Perceived barriers to leisure time physical activity in adults with type 2 diabetes attending primary healthcare in Oman: a cross-sectional survey

• Published in: BMJ open 2017-11, Vol.7 (11), p.e016946
• Main Authors: Alghafri, Thamra, Alharthi, Saud M, Al Farsi, Yahya Mohd, Bannerman, Elaine, Craigie, Angela Mary, Anderson, Annie S
• Format: Article
• Language: English
• Subjects: Age; Age Factors; Aged; Cross-Sectional Studies; Diabetes; Diabetes and Endocrinology; Diabetes Mellitus, Type 2 - psychology; Exercise; Exercise - psychology; Female; Health care; Health Knowledge, Attitudes, Practice; Humans; Income; Leisure; Male; Middle Aged; Mortality; Older people; Oman; Physical fitness; Population; Primary Health Care; Public health; Questionnaires; Self Efficacy; Social Support; Sociodemographics; Socioeconomic Factors; Surveys and Questionnaires
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2017-016946

ObjectivesPhysical activity is fundamental in diabetes management for good metabolic control. This study aimed to identify barriers to performing leisure time physical activity and explore differences based on gender, age, marital status, employment, education, income and perceived stages of change in physical activity in adults with type 2 diabetes in Oman.DesignCross-sectional study using an Arabic version of the ‘Barriers to Being Active’ 27-item questionnaire.SettingSeventeen primary health centres randomly selected in Muscat.ParticipantsIndividuals>18 years with type 2 diabetes, attending diabetes clinic for >2 years and with no contraindications to performing physical activity.Primary and secondary outcome measuresParticipants were asked to rate how far different factors influenced their physical activity under the following categories: fear of injury, lack of time, social support, energy, willpower, skills, resources, religion and environment. On a scale of 0–9, barriers were considered important if scored ≥5.ResultsA total of 305 questionnaires were collected. Most (96%) reported at least one barrier to performing leisure time physical activity. Lack of willpower (44.4%), lack of resources (30.5%) and lack of social support (29.2%) were the most frequently reported barriers. Using χ2 test, lack of willpower was significantly different in individuals with low versus high income (54.2%vs40%, P=0.002) and in those reporting inactive versus active stages of change for physical activity (50.7%vs34.7%, P=0.029), lack of resources was significantly different in those with low versus high income (40%vs24.3%, P=0.004) and married versus unmarried (33.8%vs18.5%, P=0.018). Lack of social support was significant in females versus males (35.4%vs20.8%, P=0.005).ConclusionsThe findings can inform the design on physical activity intervention studies by testing the impact of strategies which incorporate ways to address reported barriers including approaches that enhance self-efficacy and social support.