Fatores de adesão e permanência de idosos com diabetes tipo 2 a um programa de exercício físico

Iago Vilela Dantas; Gabriela Nascimento Lima; Ana Patrícia Siqueira Tavares Falcão; Denise Maria Martins Vancea; Dario Celestino Sobral Filho

doi:10.5585/conssaude.v18n1.8679

Authors

Iago Vilela Dantas Universidade Federal de Pernambuco
Gabriela Nascimento Lima Universidade de Pernambuco
Ana Patrícia Siqueira Tavares Falcão Universidade de Pernambuco
Denise Maria Martins Vancea Universidade de Pernambuco
Dario Celestino Sobral Filho Universidade de Pernambuco

DOI:

https://doi.org/10.5585/conssaude.v18n1.8679

Keywords:

Exercise. Diabetes mellitus. Elderly. Motivation.

Abstract

Introduction: A great proportion of elderly people with type 2 diabetic do not regularly practice any type of physical exercise. Objectives: To identify factors that influence elderly people with type 2 diabetes to exercise. Methods: A descriptive and analytical cross-sectional quantitative study was conducted. The sample consisted of 49 elderly individuals diagnosed with type 2 diabetes. Questionnaires were applied regarding beginning, continuing and quitting exercise programs, as well as depressive symptoms. For the data analysis, Cronbach's alpha was calculated, and factor analysis and correlation of the data were performed. Results: The following reasons for beginning a physical exercise program were discovered: encouragement by friends and family, desire to improve self-esteem or self-image and medical referral. The reasons for staying active were to relieve tension, make friends, develop skills, obtain self-reward, burn calories and maintain flexibility. Conclusion: The results showed that extrinsic factors are the ones that most influence elderly people with type 2 diabetes to begin a physical exercise program and to continue with it.

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Author Biography

Iago Vilela Dantas, Universidade Federal de Pernambuco

Mestrando em Educação Física no Programa de Pós Graduação em Educação Física da Universidade Federal de Pernambuco. Graduado no Curso de Bacharelado em Educação Física na Universidade de Pernambuco com graduação sanduíche em Kinesiology/Health Science pela California State University, Humboldt.

References

International Diabetes Federation. IDF Atlas. 7th ed. Brussels, Belgium: International Diabetes Federation. 2015.

Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes. São Paulo, Brasil: Clannad. 2017-2018.

Instituto Brasileiro de Geografia e Estatística. Distribuição da população por sexo, segundo os grupos de idade. Censo Demográfico. 2018.

Veronese N, Cooper C, Reginster JY, Hochberg M, Branco J, Bruyère O, et al. Type 2 diabetes mellitus and osteoarthritis. Semin Arthritis Rheum. 2019 Jan 11;(18):30586-9.

Khan ZD, Lutale J, Moledina SM. Prevalence of depression and associated factors among diabetic patients in an outpatient diabetes clinic. Psychiatry J. 2019 Jan 15;2083196.

Batsis JA, Gill LE, Masutani RK, Adachi-Mejia AM, Blunt HB, Bagley PJ, et al. Weight loss interventions in older adults with obesity: a systematic review of randomized controlled trials since 2005. J Am Geriatr Soc. 2017 Feb;65(2):257-68.

Province MA, Hadley EC, Hornbrook MC, Lipsitz LA, Miller JP, Mulrow CD, et al. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA. 1995 May 3;273(17):1341-7.

Cheng P, Tan L, Ning P, Li L, Gao Y, Wu Y, et al. Comparative effectiveness of published interventions for elderly fall prevention: a systematic review and network meta-analysis. Int J Environ Res Public Health. 2018 Mar 12;15(3).

Sardeli AV, Komatsu TR, Mori MA, Gáspari AF, Chacon-Mikahil MPT. Resistance training prevents muscle loss induced by caloric restriction in obese elderly individuals: a systematic review and meta-analysis. Nutrients. 2018 Mar 29;10(4).

Rodrigues-Krause J, Farinha JB, Krause M, Reischak-Oliveira Á. Effects of dance interventions on cardiovascular risk with ageing: systematic review and meta-analysis. Complement Ther Med. 2016 Dec;29:16-28.

Bullo V, Bergamin M, Gobbo S, Sieverdes JC, Zaccaria M, Neunhaeuserer D, et al. The effects of Pilates exercise training on physical fitness and wellbeing in the elderly: a systematic review for future exercise prescription. Prev Med. 2015 Jun;75:1-11.

Pan B, Ge L, Xun YQ, Chen YJ, Gao CY, Han X, et al. Exercise training modalities in patients with type 2 diabetes mellitus: a systematic review and network meta-analysis. Int J Behav Nutr Phys Act. 2018 Jul 25;15(1):72.

Lee J. The Relationship between physical activity and dementia: a systematic review and meta-analysis of prospective cohort studies. J Gerontol Nurs. 2018 Oct 1;44(10):22-9.

Ryan RM, Deci EL. Intrinsic and extrinsic motivations: classic definition and new direction. Contemp Educ Psychol. 2000 Jan 25;(1):54-67.

Markland D, Ingledew DK. The measurement of exercise motives: factorial validity and invariance across gender of a revised Exercise Motivation Inventory. Br J Health Psychol. 1997;(2):361-76.

Fortier MS, Sweet SN, Tulloch H, Blanchard CM, Sigal RJ, Kenny GP, et al. Self-determination and Exercise Stages of Change: results from the diabetes aerobic and resistance exercise trial. J Health Psychol. 2012;(17):87-99.

Godoy RF. Benefícios do exercício físico sobre a área emocional. Movimento. 2002;8(2):7-16.

Carneiro RS, Falcone E, Clark C, Prette Z, Prette A. Qualidade de vida, apoio social e depressão em idosos: relação com habilidades sociais. Psicol Reflex Crit. 2007; 20(2):229-37.

Gomes O, Marcio H, Gorenstein C, Neto FL, Andrade LH, Wang YP. Validation of the Brazilian Portuguese version of the Beck Depression Inventory-II in a community sample. Rev Bras Psiquiatr. 2012;(4):389-94.

Miller ST, Marolen K. Physical activity-related experiences, counseling expectations, personal responsibility, and altruism among urban African American women with Type 2 Diabetes. Diabetes Educ. 2012;38(2):229-35.

Freitas CMSM, Santiago MS, Viana AT, Leão AC, Freyre C. Aspectos motivacionais que influenciam a adesão e manutenção de idosos a programas de exercícios físicos. Rev Bras Cineantropom Desempenho Hum. 2007;9(1):92-100.

Kellie MR. Intrinsic and extrinsic factors affecting patient engagement in diabetes self-management: perspectives of a certified diabetes educator. Clin Therap. 2013;35(2):170-8.

Trief PM. Depression in Elderly Diabetes Patients. Diabetes Spectrum. 2007;20(2):71-5.