A cross-sectional study on the level of physical activity and perceived barriers to adherence of physical activity among individuals with type 2 diabetes mellitus aged 30-60 years in Chennai
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20263217Keywords:
Barriers, Chennai, Metabolic equivalent of task, Physical activity, Type 2 diabetes mellitusAbstract
Background: The prevalence of type 2 diabetes mellitus (T2DM) is increasing rapidly in India, driven by sedentary lifestyles and environmental constraints that limit physical activity. Regular physical activity is essential for glycemic control and the prevention of complications. This study assessed the level of physical activity and perceived barriers among individuals with T2DM aged 30-60 years who were residing in urban field practice area of Madras Medical College in Chennai.
Methods: A cross-sectional study was conducted among 155 individuals aged 30-60 years with T2DM who were residing in urban field practice area of the Madras Medical College in Chennai. Participants were selected using consecutive sampling methods. After obtaining informed consent, data were collected using a semi-structured, pre-validated questionnaire based on the WHO ’s global physical activity questionnaire (GPAQ). Physical activity was quantified in MET-minute/week. Data analysis was performed using Epi Info, with Chi-square tests for associations (p<0.05).
Results: Among the 155 participants, 38.7%, 30.3%, and 31.0% had low, moderate, and high physical activity levels, respectively. Older age (>50 years), female sex, lower education, and unemployment were significantly associated with low activity, whereas employment and primary education were related to higher activity (p<0.05). The key barriers included physical discomfort (85.8%), unfavorable climate (82.6%), stray animals (78.1%), belief that exercise is unnecessary (73.5%), and lack of motivation (65.2%).
Conclusions: A substantial proportion of urban T2DM patients exhibit low physical activity influenced by sociodemographic factors and barriers. Future studies should examine the causal links, barriers, and effectiveness of interventions for physical activity, especially in high-risk groups.
References
World Health Organization. Diabetes. World Health Organization. World Health Organization. 2025. Available from: https://www.who.int/health-topics/diabetes#tab=tab_1. Accessed on 11 May 2026.
Zhou B, Rayner AW, Gregg EW, Sheffer KE, Carrillo-Larco RM, Bennett JE, et al. Worldwide trends in diabetes prevalence and treatment from 1990 to 2022: a pooled analysis of 1108 population-representative studies with 141 million participants. Lancet. 2024;404(10467).
International Diabetes Federation (IDF). IDF Diabetes Atlas 2025. Available from: https://diabetesatlas.org/resources/idf-diabetes-atlas-2025/. Accessed on 11 May 2026.
Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. The Indian Council of Medical Research- India Diabetes (ICMR-INDIAB) Study: Methodological Details. J Diabetes Sci Tech. 2011;5(4):906-14.
World Health Organization. WHO guidelines on physical activity and sedentary behavior. World Health Organization. 2020. Available from: https://www.who.int/publications/i/item/9789240015128. Accessed on 11 May 2026.
World Health Organization. Physical activity. World Health Organization. 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/physical-activity. Accessed on 11 May 2026.
Shah PB, Shah PB. Exploring physical inactivity in diabetic adults: A study from a rural health and training centre. Cureus. 2025;17(9).
World Health Organization. Global physical activity questionnaire (GPAQ). 2021. Available from: https://www.who.int/publications/m/item/global-physical-activity-questionnaire. Accessed on 11 May 2026.
WHO. Global Physical Activity Questionnaire Analysis Guide. Available from: https://www.who.int/docs/default-source/ncds/ncd-surveillance/gpaq-analysis-guide.pdf. Accessed on 11 May 2026.
Irvine AA, Saunders JT, Blank MB, Carter WR. Validation of scale measuring environmental barriers to diabetes-regimen adherence. Diabetes Care. 1990;13(7):705-11.
Martin CG, Pomares ML, Muratore CM, Avila PJ, Apoloni SB, Rodríguez M, et al. Level of physical activity and barriers to exercise in adults with type 2 diabetes. AIMS Public Health. 2021;8(2):229-39.
Oommen A, Devamani C, Mini G, Abraham V, George K. Levels of physical inactivity in rural and urban Tamil Nadu, India: a cross-sectional study. J Clin Prevent Cardiol. 2019;8(1):13.
Samraj D, Devarajan A, Kumpatla S, Viswanathan V. Physical inactivity and gender differences in perceived barriers among people with type 2 diabetes: a study from south India. Int J Diabetes Develop Countries. 2025 Dec;45(4):882-9.
Paulin G, Subramanian R. Physical inactivity among diabetic patients in urban Tamil Nadu: a community-based study. J Community Med Health Educ. 2019;9(2):1-5.
Behera KL, Rao KNSVC, Sayana SB, Raju DSSK. Level of physical activity, determinants and barriers to motivate physical activities among south Indian diabetic patients: a prospective, questionnaire-based study. Int J Res Med Sci. 2019;7(6):2100.
Sharma D, Goel N, Kaur R, Khosla N, Shekam M. Prevalence and predictors of physical inactivity among adults- a cross-sectional study. Indian J Community Med. 2022;47(1):130.
Sanghamitra P, Eunice L, Sandipana P, Shayma D, Pranab M. Type 2 diabetes and physical activity: barriers and enablers to diabetes control in Eastern India. Prim Health Care Res Develop. 2019;20.
Andajani-Sutjahjo S, Ball K, Warren N, Inglis Crawford D. Perceived personal, social and environmental barriers to weight maintenance among young women: a community survey. Int J Behav Nutr Phys Act. 2004;1(1):15.