title: Type 2 diabetes and dog walking: patients' longitudinal perspectives about implementing and sustaining physical activity.
abstract: BACKGROUND
  Physical activity is particularly important for people with type 2 diabetes, as evidence suggests that any reduction in sedentary time is good for metabolic health.
  
  
  OBJECTIVE
  To explore type 2 diabetes patients' talk about implementing and sustaining physical activity.
  
  
  METHODS
  Longitudinal, qualitative study using repeat in-depth interviews with 20 patients over 4 years following clinical diagnosis.
  
  
  METHODS
  Patients were recruited from 16 general practices and three hospitals across Lothian, Scotland.
  
  
  RESULTS
  Discussion, and salience, of physical activity was marginal in patient accounts of their diabetes management. Patients claimed to have only received vague and non-specific guidance about physical activity from health professionals, and emphasised a perceived lack of interest and encouragement. Aside from walking, physical activities which were adopted tended to attenuate over time. Patients' accounts revealed how walking a dog assisted this kind of activity maintenance over time. Three main themes are highlighted in the analysis: 1) incidental walking; 2) incremental physical activity gains; and 3) augmenting physical activity maintenance. The problems arising from walking without a dog (for example, lack of motivation) are also examined.
  
  
  CONCLUSIONS
  Asking patients about pet preferences might seem tangential to medical interactions. However, encouraging dog walking or identifying another interest that promotes a regular commitment to undertake physical activity may yield long-term health benefits.
authors.affiliation: School of Life & Health Sciences, Aston University, Birmingham. e.a.peel@aston.ac.uk
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Peel
authors.forename: Margaret
authors.initials: M
authors.lastname: Douglas
authors.forename: Odette
authors.initials: O
authors.lastname: Parry
authors.forename: Julia
authors.initials: J
authors.lastname: Lawton
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D004285:Dogs; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012606:Scotland; D012959:Socioeconomic Factors; D016138:Walking / Q000502:physiology*
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