248173 Obesity and physical inactivity among pre-diabetic adults with and without disabilities BRFSS, 2009

Wednesday, November 2, 2011: 12:35 PM

Alissa Cyrus, MPH , NCBDDD, Centers for Disease Control and Prevention, Atlanta, GA
Elizabeth A. Courtney-Long, MA, MSPH , NCBDDD/Division of Human Development and Disability, Centers for Disease Control and Prevention, Atlanta, GA
Brian S. Armour, PhD , NCBDDD/DHDD/Disability and Health Team, Centers for Disease Control and Prevention, Atlanta, GA
INTRODUCTION: Pre-diabetes is a condition in which individuals have blood sugar levels higher than normal, but not high enough to be considered diabetic. People with pre-diabetes are at increased risk of developing type 2 diabetes, heart disease and stroke; however, weight loss and increased physical activity have been shown to prevent or delay type 2 diabetes in this population. People with disabilities (PWD) are more likely to be physically inactive and obese than people without disabilities (PWOD). Approximately 54 million people in the U.S. have a disability. This study estimates the prevalence of obesity and physical inactivity among pre-diabetic PWD and PWOD. METHODS: Data from the 44 states/territories that completed the 2009 Behavioral Risk Factor Surveillance System pre-diabetes module were used to estimate pre-diabetes among PWD and PWOD, as well as obesity and physical inactivity for these groups. RESULTS: 20.1% of respondents reported a disability. PWD were more likely than PWOD to report pre-diabetes (8.4% vs. 4.7%). Pre-diabetic PWD were more likely to be obese (53.1% vs.44.9%) and physically inactive (22.3% vs. 12.5%) than PWOD. CONCLUSION: Pre-diabetes is more prevalent among PWD compared to PWOD. PWD often experience unique barriers to physical activity including a lack of transportation to fitness centers and inaccessible facilities and exercise equipment, which can contribute to greater physical inactivity and obesity. Given that pre-diabetic PWD also report higher rates of obesity and physical inactivity compared to pre-diabetic PWOD, public health efforts to reduce physical inactivity and obesity must explicitly include PWD and reduce participation barriers.

Learning Areas:
Epidemiology
Public health or related research

Learning Objectives:
1. To identify the prevalence of pre-diabetes among people with disabilities 2. To compare the prevalence of obesity and physical inactivity among pre-diabetics with and without disabilities.

Keywords: Disability, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I contributed to the development of the concept for this content, analyzed the data, and contributed to the writing of this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.