Why Are Individuals With Diabetes Less Active? The Mediating Role of Physical, Emotional, and Cognitive Factors

Author:

Cheval Boris12ORCID,Maltagliati Silvio3ORCID,Sieber Stefan4,Beran David5,Chalabaev Aïna3,Sander David12,Cullati Stéphane67,Boisgontier Matthieu P89ORCID

Affiliation:

1. Swiss Center for Affective Sciences, University of Geneva, Switzerland

2. Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Switzerland

3. Univ. Grenoble Alpes, SENS, Grenoble, France

4. Swiss NCCR “LIVES – Overcoming Vulnerability: Life Course Perspectives,” University of Geneva, Switzerland

5. Division of Tropical and Humanitarian Medicine, University of Geneva and Geneva University Hospitals, Switzerland

6. Population Health Laboratory, University of Fribourg, Switzerland

7. Department of Readaptation and Geriatrics, University of Geneva, Switzerland

8. School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada

9. Bruyère Research Institute, Ottawa, ON, Canada

Abstract

Abstract Background Despite the key role of physical activity in the management of diabetes, many individuals with diabetes do not engage in the recommended levels of physical activity. However, our knowledge of the mechanisms underlying the relationship between diabetes and physical inactivity is limited. Purpose To investigate the associations between diabetes and the levels and evolution of physical activity across aging, and to determine whether physical, emotional, and cognitive factors mediate these associations. Methods Data from 105,622 adults aged 50–96 years from the Survey of Health, Ageing and Retirement in Europe (SHARE) were used in adjusted linear mixed models to examine whether diabetes was associated with physical activity levels and variations across aging. The potential mediators were subjective energy, muscle strength, physical and cognitive disability, sleep problems, depressive symptoms, and cognitive functions. The variables were measured up to seven times over a 13-year period. Results Individuals with diabetes demonstrated a lower level and a steeper decrease in physical activity across aging than individual without diabetes. Mediators explained ~53% and 94% of the association of diabetes with the level of physical activity and with the linear evolution of physical activity across aging, respectively. All mediators were significantly associated with physical activity. Physical and cognitive disability as well as depressive symptoms were the strongest mediators, while sleep was the lowest one. Conclusions These findings suggest that the etiology of physical inactivity in individuals with diabetes can result from several physical, emotional, and cognitive changes associated with the emergence of this disease.

Funder

European Commission

German Ministry of Education and Research

Max Planck Society for the Advancement of Science

U.S. National Institute on Aging

Publisher

Oxford University Press (OUP)

Subject

Psychiatry and Mental health,General Psychology

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3