Association between physical activity and diabetic complications among Bangladeshi type 2 diabetic patients

Bukht, Mohammad Sadaat and Ahmed, Kazi Rumana and Hossain, Sahadat and Masud, Parisha and Sultana, Shuhana and Khanam, Rasheda (2019) Association between physical activity and diabetic complications among Bangladeshi type 2 diabetic patients. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 13 (1). pp. 806-809. ISSN 1871-4021


Background: Physical activity (PA) is a cornerstone of type 2 diabetes management, but is often underutilized. The aim of the study was to assess the association of PA with the presence of diabetes related complications among Bangladeshi type 2 diabetic subjects.

Methods: This cross-sectional study was conducted in the OPD of BIRDEM, a tertiary diabetic care hospital in Bangladesh. A group of 977 subjects were randomly selected and followed up. A structured questionnaire was administered to collect socio-demographic information. Diabetes was diagnosed following the WHO study group criteria. The level of PA was categorized into inactive/low (<150 min/week) and moderate-to-vigorous (≥150 min/week). The WHO recommended Asian criteria was used to identify general obesity as healthy weight (BMI 18.5–22.99 kg/m2), overweight (23.0-24.99kg/m2) and obese (25.0 and above kg/m2). Retinopathy was detected by fundal photography, CKD by serum creatinine and hypertension was diagnosed clinically. Univariate and multivariate generalized linear models were used to assess the associations of physical activity with diabetes related complications.

Results: Out of the 977 subjects investigated, 468 were male and 509 were female (mean±SD of age, 56±8 years). In the study subjects, 74% were either inactive or in low PA and of them 65.1% were overweight/obese. Analysis showed that inactive/low PA was associated with all the three diabetes related complications (p<0.001)–hypertension, retinopathy, and nephropathy. Multivariate analysis showed that inactive/low level of PA was strongly associated with complications like retinopathy (p<0.001) and hypertension (p=0.01) in the female patients. It was also found to be highly associated with retinopathy (p <0.001) among the male patients.

Conclusion: A large number of urban of Bangladeshi population are involved only in low PA or remain inactive themselves, which is leading to obesity and it seems to have a strong association with diabetes related complications in this population.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Accepted version embargoed until 1 February 2010 (12 months), in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Faculty of Business, Education, Law and Arts - School of Commerce
Date Deposited: 11 Apr 2019 05:21
Last Modified: 13 Jun 2019 05:51
Uncontrolled Keywords: physical activity, Type 2 diabetes, hypertension, diabetic retinopathy, diabetic nephropathy
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
Identification Number or DOI: 10.1016/j.dsx.2018.11.069

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