Perception and impact of customized physical activity programs on objective physical activity parameters in prediabetes

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-01-26 DOI:10.1016/j.cegh.2025.101938

Radhika Aditya Jadhav , G. Arun Maiya , Vidyut Rajhans , Shashikiran Umakanth , Shivashankara K N

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引用次数: 0

Abstract

Background

Prediabetes is an established vital risk factor for Type 2 Diabetes Mellitus (T2DM), yet an under-recognized problem. The effectiveness of the Physical Activity Promotion Programme (PAPP) has rarely been studied extensively regarding objective Physical Activity (PA) assessment and subjective acceptance in prediabetes. The present mixed-method study evaluated the effect and perception of customized PAPP in prediabetes.

Methods

The pre-post study included 54 prediabetes participants between 18 and 60 years of age who received the customized PAPP for 24 weeks. PA parameters were measured objectively using the tri-axial accelerometer Actigraph GT3X at baseline and the end of PAPP. Twelve participants were included in the qualitative study, and their perception of PAPP was explored using semi-structured telephonic interviews. Data analysis was done using a paired t-test and thematic analysis.

Results

PA was significantly improved, which is evident in an increase in the average step count (MD = 1408), light activity duration (MD = 34.7 Min.), and moderate to vigorous PA duration (MD = 9.1 Min.). Average sedentary duration reduced significantly (MD = 32.46 Min.) (p < 0.05). Customized PAPP was happily accepted and continued by all the participants. Despite their challenging situations.

Conclusion

Customized PAPP has yielded promising results, indicating its effectiveness in reducing sedentary duration and improving health parameters among prediabetic individuals. Customized physical activity interventions planned with due consideration of health parameters are crucial in enhancing health outcomes.

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定制体育活动方案对前驱糖尿病患者客观体育活动参数的感知和影响

前驱糖尿病是2型糖尿病（T2DM）的重要危险因素，但仍未得到充分认识。体育活动促进计划（Physical Activity Promotion program， PAPP）在糖尿病前期的客观体育活动（Physical Activity， PA）评估和主观接受方面的有效性很少得到广泛的研究。本混合方法研究评估了定制化PAPP在糖尿病前期的效果和感知。方法对54名年龄在18 - 60岁的糖尿病前期患者进行了为期24周的定制化PAPP治疗。使用三轴加速度计Actigraph GT3X在PAPP基线和结束时客观测量PA参数。本研究采用半结构化电话访谈法，对12名参与者的PAPP认知进行了探讨。数据分析采用配对t检验和专题分析。结果患者的平均步数（MD = 1408）、轻度活动时间（MD = 34.7 Min）和中高强度活动时间（MD = 9.1 Min）均有明显改善。平均久坐时间显著减少（MD = 32.46 Min） (p <；0.05)。定制化的PAPP得到了所有参与者的欣然接受和继续。尽管他们处境艰难。结论定制化PAPP在减少糖尿病前期患者久坐时间和改善健康指标方面具有良好的效果。适当考虑健康参数的量身定制的身体活动干预计划对于提高健康结果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.