title: Improving glycemic control: the role of leisure activities and intrinsic motivation in older type 2 diabetic men.
abstract: Greater frequency of involvement with sedentary leisure activities may be associated with better disease outcomes. In this study, the frequency of engagement in sedentary leisure activities served as a construct employed to reflect the possible association between motivation and adherence with diabetic regimen. Up to a point, the higher frequency of leisure behaviors correlated with improved glycemic control and triglyceride levels in older type 2 diabetic male veterans (N = 49). Moreover, as the number of comorbidities increased, the positive association between the frequency of leisure behavior and long-term glucose control grew even stronger. Possibly, individuals with more comorbidities, who nevertheless have the resources to engage in a greater number of leisure activities, are also predisposed to adhere more effectively to medical regimen as reflected in more positive biomedical markers. Especially, those with more advanced disease-related complications benefit more from leisure activities in glycemic control.
authors: Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois 60064, USA. lawrence.perlmuter@rosalindfranklin.edu
authors: Lawrence C
authors: LC
authors: Perlmuter
authors: Carissa M
authors: CM
authors: Dimaculangan
authors: Monika
authors: M
authors: Seidlarz
authors: Sant P
authors: SP
authors: Singh
authors: Julia M
authors: JM
authors: Gabhart
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis / Q000187:drug effects; D015190:Blood Glucose Self-Monitoring / Q000523:psychology*; D015897:Comorbidity; D048909:Diabetes Complications / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000473:pathology / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007899:Leisure Activities / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology; D012648:Self Care / Q000523:psychology; D014280:Triglycerides / Q000097:blood
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D014280:Triglycerides