Characterization of the physical exercise orientation for patients with diabetes and prediabetes assisted in a university hospital

Authors

  • Larissa Barbosa de Carvalho Programa de Residência Multiprofissional em Atenção Hospitalar, Hospital Universitário, Universidade Federal de Juiz de Fora, MG https://orcid.org/0000-0002-8562-2137
  • Lilian Pinto da Silva Programa de Pós-Graduação em Ciências da Reabilitação e Desempenho Físico-Funcional, Faculdade de Fisioterapia, Universidade Federal de Juiz de Fora, MG https://orcid.org/0000-0002-9352-1504
  • Carolina Machado de Melo Felix Programa de Pós-Graduação em Ciências da Reabilitação e Desempenho Físico-Funcional, Faculdade de Fisioterapia, Universidade Federal de Juiz de Fora, MG https://orcid.org/0000-0003-4236-3187
  • Danielle Guedes Andrade Ezequiel Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Juiz de Fora, MG https://orcid.org/0000-0002-2120-2838
  • Mariana Balbi Seixas Programa de Pós-Graduação em Educação Física, Faculdade de Educação Física e Desportos, Universidade Federal de Juiz de Fora, MG https://orcid.org/0000-0001-5088-1414
  • Patricia Fernandes Trevizan Unidade de Investigação Cardiovascular e Fisiologia do Exercício, Universidade Federal de Juiz de Fora, MG https://orcid.org/0000-0001-5517-8285

DOI:

https://doi.org/10.34019/1982-8047.2021.v47.34117

Keywords:

Diabetes Mellitus, Exercise Physical, Orientation

Abstract

Introduction: The pillars of the treatment of Diabetes Mellitus (DM) are the association of drug treatment, the adoption of a healthy diet, and regular practice of physical exercises. Despite the various benefits described for patients with DM, regular physical exercise remains a challenge. Objective: To identify and characterize the physical exercise orientation delivered to patients with DM or prediabetes assisted in an outpatient clinic to treat or prevent DM. Material and Methods: Cross-sectional observational study. Between November 2018 and April 2019, data were collected by active search in the medical records of patients with type 1 DM (DM1), type 2 DM (DM2) or prediabetes assisted in a Multidisciplinary Diabetes Outpatient Clinic of the University Hospital of the Federal University of Juiz de Fora, including those diagnosed. Medical records with more than one attendance during the data collection period and from patients who did not have an attendance until the time of collection were excluded. Descriptive statistical analysis was performed by calculating simple frequencies and percentages for all variables and mean and standard deviation for numerical variables. Results: Of the 192 medical records, 169 were considered for analysis. Ninety-two percent of the sample was characterized with a diagnosis of DM2 (57 ± 11 years), and females were the most prevalent. Seventy-eight percent of the sample that contained information about physical activity in their medical records was sedentary. In 83% of the medical records, there was no documented physical exercise recommendation, and the 17% that presented the description were medical records of patients with DM2. The indications for “physical activity”, “lifestyle change” and “water aerobics” were the most documented terms for the recommendation. Conclusion: This study revealed the low registration rate on the orientation for physical exercise of patients with DM.

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References

Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes: 2019-2020 [Internet]. 2019. Disponível em: https://www.diabetes.org.br/profissionais/images/DIRETRIZES-COMPLETA-2019-2020.pdf

International Diabetes Federation. Diabetes Atlas: 2019. 9. ed. Disponível em: https://diabetesatlas.org/upload/resources/material/20200302_133351_IDFATLAS9e-final-web.pdf.

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019. Brasília: 2020.

Jenkins DW, Jenks A. Exercise and diabetes: a narrative review. J Foot Ankle Surg. 2017; 56(5):968-74.

DeWalt DA, Davis TC, Wallace AS, Seligman HK, Bryant-Shilliday B, Arnold CL et al. Goal setting in diabetes self-management: taking the baby steps to success. Patient Educ Couns. 2009; 77(2):218-23.

Alharbi M, Gallagher R, Neubeck L, Bauman A, Prebill G, Kirkness S 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. Eur J Cardiovasc Nurs. 2017; 16(4):309-17.

Kennedy A, Narendran P, Andrews RC, Daley A, Greenfield SM. Attitudes and barriers to exercise in adults with a recent diagnosis of type 1 diabetes: a qualitative study of participants in the Exercise for Type 1 Diabetes (EXTOD) study. BMJ open. 2018; 8(1):e017813.

Beckett M, Firestone MA, McKnight CD, Smylie J, Rotondi MA. A cross-sectional analysis of the relationship between diabetes and health access barriers in an urban First Nations population in Canada. BMJ Open. 2018; 8(1):e018272.

Kivelä K, Elo S, Kyngäs H, Kääriäinen M. The effects of health coaching on adult patients with chronic diseases: a systematic review. Patient Educ Couns. 2014; 97(2):147-57.

Funnell MM, Brouwn TL, Childs BP, Haas LB, Hosey GM, Jensen B et al. National standards for diabetes self-management education. Diabetes care. 2009; 32(1):S87-S94.

Lobelo F, Duperly J, Frank E. Physical activity habits of doctors and medical students influence their counselling practices. Br J Sports Med. 2009; 2(43):89-92.

Andrus B, Lacaille D. Reply: 2013 ACC/AHA guideline on the assessment of cardiovascular risk. J Am Coll Cardiol. 2013; 63(25):2886.

World Health Organization. Obesity: preventing and managing the global epidemic. Report of a World Health Organization Consultation. Geneva: World Health Organization; 2000.

