Are barriers to physical activity similar for adults with and without abnormal glucose metabolism?
The purpose of this study was to examine perceived barriers to physical activity among adults with and without abnormal glucose metabolism (AGM), and whether barriers varied according to physical activity status.



The 1999 to 2000 Australian Diabetes, Obesity, and Lifestyle Study (AusDiab) was a population-based cross-sectional study among adults aged > or =25 years. AGM was identified through an oral glucose tolerance test. The previous week's physical activity and individual, social, and environmental barriers to physical activity were self-reported. Logistic regression analyses examined differences in barriers to physical activity between those with and without AGM, and for those with and without AGM who did and did not meet the minimum recommendation of 150 minutes/week of moderate-to-vigorous intensity physical activity.



Of the 7088 participants (47.5 +/- 12.7 years; 46% male), 18.5% had AGM. Approximately 47.5% of those with AGM met the physical activity recommendation, compared to 54.7% of those without AGM (P < .001). Key barriers to physical activity included lack of time, other priorities, and being tired. Following adjustment for sociodemographic and behavioral factors, there were few differences in barriers to physical activity between those with and without AGM, even after stratifying according to physical activity.



Adults with AGM report similar barriers to physical activity, as do those without AGM. Programs for those with AGM can therefore focus on the known generic adult-reported barriers to physical activity.
Hume
Clare
C
The Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (Dr Hume, Associate Professor Dunstan, Professor Salmon, Dr Andrianopoulos)
Dunstan
David
D
The Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (Dr Hume, Associate Professor Dunstan, Professor Salmon, Dr Andrianopoulos)|The Baker IDI Heart and Diabetes Institute, Melbourne, Australia (Associate Professor Dunstan, Professor Salmon, Professor Owen)|The Vario Health Institute, Edith Cowan University, Perth Australia (Associate Professor Dunstan)
Salmon
Jo
J
The Baker IDI Heart and Diabetes Institute, Melbourne, Australia (Associate Professor Dunstan, Professor Salmon, Professor Owen)
Healy
Genevieve
G
The University of Queensland, School of Population Health, Cancer Prevention Research Centre, Brisbane, Australia (Associate Professor Dunstan, Dr Healy, Professor Owen)
Andrianopoulos
Nick
N
The Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (Dr Hume, Associate Professor Dunstan, Professor Salmon, Dr Andrianopoulos)
Owen
Neville
N
The Baker IDI Heart and Diabetes Institute, Melbourne, Australia (Associate Professor Dunstan, Professor Salmon, Professor Owen)|The University of Queensland, School of Population Health, Cancer Prevention Research Centre, Brisbane, Australia (Associate Professor Dunstan, Dr Healy, Professor Owen)
D000328:Adult; D001315:Australia / Q000453:epidemiology; D001786:Blood Glucose / Q000378:metabolism; D003430:Cross-Sectional Studies; D003710:Demography; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000503:physiopathology* / Q000523:psychology; D007333:Insulin Resistance; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009765:Obesity / Q000453:epidemiology; D016017:Odds Ratio; D015995:Prevalence; D012044:Regression Analysis
D001786:Blood Glucose