PMID- 36568916 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230103 IS - 1177-889X (Print) IS - 1177-889X (Electronic) IS - 1177-889X (Linking) VI - 16 DP - 2022 TI - Exercise Adherence and Compliance and Its Related Factors Among Elderly Patients with Type 2 Diabetes in China: A Cross-Sectional Study. PG - 3329-3339 LID - 10.2147/PPA.S374120 [doi] AB - PURPOSE: To explore exercise adherence and compliance as well as its related factors among elderly patients with type 2 diabetes mellitus (T2DM) to provide a basis for clinical intervention strategies. PATIENTS AND METHODS: The present study was a cross-sectional study of 205 elderly patients with T2DM who regularly visited a Shanghai community health center from August 2020 to July 2021. Exercise adherence and compliance was measured using an exercise adherence and compliance questionnaire, and potential correlates were explored using multiple linear regression analysis. RESULTS: The mean total score of the exercise adherence and compliance questionnaire was 16.72+/-5.08. The stepwise regression results revealed that exercise adherence and compliance was positively correlated with self-monitoring (F=3.510, P=0.005), exercise knowledge (r=0.784, P<0.001), exercise willingness (r=0.556, P<0.001), professional support (r=0.426, P<0.001), and self-efficiency (r=0.5, P<0.001). There was a negative correlation between hypoglycemia and exercise adherence and compliance (F=-3.672, P<0.001). CONCLUSION: Low exercise adherence and compliance was related to low glucose self-monitoring frequency, increased hypoglycemia, less exercise knowledge, less exercise willingness, less professional support, and less self-efficiency. When developing exercise instructions adapted to the cognitive and volitional needs of diabetic patients, it is essential to focus on their daily self-management habits and extrinsic motivation to improve exercise adherence and compliance. CI - (c) 2022 Zhu et al. FAU - Zhu, Yingyi AU - Zhu Y AUID- ORCID: 0000-0001-8715-0877 AD - School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China. FAU - Cheng, Kangyao AU - Cheng K AD - School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China. FAU - Wang, Hui AU - Wang H AD - School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China. FAU - Xu, Ziwei AU - Xu Z AD - School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China. FAU - Zhang, Ruiyu AU - Zhang R AD - School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China. FAU - Cheng, Wenjie AU - Cheng W AD - School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China. FAU - Wang, Yan AU - Wang Y AD - Nursing Department, Tangzhen Community Healthcare Center, Shanghai, People's Republic of China. FAU - Lyu, Weibo AU - Lyu W AD - School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China. LA - eng PT - Journal Article DEP - 20221219 PL - New Zealand TA - Patient Prefer Adherence JT - Patient preference and adherence JID - 101475748 PMC - PMC9785139 OTO - NOTNLM OT - T2DM OT - adherence and compliance OT - aged OT - exercise OT - type 2 diabetes mellitus COIS- The authors declare that they have no competing interests in this work. EDAT- 2022/12/27 06:00 MHDA- 2022/12/27 06:01 PMCR- 2022/12/19 CRDT- 2022/12/26 04:02 PHST- 2022/07/01 00:00 [received] PHST- 2022/11/01 00:00 [accepted] PHST- 2022/12/26 04:02 [entrez] PHST- 2022/12/27 06:00 [pubmed] PHST- 2022/12/27 06:01 [medline] PHST- 2022/12/19 00:00 [pmc-release] AID - 374120 [pii] AID - 10.2147/PPA.S374120 [doi] PST - epublish SO - Patient Prefer Adherence. 2022 Dec 19;16:3329-3339. doi: 10.2147/PPA.S374120. eCollection 2022.