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The Association between Sedentary Behavior and Health Variables in People with Type 2 Diabetes

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Objective: We examined the relationship between sedentary behavior (SB) and glycemic control, well-being, fatigue, and physical function in people with type 2 diabetes mellitus (T2DM). These modifiable health variables have been shown to be associated with SB in older adults, and negatively impacted in people with T2DM. However, the relationship between SB and these variables in people with T2DM is uncertain. Methods: We used a cross-sectional design to assess the relationship between SB with glycemic control (A1C), well-being (WBQ-22), fatigue (Fatigue Severity Scale), and physical function (Senior Fitness Test). We used an activPAL3TM activity monitor to assess SB in people with T2DM aged 50 to 75 years. Results: Study participants (N = 59) were obese (33.4 ± 5.5 kg/m2) and sedentary (11.08 ± 2.31 hours/day). Multiple linear regression examining the effect of the assessed variables on SB showed that poorer glycemic control (β= 0.40; 95% CI: 14.43, 58.13) was associated with higher level of SB. We found no other statistically significant relationships. Conclusion: Glycemic control was a statistically significant predictor of SB. Future studies should explore this relationship further, as both glycemic control and SB are modifiable factors and could be used as main target for interventions programs.
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Keywords: FATIGUE; GLYCEMIC CONTROL; PHYSICAL ACTIVITY; SEDENTARY BEHAVIOR; TYPE 2 DIABETES; WELL-BEING

Document Type: Research Article

Publication date: May 1, 2020

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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