title: Physical activity levels of type 2 diabetes patients seen at the outpatient diabetes clinics of two tertiary health institutions in Nigeria.
abstract: BACKGROUND
  It is uncertain whether physical activity is sufficiently utilized as a complementary therapy in diabetes management by the patients visiting Nigerian hospitals.
  
  
  OBJECTIVE
  This study assessed the level of physical activity of Type 2 Diabetes (T2D) patients attending tertiary hospital clinics, and investigates the factors that may expose them to sedentariness.
  
  
  METHODS
  Physical activity survey was carried out on 248 T2D patients randomly selected from the University College Hospital, Ibadan, and Aminu Kano Teaching Hospital, Kano, Nigeria; and 248 matched non-diabetic participants. Physical activity level was assessed using the International Physical Activity Questionnaire. Socio-demographic information in addition to any previous expert advice on physical activity was recorded. Chi-Squared tests and regression analysis were conducted at p < 0.05.
  
  
  RESULTS
  Significant difference existed between the physical activity levels of the T2D patients and the nondiabetic participants (c2 = 57.1, p = 0.0001). Most of the T2D patients were moderately active (62.1%) and less sedentary (27.4%) compared to the non-diabetic participants who were less moderately active (30.6%) and more sedentary (37.5%). Being female doubles the odds of being sedentary (OR = 2.02; 95% CI = 1.52-3.18) likewise increasing age, paid employment and fewer sessions of expert advice on physical activities encourage sedentariness.
  
  
  CONCLUSIONS
  The T2D patients were more physically active at moderate levels than the non-diabetic participants, although, a substantial proportion of the T2D patients were sedentary. Lack of, or infrequent expert advice on physical activity, older age, being female and in paid employment may contribute to sedentariness among the participants.
authors.affiliation: Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria. adeniyifatai@yahoo.co.uk
authors.forename: A F
authors.initials: AF
authors.lastname: Adeniyi
authors.forename: A A
authors.initials: AA
authors.lastname: Fasanmade
authors.forename: O S
authors.initials: OS
authors.lastname: Aiyegbusi
authors.forename: A E
authors.initials: AE
authors.lastname: Uloko
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000554:Ambulatory Care Facilities; D016022:Case-Control Studies; D000529:Complementary Therapies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000628:therapy*; D015444:Exercise; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D057185:Sedentary Behavior; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires