Physical inactivity in people with diabetes in low-income rural areas and associated factors: Amazonas results
DOI:
https://doi.org/10.12820/rbafs.30e0399Keywords:
Physical activity, Type 2 diabetes mellitus, Primary Health Care, Rural areasAbstract
Physical activity (PA) is crucial for the management of type 2 diabetes mellitus (T2DM), but there is a paucity of research on adherence to PA guidelines, PA level, and associated factors in patients with T2DM living in remote areas. Objectives: To investigate adherence to PA, describe PA level, and identify associated factors among patients with T2DM treated in primary health care in Amazonas, Brazil. Methods: This is a descriptive cross-sectional study. Data were collected between 2020 and 2023, with patients from primary health care units in rural Amazonas. The PA level was assessed using the International Physical Activity Questionnaire, along with additional questionnaires on sociodemographic and clinical variables. A significance level of 5% was applied in all analyses. Results: The study included 965 participants, of whom 67.7% were classified as inactive and 80.5% did not meet PA recommendations. Factors positively associated with higher PA level included having ≥8 years of education (OR = 1.80; 95% CI: 1.31 - 2.48), body mass index (≥30 kg/m² (OR = 1.50; 95% CI: 1.04 - 2.17), adherence to prescribed medications (OR = 1.71; 95% CI: 1.15 - 2.54), receiving guidance on PA (OR = 1.98; 95% CI: 1.49 - 2.64) and a positive self-perception of health (OR = 1.41; 95% CI: 1.00 - 1.98). Conclusion: Better PA level was associated with higher education, obesity, medication adherence, PA orientation, and positive health perceptions. These findings highlight the importance of addressing multiple factors to promote PA among patients with T2DM in rural Amazonas.
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Copyright (c) 2025 Lucas Santos Fernandes, Johrdy Amilton da Costa Braga, Maria Natália Cardoso, Tânia Rosane Bertoldo Benedetti, Hércules Lázaro Morais Campo, Elisa Brosina de Leon
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