Motives and Barriers to Exercise Training during Hospitalization in Patients with Type 2 Diabetes: A Cross-Sectional Study

Stig Molsted, Lasse Kusk, Søren Mingon Esbensen, Thomas Martin Mohr, Malene Bang Vind, Camilla Hess, Thomas Bandholm, Morten Tange Kristensen, Cornelie Mølsted Flege and Peter Lommer Kristensen
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Stig Molsted: Department of Clinical Research, Nordsjællands Hospital, 3400 Hillerød, Denmark
Lasse Kusk: Department of Clinical Research, Nordsjællands Hospital, 3400 Hillerød, Denmark
Søren Mingon Esbensen: Department of Clinical Research, Nordsjællands Hospital, 3400 Hillerød, Denmark
Thomas Martin Mohr: Department of Clinical Research, Nordsjællands Hospital, 3400 Hillerød, Denmark
Malene Bang Vind: Department of Endocrinology and Nephrology, Nordsjællands Hospital, 3400 Hillerød, Denmark
Camilla Hess: Department of Endocrinology and Nephrology, Nordsjællands Hospital, 3400 Hillerød, Denmark
Thomas Bandholm: Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark
Morten Tange Kristensen: Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark
Cornelie Mølsted Flege: Department of Food Science and Technology, Faculty of Science, University of Copenhagen, 1870 Frederiksberg, Denmark
Peter Lommer Kristensen: Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark

IJERPH, 2022, vol. 19, issue 3, 1-9

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.

Keywords: type 2 diabetes; admission; exercise training; hospitalization; physical function; physical activity; motives; barriers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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