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Physical activity pattern and its impact on glycemic control among patients with type-2 diabetes mellitus attending an integrated diabetes and gestational diabetes clinic of Eastern India

Goutam Banerjee, Rakesh Kumar, Debasis Basu, Sasthi Narayan Chakraborty, Kajal Hansda, Boudhayan Das Munshi.

Abstract
Background: India is popularly known as “world diabetes capital” and is presently home of about 72.9 million diabetes patients. Physical activity (PA) is defined as “Bodily movement produced by the contraction of skeletal muscle that requires energy expenditure in excess of resting energy expenditure” and exercise is defined as “A subset of PA: planned, structured, and repetitive bodily movement performed to improve or maintain one or more components of physical fitness.”

Aims and Objectives: This study aims to assess the PA level of type 2 diabetes mellitus (T2DM) patients and its impact on their glycemic control attending integrated diabetes and gestational diabetes clinic (IDGDC) of a tertiary health-care facility of Eastern India.

Materials and Methods: An institution-based, observational, cross-sectional study was conducted among 347 T2DM patients attending IDGDC from May 2019 to June 2019. Venous blood sample for glycated hemoglobin (HbA1c) estimation was collected and medical records were reviewed to collect data regarding clinicosocial data. Data were analyzed using the Statistical Package for the Social Sciences for Windows (version 20.0). All statistical tests were two tailed and P < 0.05 was considered statistically significant.

Results: About 50.0% of male had good glycemic control and only 32.1% of female had good glycemic control. About 34.9% of the study population had high PA followed by 34.0% and 31.1% who had low and moderate PA, respectively.

Conclusion: There is high frequency of poor glycemic control as about 57.1% of study populations had HbA1c >7.0%. About three-fifth of the study population had either moderate or high PA.

Key words: Physical Activity; Glycated Hemoglobin; Type 2 Diabetes Mellitus; Central Obesity



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