cardiovascular Nursing. 2017;16(4):309-17. [DOI:10.1177/1474515116666475]
26. Gallé F, Di Onofrio V, Cirella A, Di Dio M, Miele A, Spinosa T, et al. Improving self-management of type 2 diabetes in overweight and inactive patients through an educational and motivational intervention addressing diet and physical activity: A prospective study in Naples, South Italy. Diabetes Therapy. 2017;8:875-86. [DOI:10.1007/s13300-017-0283-2]
27. Schneider KL, Panza E, Handschin B, Ma Y, Busch AM, Waring ME, et al. Feasibility of pairing behavioral activation with exercise for women with type 2 diabetes and depression: the get it study pilot randomized controlled trial. Behavior therapy. 2016;47(2):198-212. [DOI:10.1016/j.beth.2015.10.005]
28. Laranjo L, Neves AL, Costa A, Ribeiro RT, Couto L, Sá AB. Facilitators, barriers and expectations in the self-management of type 2 diabetes-a qualitative study from Portugal. European Journal of General Practice. 2015;21(2):103-10. [DOI:10.3109/13814788.2014.1000855]
29. Balducci S, Sacchetti M, Haxhi J, Orlando G, Zanuso S, Cardelli P, et al. The Italian Diabetes and Exercise Study 2 (IDES-2): a long-term behavioral intervention for adoption and maintenance of a physically active lifestyle. Trials. 2015;16:1-7. [DOI:10.1186/s13063-015-1088-0]
30. Miller ST, Marolen K. Physical activity-related experiences, counseling expectations, personal responsibility, and altruism among urban African American women with type 2 diabetes. The Diabetes Educator. 2012;38(2):229-35. [DOI:10.1177/0145721712437558]
31. Kent A, Waller G, Dagnan D. A greater role of emotional than physical or sexual abuse in predicting disordered eating attitudes: The role of mediating variables. International Journal of Eating Disorders. 1999;25(2):159-67.
https://doi.org/10.1002/(SICI)1098-108X(199903)25:2<159::AID-EAT5>3.0.CO;2-F [DOI:10.1002/(SICI)1098-108X(199903)25:23.0.CO;2-F]
32. Oggioni C, Lara J, Wells JC, Soroka K, Siervo M. Shifts in population dietary patterns and physical inactivity as determinants of global trends in the prevalence of diabetes: an ecological analysis. Nutrition, Metabolism and Cardiovascular Diseases. 2014;24(10):1105-11. [DOI:10.1016/j.numecd.2014.05.005]
33. Koponen AM, Simonsen N, Suominen S. Success in increasing physical activity (PA) among patients with type 2 diabetes: A self-determination theory perspective. Health psychology and behavioral medicine. 2018;6(1):104-19. [DOI:10.1080/21642850.2018.1462707]
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