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Open AccessArticle

Do Older People with Diabetes Meet the Recommended Weekly Physical Activity Targets? An Analysis of Objective Physical Activity Data

Italian Agency for Development Cooperation, Jerusalem 9135400, Israel
The Cambridge Centre for Sport & Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK
Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, 08005 Barcelona, Spain
Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE5 8AZ, UK
Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience King’s College London, De Crespigny Park, London SE5 8AF, UK
Department of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, 1300 Vienna, Austria
Department of Behavioural Science and Health, University College London, London WC1E6BT, UK
National Research Council, Neuroscience Institute, Aging Branch, Via Giustiniani, 2, 35,128 Padova, Italy
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(14), 2489;
Received: 22 May 2019 / Revised: 7 July 2019 / Accepted: 9 July 2019 / Published: 12 July 2019
(This article belongs to the Special Issue Physical Activity and Health)
PDF [288 KB, uploaded 12 July 2019]


Appropriate management of diabetes mellitus (DM) includes following a healthy lifestyle, in which reaching physical activity (PA) recommendations is an important factor. Despite this, it remains unclear whether people with DM meet the recommended PA targets. We therefore aimed to investigate the proportion of older adults with DM (type 1 and 2) engaging in the recommended amount of PA per week in a cross-sectional study. PA levels were objectively measured using the GT1M ActiGraph accelerometer for seven consecutive days, and the cut-off of 150 min of moderate-to-vigorous PA (MVPA) was used. To assess the relationship between not meeting the recommendation for, and the significant factors associated with PA level (MVPA < 150 min/week), a multivariable logistic regression analysis was applied. 197 diabetic participants (mean age = 66.8 years; 46.7% males) spent only 74.5 ± 94.4 min/weekly in MVPA, and only 39 (=19.8%) reached the cut-off for sufficient PA levels. Significant correlates of not meeting the recommendation for PA levels were female sex, depressive symptoms, and age. In conclusion, only one-fifth of diabetic people reached the recommended amount of PA, suggesting that more intervention is needed to increase PA levels in this population. View Full-Text
Keywords: diabetes; physical activity; physical exercise; accelerometer; depression diabetes; physical activity; physical exercise; accelerometer; depression
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Pizzol, D.; Smith, L.; Koyanagi, A.; Stubbs, B.; Grabovac, I.; Jackson, S.E.; Veronese, N. Do Older People with Diabetes Meet the Recommended Weekly Physical Activity Targets? An Analysis of Objective Physical Activity Data. Int. J. Environ. Res. Public Health 2019, 16, 2489.

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