Online Physical Exercise and Group Sessions to Increase and Maintain Physical Activity in Individuals with Type 2 Diabetes: A Single-Arm Feasibility Study

Current physical activity interventions for individuals with Type 2 diabetes do not accommodate the needs of the individual in terms of content, time, and location. The aim of this study was to evaluate the feasibility and acceptability of an 8-week high intensity online physical exercise intervention combined with online group meetings and supported by an activity watch in individuals with Type 2 diabetes. This study was designed as a one-armed feasibility study and the intervention was developed using a co-creation approach. A total of 19 individuals with Type 2 diabetes participated in eight weeks of 30 min online physical exercise intervention followed by 30 min online group meetings in smaller groups once a week. Outcomes included pre-defined research progression criteria, secondary measurements of health parameters, and participant feedback. Most research progression criteria reached a level of acceptance, with the exception of participant recruitment, burden of objectively measured physical activity, and adverse events, where changes are needed before continuing to an RCT. Combining online physical exercise with online group meetings supported by an activity watch is feasible and acceptable in individuals with Type 2 diabetes with a higher educational level compared to the general population with Type 2 diabetes

Online Physical Exercise and Group Sessions to Increase and Maintain Physical Activity in Individuals with Type 2 Diabetes: A Single-Arm Feasibility Study

Current physical activity interventions for individuals with Type 2 diabetes do not accommodate the needs of the individual in terms of content, time, and location. The aim of this study was to evaluate the feasibility and acceptability of an 8-week high intensity online physical exercise intervention combined with online group meetings and supported by an activity watch in individuals with Type 2 diabetes. This study was designed as a one-armed feasibility study and the intervention was developed using a co-creation approach. A total of 19 individuals with Type 2 diabetes participated in eight weeks of 30 min online physical exercise intervention followed by 30 min online group meetings in smaller groups once a week. Outcomes included pre-defined research progression criteria, secondary measurements of health parameters, and participant feedback. Most research progression criteria reached a level of acceptance, with the exception of participant recruitment, burden of objectively measured physical activity, and adverse events, where changes are needed before continuing to an RCT. Combining online physical exercise with online group meetings supported by an activity watch is feasible and acceptable in individuals with Type 2 diabetes with a higher educational level compared to the general population with Type 2 diabetes

Association between digital health literacy and physical activity levels among individuals with and without long-term health conditions: Data from a cross-sectional survey of 19,231 individuals

Objectives This study explored associations between digital health literacy and physical activity levels and assessed potential interactions of long-term health conditions. Methods A cross-sectional survey was sent to 34,000 inhabitants in Region Zealand, Denmark. The survey included items on physical activity levels and three electronic Health Literacy Questionnaire (eHLQ) scales (1, 4, and 5). Associations were assessed by logistic regression and adjusted for confounders. Results A total of 19,231 participated in the survey. Positive associations were found between higher digital health literacy and being active >30 min./week at moderate-to-vigorous intensity (eHLQ 1: OR 1.24, p < 0.001; eHLQ 4: OR 1.13, p = 0.012; eHLQ 5: OR 1.25, p < 0.001), compliance with the World Health Organization minimum recommendations for physical activity (eHLQ 1: OR 1.33 p < 0.001; eHLQ 4: OR 1.08 p = 0.025; eHLQ 5: OR 1.32, p < 0.001), and self-reported physical active (eHLQ 1: OR 1.50 p < 0.001; eHLQ 4: OR 1.24 p < 0.001; eHLQ 5: OR 1.54 p < 0.001), even when fully adjusted for covariates. No significant interaction was found for long-term health conditions. However, individuals with more long-term health conditions exhibited the lowest digital health literacy scores (9% to 19% scored <2.0). Conclusion A higher digital health literacy is positively associated with higher physical activity levels. This highlights the importance of screening and promoting digital health literacy in managing digital health and digital physical activity interventions. Future research should explore strategies and targeted interventions to enhance digital health literacy and improve health outcomes

Determinants of physical activity among individuals with diabetes: a cross-sectional study

Engagement in regular physical activity is a cornerstone of type 2 diabetes management to prevent long-term diabetes complications and premature mortality. Morbidity, obesity, stress, and health-related quality of life are all factors that may determine decreased habitual physical activity in general population. Given that individuals with diabetes are at high risk of suffering from these factors, it is likely that individuals with diabetes have different physical activity patterns. No previous large-scale studies have provided a detailed description of habitual physical activity among individuals with 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 and promoting a physical activity intervention. The aim of this study is to provide descriptive data on habitual physical activity and investigate the association of morbidity, obesity, stress, and health-related quality of life with physical activity among individuals with diabetes based on data from The Danish National Health Survey from 2017. Furthermore, this study aims to investigate the association of morbidity, obesity, stress, and health-related quality of life with sedentary behavior among individuals with diabetes based on data from The Danish National Health Survey from 2017

sj-docx-2-dhj-10.1177_20552076241233158 - Supplemental material for Association between digital health literacy and physical activity levels among individuals with and without long-term health conditions: Data from a cross-sectional survey of 19,231 individuals

Supplemental material, sj-docx-2-dhj-10.1177_20552076241233158 for Association between digital health literacy and physical activity levels among individuals with and without long-term health conditions: Data from a cross-sectional survey of 19,231 individuals by Graziella Zangger, Sofie Rath Mortensen, Lars Herman Tang and Lau Caspar Thygesen, Søren T. Skou in DIGITAL HEALTH</p

sj-docx-1-dhj-10.1177_20552076241233158 - Supplemental material for Association between digital health literacy and physical activity levels among individuals with and without long-term health conditions: Data from a cross-sectional survey of 19,231 individuals

Supplemental material, sj-docx-1-dhj-10.1177_20552076241233158 for Association between digital health literacy and physical activity levels among individuals with and without long-term health conditions: Data from a cross-sectional survey of 19,231 individuals by Graziella Zangger, Sofie Rath Mortensen, Lars Herman Tang and Lau Caspar Thygesen, Søren T. Skou in DIGITAL HEALTH</p

The association between multimorbidity and physical activity levels in adults with multimorbidity - a cross sectional study from the Danish Lolland-Falster Health Study

Investigations of the association between multimorbidity and physical activit

Effects of limiting digital screen use on well-being, mood, and biomarkers of stress in adults

AbstractStudies have linked higher digital screen use with poorer mental health. However, there is limited experimental evidence to suggest a causal relationship. In this trial, we aimed to investigate the effects of limiting recreational digital screen use on mental well-being, mood, and biomarkers of stress in healthy young and middle-aged adults. We randomly allocated 89 families (including 164 adults) to participate in an extensive screen media reduction intervention or control. Participants in the intervention group were instructed to decrease their recreational screen use to less than 3 hours/week/person. Intervention compliance was assessed using applications and tv-monitors. Overall subjective mental well-being and mood, and collected daily biomarkers of stress (salivary cortisol and cortisone) was assessed at baseline and 2-week follow-up. Reducing recreational digital screen use resulted in significantly improved self-reported well-being and mood in adults allocated to the intervention compared to control. We observed no intervention effects for biomarkers of stress. (ClinicalTrials.gov: NCT04098913, 23/09/2019).</jats:p

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