Poster Presentation ESA-SRB-APEG-NZSE 2022

The association between physical activity and self-rated health status in patients with type 1 and type 2 diabetes (#302)

Tasfia TR Reza 1 , Matthew MQ Quigley 2 , Sophia SZ Zoungas 2 , Danijela DG Gasevic 2
  1. Department of General Medicine, Alfred Hospital, Melbourne, VIC, Australia
  2. School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia

Poor self-rated health is associated with reduced adherence to therapy (1) and poorer glycaemic control for patients with diabetes (2). Engagement in physical activity (PA) improves self-rated health (3-5), however, less is known about this association in people with diabetes. This study aims to investigate the association between PA and self-rated health in adults with type 1 (T1D) and type 2 diabetes (T2D).

Data from 9,061 adult patients with T1D (n=2694; 52.4% females, mean age 43 years) and T2D (n=6367; 44.2% females, mean age 63 years) were analysed from the 2014 to 2018 biennial cross-sectional Australian National Diabetes Audit. PA was self-reported and categorised as sufficient (≥150min/week moderate and/or vigorous PA), insufficient (some activity but <150min/week), or participant being sedentary (no weekly moderate and/or vigorous PA). Self-rated health was measured using EuroQol visual analogue scale (0-100) based on patients’ subjective assessment of their health on the day of the survey. The association between PA and self-rated health was explored using multivariable linear regression adjusted for age, sex, diabetes duration, smoking status, difficulty following recommended diet, HbA1c, and forgetting to take medications. B and 95% confidence intervals (CI) were reported.

Being sufficiently active was reported by 63.2% of T1D and 39.3% of T2D patients. Compared to individuals with T1D who reported being sedentary, those reporting sufficient and insufficient PA had a higher self-rated health score: 10.87 (7.78-13.97), p<0.001 and 5.13 (1.91-8.37), p=0.002, respectively. Compared to individuals with T2D who reported being sedentary, those reporting sufficient and insufficient PA had a higher self-rated health score: 12.33 (10.76-13.90), p<0.001 and 7.18 (5.69-8.68), p<0.001, respectively.

In both individuals with T1D and T2D, greater engagement in PA was associated with higher self-rated health. Our findings suggest that promoting integrated PA as part of holistic diabetes management may help improve patients' overall health status.

  1. 1. Mishra R, Sharma SK, Verma R, Kangra P, Dahiya P, Kumari P, Sahu P, Bhakar P, Kumawat R, Kaur R, Kaur R, Kant R. Medication adherence and quality of life among type-2 diabetes mellitus patients in India. World J Diabetes. 2021 Oct 15;12(10):1740-1749. doi: 10.4239/wjd.v12.i10.1740.
  2. 2. Shim, Y. T., Lee, J., Toh, M. P., Tang, W. E., & Ko, Y. (2012). Health-related quality of life and glycaemic control in patients with Type 2 diabetes mellitus in Singapore. Diabetic medicine : a journal of the British Diabetic Association, 29(8), e241–e248. https://doi.org/10.1111/j.1464-5491.2012.03689.x
  3. 3. Anokye, N. K., Trueman, P., Green, C., Pavey, T. G., & Taylor, R. S. (2012). Physical activity and health related quality of life. BMC public health, 12, 624. https://doi.org/10.1186/1471-2458-12-624
  4. 4. Gill DL, Hammond CC, Reifsteck EJ, Jehu CM, Williams RA, Adams MM, Lange EH, Becofsky K, Rodriguez E, Shang YT. Physical activity and quality of life. J Prev Med Public Health. 2013 Jan;46 Suppl 1(Suppl 1):S28-34. doi: 10.3961/jpmph.2013.46.S.S28.
  5. 5. Pucci, G. C., Rech, C. R., Fermino, R. C., & Reis, R. S. (2012). Association between physical activity and quality of life in adults. Revista de saude publica, 46(1), 166–179. https://doi.org/10.1590/s0034-89102012000100021 6. Bize, R., Johnson, J. A., & Plotnikoff, R. C. (2007). Physical activity level and health-related quality of life in the general adult population: a systematic review. Preventive medicine, 45(6), 401–415. https://doi.org/10.1016/j.ypmed.2007.07.017