title: Diet-Related Knowledge and Physical Activity in a Large Cohort of Insulin-Treated Type 2 Diabetes Patients: PROGENS ARENA Study.
abstract: There is no doubt that behavioral intervention is crucial for type 2 diabetes mellitus (T2DM) prevention and management. We aimed to estimate dietary habits and diet-oriented knowledge as well as the level of physical activity in 2500 insulin-treated Polish type 2 diabetes mellitus (T2DM) patients (55.4% women). The mean age of the study participants was 64.9 ± 9.3 years, mean BMI was 31.4 kg/m2± 4.5, mean diabetes duration was 12.4 ± 6.9 years, and mean baseline HbA1c was 8.5%  ± 1.2. At the study onset, all the patients completed a questionnaire concerning health-oriented behavior. Results showed a significant lack of diet-related knowledge. For example, only 37.5% recognized that buckwheat contains carbohydrates; the percentage of correct answers in questions about fruit drinks and pasta was 56.4% and 61.2%, respectively. As for the physical activity, only 57.4% of examined T2DM patients declared any form of deliberate physical activity. To conclude, the cohort of poorly controlled insulin-treated T2DM patients studied by us is characterized by insufficient diet-related knowledge and by a very low level of physical activity. Further studies on other populations of insulin-treated T2DM patients are required to confirm these findings.
authors.affiliation: University Hospital, Krakow, Krakow, Poland; Department of Metabolic Diseases, Jagiellonian University, Krakow, Poland.
authors.forename: Tomasz
authors.identifier: 0000-0002-7199-4079
authors.initials: T
authors.lastname: Klupa
authors.affiliation: Outpatient Diabetes Clinic, University Hospital in Lodz, Lodz, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Możdżan
authors.affiliation: H. Klimontowicz Hospital, Gorlice, Poland.
authors.forename: Janina
authors.initials: J
authors.lastname: Kokoszka-Paszkot
authors.affiliation: Outpatient Diet Clinic Fit & You, MedEvac Medical Center, Łódź, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Kubik
authors.affiliation: BIOTON S.A., Warszawa, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Masierek
authors.affiliation: Outpatient Diabetes Clinic, Polanica-Zdrój, Poland.
authors.forename: Margerita
authors.initials: M
authors.lastname: Czerwińska
authors.affiliation: University Hospital, Krakow, Krakow, Poland; Department of Metabolic Diseases, Jagiellonian University, Krakow, Poland.
authors.forename: Maciej T
authors.initials: MT
authors.lastname: Małecki