Sedentary activity and sedentary bouts , and their relationship with stress and well-being in individuals with diabetes and prediabetes: The Lolland-Falster Health Study

Living with diabetes can be very stressful due to demands of self-management in terms of adherence to lifestyle recommendations such as physical activity, diet, and medication, which is also known as diabetes distress. Depression, anxiety, high perceived stress, and low well-being, are more prevalent in individuals living with diabetes compared to the general population. Studies within the field of diabetes indicate that low well-being may have a substantial negative impact upon diabetic control and self-care in relation to the diabetes. Furthermore, a recent Danish nationwide cross-sectional study found that individuals with diabetes who suffered from high perceived stress and low health-related quality of life were less likely to engage in regular physical activity. These results suggest that stress and well-being in individuals with diabetes may challenge their ability to adhere to lifestyle recommendations. Despite the high prevalence of stress and low well-being in individuals with diabetes, it is yet undiscovered to what extent these factors are associated with a sedentary lifestyle among individuals with diabetes and prediabetes. Such knowledge could provide more insights into recommendations in diabetes treatment and prevention to enhance time spent non-sedentary when individuals with diabetes or prediabetes suffer from high levels of stress and low well-being. The aim of this study is to investigate the associations of stress and well-being with the total amount of sedentary activity, characterized by sitting, reclined, and lying during waking hours, durations of continuous sedentary activity bouts, and breaks in sedentary activity in individuals with diabetes and prediabetes. A secondary aim is to investigate and display the daily sedentary activity pattern during a weekday and weekend with adjustments of stress and well-being in individuals with diabetes and prediabetes

Detailed descriptions of physical activity patterns among individuals with prediabetes and diabetes: The Lolland-Falster Health Study

Despite the importance of physical activity for type 2 diabetes, it is largely unknown to what extent physical activity patterns vary among individuals with prediabetes and diabetes. Recent developments of technological wearable devices provide new possibilities to describe detailed patterns of physical activity, physical postures, sleep characteristics, and other physiological factors over long time periods. The second-by-second continuous assessment offer many opportunities to advance research also among individuals with diabetes and other chronic conditions. No previous large-scale studies have provided a detailed description of objectively assessed habitual physical activity patterns among individuals with prediabetes and diabetes. Availability of such information would be an important resource for planning future treatment courses taking individual characteristics, needs, and preferences into account when designing a physical activity intervention. Therefore, the overall aim of this study is to describe physical activity behaviors and patterns among individuals with prediabetes and diabetes and compare these patterns with individuals with no known diabetes