The Degree of Influence of Daily Physical Activity on Quality of Life in Type 2 Diabetics

Front Psychol. 2020 Jun 30:11:1292. doi: 10.3389/fpsyg.2020.01292. eCollection 2020.

Abstract

Objectives: This study mainly explored the degree of influence of daily physical activity (PA) on the quality of life (QoL) and then provided a basis for improving PA and QoL in patients with Type 2 diabetes mellitus (T2DM). Methods: Long International PA Questionnaire (IPAQ-L) and Diabetic Mellitus QoL Scale (DMQLS) were used to investigate the daily PA and QoL, respectively, of patients with T2DM. The obtained data were analyzed by SPSS19.0 data analysis software. The correlation between PA and QoL was analyzed by Pearson correlation analysis and the degree of influence of PA on the QoL of patients with T2DM was analyzed by optimal scale regression analysis. Results: The total daily PA of the participants was 1172.79 ± 1266.23 MET-min/week and the overall score of QoL was 149.17 ± 17.16 points. Positive correlation has been found between PA and QoL and all its dimensions (all P < 0.05). It was found in the optimal scale regression that among many influencing factors, PA was significant and ranks first in importance among factors of the patient's total QoL (importance = 0.432, P < 0.05) and its disease, physiological, psychological, and social dimension. The degrees of influence of PA on sub-dimensions of QoL were in the following order: physiology (0.476), society (0.441), disease (0.388), psychology (0.377), and satisfaction (0.089). Conclusion: The level of daily PA of patients with T2DM in southwestern China was moderate. Among the influencing factors such as gender, age, course of disease, education background, monthly income, BMI, work status, and complications, daily PA is the most important factor for QoL and its physiological, social, psychological, and disease dimension. The degrees of influence of daily PA on sub-dimensions of QoL were (in descending order) as follows: physiology, social, disease, psychology, and satisfaction. Therefore, in view of the importance of daily PA for QoL, more attention should be paid to the daily PA of T2DM patients in the future, including the study on more targeted testing methods, promotion strategies of daily PA, and its more extensive positive effects.

Keywords: T2DM; dimension; influence factor; physical activity; quality of life.