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Physical Activity in Diabetes Patients at the Level of Primary Medical Healthcare: A Polish National Study

Anna Abramczyk

Background: Achieving the recommended level of Physical Activity (PA) is considered to be a priority in the area of public health and a key measure in the treatment of chronic diseases, especially type 2 diabetes. Many authors believe that the determinants of PA and the PA od adult patients with diabetes at the population level are not sufficiently described.
Objectives: This paper presents factors differentiating behaviors in the field of PA among diabetes patients at the level of primary medical healthcare a Polish.
Methods: The research was carried out on the basis of: Guided nurse interview, relative assessment of fitness and independence of the patients; anonymous questionnaire, analysis of the medical documentation. A frequency analysis was carried out using the Chi2 test of independence. For the purpose of this work, research was carried out on 1,986 patients with diabetes from 61 randomly chosen national primary health care service units.
Results: Every fourth patient (26.5%) declared that he or she had at least 30 minutes of daily physical exercise and chooses active forms of leisure. People claiming to have regular PA and active leisure were most frequently familiar with all the analyzed health indicators (p<0.0001), had a better moderate awareness of the disease (p<0.0001), most frequently had a lower need for professional care (p<0.0001). Patients declaring regular physical activity and active leisure were most frequently satisfied with their life in general (p<0.0001).
Conclusions: Optimalisation of the physical activity in diabetic patients requires a multi-factorial intervention.