title: Self-Reported Physical Activity in Medically Underserved Adults With Type 2 Diabetes in Clinical and Community Settings.
abstract: BACKGROUND
  This study assessed physical activity (PA) in community dwelling adults with Type 2 diabetes, using multiple instruments reflecting internationally normed PA and diabetes-specific self-care behaviors.
  
  
  METHODS
  Two hundred and fifty-three Black (44.8%) and White (55.2%) Americans [mean age = 57.93; 39.5% male] recruited at low-income clinic and community health settings. Participants completed validated PA self-report measures developed for international comparisons (International Physical Activity Questionnaire Short Form), characterization of diabetes self-care (Summary of Diabetes Self-Care Activities Measure; SDSCA) and exercise-related domains including provider recommendations and PA behaviors and barriers (Personal Diabetes Questionnaire; PDQ).
  
  
  RESULTS
  Self-reported PA and PA correlates differed by instrument. BMI was negatively correlated with PA level assessed by the PDQ in both genders, and assessed with SDSCA activity items in females. PA levels were low, comparable to previous research with community and diabetes samples. Pain was the most frequently reported barrier; females reported more frequent PA barriers overall.
  
  
  CONCLUSIONS
  When using self-report PA measures for PA evaluation of adults with diabetes in clinical settings, it is critical to consider population and setting in selecting appropriate tools. PA barriers may be an important consideration when interpreting PA levels and developing interventions. Recommendations for incorporating these measures in clinical and research settings are discussed.
authors.affiliation: Dept of Psychological and Brain Sciences, University of Louisville, Louisville, KY.
authors.forename: John
authors.initials: J
authors.lastname: Cooper
authors.forename: Barbara
authors.initials: B
authors.lastname: Stetson
authors.forename: Jason
authors.initials: J
authors.lastname: Bonner
authors.forename: Sean
authors.initials: S
authors.lastname: Spille
authors.forename: Sathya
authors.initials: S
authors.lastname: Krishnasamy
authors.forename: Sri Prakash
authors.initials: SP
authors.lastname: Mokshagundam
mesh_terms: D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology*; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D011203:Poverty; D012111:Residence Characteristics; D012648:Self Care / Q000379:methods*; D057566:Self Report