title: Physical activity at home, at leisure, during transportation and at work in French adults with type 2 diabetes: the ENTRED physical activity study.
abstract: OBJECTIVE
  Our study assessed the distribution of physical activity during various typical tasks of daily life in adults with type 2 diabetes (T2D), a population typified by low physical activity.
  
  
  METHODS
  We investigated the duration and intensity of physical activity in four domains (work, leisure, transportation and domestic), and how individual determinants might influence the repartition. The long-form International Physical Activity Questionnaire (IPAQ) was administered to participants from the échantillon national témoin représentatif des personnes diabétiques (ENTRED), a study of French adults with T2D (n=724, 65% men, age 62±10y, BMI 29±5kg.m(-2), HbA1c 7.1±1.1%), and the associations between sociodemographic/clinical characteristics and categories of physical activity intensity (low, moderate or high) were examined by logistic regression.
  
  
  RESULTS
  The median total physical activity was 2079 [Q1=893, Q3=3915]MET-min·week(-1). The main contributors to total physical activity were domestic chores, followed by leisure-time activities and transportation (median: 630, 347 and 198MET-min·week(-1), respectively). Absence of cardiovascular complications (OR=1.87, 95% CI=1.01-3.47), age<65y (OR=2.28, 95% CI=1.30-4.01) and better self-perceived health (OR=2.12, 95% CI=1.18-3.83) were associated with more physical activity. In all patient subgroups (defined by category of physical activity intensity or stratified by determinants of physical activity level), domestic chores were always the main contributor to total physical activity (P<0.0001).
  
  
  CONCLUSIONS
  Domestic chores are the predominant routine whereby adults with T2D engage in physical activity. This emphasizes the vast potential for promoting voluntary leisure-time physical activity in this population.
authors.affiliation: Unité d'endocrinologie, nutrition et diabétologie, médecine interne, centre hospitalier régional universitaire (CHRU) de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France; Université François-Rabelais de Tours, PRES centre Val-de Loire université, Tours, France.
authors.forename: L
authors.initials: L
authors.lastname: Cloix
authors.affiliation: Université François-Rabelais de Tours, PRES centre Val-de Loire université, Tours, France; Institut national de la santé et de la recherche médicale (Inserm), centre d'investigation clinique (CIC)-1415, Tours, France; CHRU de Tours, Tours, France.
authors.forename: A
authors.initials: A
authors.lastname: Caille
authors.affiliation: Inserm, ISPED, centre Inserm U897-épidemiologie-biostatistique, 33000 Bordeaux, France; Université de Bordeaux, ISPED, centre Inserm U897-épidemiologie-biostatistique, 33000 Bordeaux, France.
authors.forename: C
authors.initials: C
authors.lastname: Helmer
authors.affiliation: Inserm, ISPED, centre Inserm U897-épidemiologie-biostatistique, 33000 Bordeaux, France; Université de Bordeaux, ISPED, centre Inserm U897-épidemiologie-biostatistique, 33000 Bordeaux, France; CHU de Bordeaux, pôle de gérontologie clinique, 33000 Pessac, France; University Bordeaux Segalen, RMSB, UMR 5536, 33000 Bordeaux, France.
authors.forename: I
authors.initials: I
authors.lastname: Bourdel-Marchasson
authors.affiliation: Institut de veille sanitaire, programme diabète, département des maladies chroniques et traumatismes, Saint-Maurice, France; National Health Insurance Service (CnamTS), Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Fagot-Campagna
authors.affiliation: Institut national de prévention et d'éducation pour la santé, Saint-Denis, France.
authors.forename: C
authors.initials: C
authors.lastname: Fournier
authors.affiliation: Unité d'endocrinologie, nutrition et diabétologie, médecine interne, centre hospitalier régional universitaire (CHRU) de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France; Université François-Rabelais de Tours, PRES centre Val-de Loire université, Tours, France.
authors.forename: P
authors.initials: P
authors.lastname: Lecomte
authors.affiliation: Centre de recherche en nutrition humaine Île-de-France (CRNH-IdF), institut cardiométabolisme et nutrition (ICAN), université Pierre et Marie-Curie-Paris 6, Paris, France; Service de Nutrition, hôpital Pitié-Salpêtrière, Assistance publique des Hôpitaux de Paris - AP-HP, Paris, France.
authors.forename: J M
authors.initials: JM
authors.lastname: Oppert
authors.affiliation: Unité d'endocrinologie, nutrition et diabétologie, médecine interne, centre hospitalier régional universitaire (CHRU) de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France; Université François-Rabelais de Tours, PRES centre Val-de Loire université, Tours, France. Electronic address: jacobi@med.univ-tours.fr.
authors.forename: D
authors.initials: D
authors.lastname: Jacobi
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D015444:Exercise; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D011788:Quality of Life; D011795:Surveys and Questionnaires
keywords: France; International Physical Activity Questionnaire; Physical activity; Quality of life; Type 2 diabetes