Online Program

Physical Activity and Diabetes Management among Community Members in M'bour, Senegal

Wednesday, November 4, 2015

Rhoda Moise, B.S., Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA
Rhonda Belue, PhD, Health Policy and Administration, Penn State University, University Park, PA
Diabetes mellitus is a growing concern in developing countries, including Sub-Saharan Africa (SSA). Improvement in physical activity levels among the diabetics may reduce the risk of developing diabetes related complications. This mixed methods study examines physical activity habits and potential cultural enablers and barriers to physical activity in individuals with type 2 diabetes in M’Bour, Senegal. Participants took part in semi-structured interviews framed by the PEN-3 Cultural Model (PEN-3), and completed the International Physical Activity Questionnaire (IPAQ) questionnaire. Questions focused on participants' level and frequency of physical activity, sedentary behaviors, and attitude towards exercise.  Descriptive statistics were used to summarize IPAQ responses. Content analysis was used to identify emergent themes from semi-structured interviews.

Results: Among the 41 individuals formally diagnosed with diabetes, the mean age was 58 (SD=11.8). Participants reported walking as their main source of exercise, with an average frequency of 4 days per week (SD=2.8). Participation in moderate or vigorous exercise was reported by less than 22%.    Results elicited from PEN-3 included several barriers and enablers to physical activity.  Barriers included prohibitive costs of gym membership and exercise equipment.  Also, limb pain and feeling ill were commonly mentioned barriers to exercise. Although patients reported a lack of others with whom to exercise, familial support aided in maintaining exercise behaviors such as walking. Diabetic patients may benefit from learning about exercises that are possible to perform at home, and gentle exercises that may alleviate pain.

Learning Areas:

Chronic disease management and prevention

Learning Objectives:
Identify physical activity habits and potential cultural enablers and barriers to physical activity in individuals with type 2 diabetes in M’Bour, Senegal.

Keyword(s): Diabetes, Physical Activity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As an honors student and McNair scholar, I am completing a B.S. in Biobehavioral Health and minors in Biology and Health Policy and Administration. I have training in health/health behavior through an interdisciplinary approach. My minor in Biology has increased my understanding of physiological functioning, while my minor in Health Policy and Administration has given me insight into current healthcare policies and potential areas of improvement. I also aided in the Senegalese data collection abroad.
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.