Kacerovsky-Bielesz G, Lienhardt S, Hagenhofer M, Kacerovsky M, Forster E, Roth R et al. Sex-related psychological effects on metabolic control in type 2 diabetes mellitus. Diabetologia. 2009; 52(5):781-88.

Mauvais-Jarvis F, Manson JE, Stevenson JC, Fonseca VA. Menopausal hormone therapy and type 2 diabetes prevention: evidence, mechanisms, and clinical implications. Endocr. 2017; 38(3):173-88.

Ferreira CLRA, Ferreira MG. Epidemiological characteristics of diabetic patients within the public health system: an analysis of the HiperDia system. Arq Bras Endocrinol Metabol. 2009; 53(1):80-6.

Rodrigues FFL, Santos MAD, Teixeira CRDS, Gonela JT, Zanetti ML. Relationship between knowledge, attitude, education and duration of disease in individuals with diabetes mellitus. Acta Paul Enferm. 2012; 25(2):284-90.

Faria HTG, Rodrigues FFL, Zanetti ML, Araújo MFMD, Damasceno MMC Fatores associados à adesão ao tratamento de pacientes com diabetes mellitus. Acta Paul Enferm. 2013; 26(3):231-7.

Doak CC, Doak JG, Root C. Teaching patients with low literacy skills. 2. ed. Philadelphia: Mosby; 1995.

Gamba MA, Gotlieb SLD, Bergamaschi DP, Vianna LA. Amputações de extremidades inferiores por diabetes mellitus: estudo casocontrole. Rev Saúde Públ. 2004; 38:399-404.

Blomster JI, Zoungas S, Woodward M, Neal B, Harrap S, Poulter N et al. The impact of level of education on vascular events and mortality in patients with type 2 diabetes mellitus: results from the ADVANCE study. Diabetes Res Clin Pract. 2017; 127:212-17.

Mitchell BD, Stern MP, Haffner SM, Hazuda HP, Patterson JK. Risk factors for cardiovascular mortality in Mexican Americans and non-Hispanic whites: the San Antonio Heart Study. American Journal of Epidemiology. 1990; 131(3):423-33.

Lastra G, Syed S, Kurukulasuriya LR, Manrique C, Sowers JR. Type 2 diabetes mellitus and hypertension: an update. Endocrinol Metab Clin. 2014; 43(1):103-22.

Ravussin E, Smith SR. Increased fat intake, impaired fat oxidation, and failure of fat cell proliferation result in ectopic fat storage, insulin resistance, and type 2 diabetes mellitus. Ann N Y Acad. 2002; 967(1):363-78.

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

Stratton IM, Adler AI, Neil HAW, Matthews DR, Manley SE, Cull CA et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ open. 2000; 321(7258):405-12.

Chudyk A, Petrella RJ Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes care. 2011; 34(5):1228-1237.

Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZX et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study. Diabetes care. 1997; 20(4):537-44.

Li G, Zhang P, Wang J, Gregg EW, Yang W, Gong Q et al. The long-term effect of lifestyle interventions to prevent diabetes in the China Da Qing Diabetes Prevention Study: a 20-year follow-up study. Lancet. 2008; 371(9626):1783-89.

Negrão CE, Barretto ACP. Cardiologia do Exercício: do atleta ao cardiopata. 2. ed. São Paulo: Manole; 2006. p. 392.

Sophia HH, Mei RF, Liu S, Lin YK, Chang WY. CE: Original research: physical activity among chinese american immigrants with prediabetes or type 2 diabetes. Am J Nurs. 2018; 118(2):24-32.

Korkiakangas EE, Alahuhta MA, Husman PM, Keinänen-Kiukaanniemi S, Taanila AM, Laitinen JH. Motivators and barriers to exercise among adults with a high risk of type 2 diabetes–a qualitative study. Scand J Caring Sci. 2011; 25(1):62-9.

Egan AM, Mahmood WAW, Fenton R, Redziniak N, Kyaw Tun T, Sreenan S, McDermott JH. Barriers to exercise in obese patients with type 2 diabetes. QJM. 2013; 106 (7):635-38.

Brazeau AS, Rabasa-Lhoret R, Strychar I, Mircescu H. Barriers to physical activity among patients with type 1 diabetes. Diabetes Care. 2008; 31(11):2108-09.

Lascar N, Kennedy A, Hancock B, Jenkins D, Andrews RC, Greenfield S et al. Attitudes and barriers to exercise in adults with type 1 diabetes (T1DM) and how best to address them: a qualitative study. PloS one. 2014; 9(9):1080-119.

Barbanti VJ, Tricoli V, Carlos U. Relevância do conhecimento científico na prática do treinamento físico. Rev Paul Educ Fís. 2004; 18(8):101-09.

Mesquita AMO, Deslandes SF. A construção dos prontuários como expressão da prática dos profissionais de saúde. Saúde Soc. 2010; 19:664-73.

Carnaúba MFA. Frequência das anotações de enfermagem no prontuário do paciente [tese]. Salvador: Universidade Federal da Bahia; 1987.

Dillman CJ, Shields CA, Fowles JR, Perry A, Murphy RJ, Dunbar P. Including physical activity exercise in diabetes management: diabetes educators' perceptions of their own abilities the abilities of their patients. Can J Diabetes. 2010; 34(3):218-26.

Published

2021-09-15

How to Cite

1.
Barbosa de Carvalho L, Pinto da Silva L, Machado de Melo Felix C, Guedes Andrade Ezequiel D, Balbi Seixas M, Fernandes Trevizan P. Characterization of the physical exercise orientation for patients with diabetes and prediabetes assisted in a university hospital. HU Rev [Internet]. 2021Sep.15 [cited 2024Jul.17];47. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/34117

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