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Article

Motives and Barriers to Exercise Training during Hospitalization in Patients with Type 2 Diabetes: A Cross-Sectional Study

1
Department of Clinical Research, Nordsjællands Hospital, 3400 Hillerød, Denmark
2
Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark
3
Department of Endocrinology and Nephrology, Nordsjællands Hospital, 3400 Hillerød, Denmark
4
Department of Clinical Research, Department of Physical and Occupational Therapy, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager and Hvidovre, 2650 Copenhagen, Denmark
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Department of Physical and Occupational Therapy, Copenhagen University Hospital, Bispebjerg-Frederiksberg, 2400 Copenhagen, Denmark
6
Department of Food Science and Technology, Faculty of Science, University of Copenhagen, 1870 Frederiksberg, Denmark
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2022, 19(3), 1035; https://doi.org/10.3390/ijerph19031035
Received: 26 November 2021 / Revised: 12 January 2022 / Accepted: 14 January 2022 / Published: 18 January 2022
(This article belongs to the Special Issue Exercise Training and Patients' Rehabilitation)
Background: Exercise training during hospitalization may prevent loss of physical function and hyperglycemia in patients with type 2 diabetes. The aim of this study was to assess motives and barriers to exercise training in hospitalized patients with type 2 diabetes. Methods: Data were collected using a questionnaire about motives and barriers to exercise training during hospitalization. Additional data for clinical characteristics of the participants were collected from patient records. Results: 79 patients participated (mean ± SD age 72 ± 12 years; 42% women), of whom 25% had a low level of education and 46% lived alone. The median (IQR) length of the stay was 6 (4–10) days. A total of 67% of the participants wished to be more physically active. Walking as exercise was preferred by 51%. The most frequently reported barriers to exercise training were bodily pain (48%) and dizziness (42%). Low vs. high level of education, and living alone vs. being married/living with a partner were associated with reduced odds of a wish to be more physically active, odds ratio (OR) 0.15 [95% CI 0.03; 0.76], p = 0.022, and 0.21 [0.05; 0.82], p = 0.025, respectively. Conclusion: Two out of three hospitalized patients with type 2 diabetes wished to be more physically active during admission. Bodily pain was a barrier to exercise training and needs attention in training programs. As a low level of education was associated with reduced odds of a wish to be more active, a strategy to include all patients in training programs which considers social inequality is needed. View Full-Text
Keywords: type 2 diabetes; admission; exercise training; hospitalization; physical function; physical activity; motives; barriers type 2 diabetes; admission; exercise training; hospitalization; physical function; physical activity; motives; barriers
MDPI and ACS Style

Molsted, S.; Kusk, L.; Esbensen, S.M.; Mohr, T.M.; Vind, M.B.; Hess, C.; Bandholm, T.; Kristensen, M.T.; Flege, C.M.; Kristensen, P.L. Motives and Barriers to Exercise Training during Hospitalization in Patients with Type 2 Diabetes: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2022, 19, 1035. https://doi.org/10.3390/ijerph19031035

AMA Style

Molsted S, Kusk L, Esbensen SM, Mohr TM, Vind MB, Hess C, Bandholm T, Kristensen MT, Flege CM, Kristensen PL. Motives and Barriers to Exercise Training during Hospitalization in Patients with Type 2 Diabetes: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2022; 19(3):1035. https://doi.org/10.3390/ijerph19031035

Chicago/Turabian Style

Molsted, Stig, Lasse Kusk, Søren M. Esbensen, Thomas M. Mohr, Malene B. Vind, Camilla Hess, Thomas Bandholm, Morten T. Kristensen, Cornelie M. Flege, and Peter L. Kristensen. 2022. "Motives and Barriers to Exercise Training during Hospitalization in Patients with Type 2 Diabetes: A Cross-Sectional Study" International Journal of Environmental Research and Public Health 19, no. 3: 1035. https://doi.org/10.3390/ijerph19031035

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