Examining Physical Activity Motivations and Physical Activity in Women with Diabetes and Depression: 91 Board #3 May 27, 9: 30 AM - 11: 30 AM : Medicine & Science in Sports & Exercise

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A-26 Thematic Poster - Exercise and Diabetes Wednesday, May 27, 2015, 9: 30 AM - 11: 30 AM Room: 28E

Examining Physical Activity Motivations and Physical Activity in Women with Diabetes and Depression

91 Board #3 May 27, 9

30 AM - 11

30 AM

Keeney, Jacey; Schneider, Kristin L.

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Medicine & Science in Sports & Exercise: May 2015 - Volume 47 - Issue 5S - p 5
doi: 10.1249/01.mss.0000476401.59711.49
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Physical activity is important for diabetes management and secondary disease prevention, yet only 31% of women with type 2 diabetes mellitus (T2DM) and depression achieve the recommended amount. Understanding what types of physical activity motives are associated with physical activity could enhance exercise interventions. BMI is associated with physical activity motives; lean and overweight individuals report higher appearance, competence and fitness motives than their obese counterparts.

PURPOSE: This study examines: (1) the association between physical activity motives and physical activity and (2) whether the relationship between physical activity motives and physical activity is moderated by weight category.

METHODS: Baseline data from a pilot RCT that examined whether a group exercise class could improve depression and T2DM management in women with inadequately controlled T2DM and major depression was used. Participants (n=29, M-Age=53, M-BMI=34.6) completed the Motives for Physical Activities Measure and wore an accelerometer. Correlations were conducted to examine the relationship between physical activity motives and physical activity. Regression analyses were used to examine whether the relationship between physical activity motives and physical activity differed, depending on participant’s BMI (lean/overweight versus obese).

RESULTS: Appearance (r=.41, p=.02) and fitness (r=.43, p=.01) motives were significantly correlated with physical activity. For obese women, the relationship between appearance [F(1,17)=7.06, p=.02, R2=.29] and fitness [F(1,17)=6.30, p=.02, R2=.27] motives and physical activity was significant; high levels of appearance (t=2.66) and fitness (t=2.51) motives were associated with higher levels of physical activity. For lean and overweight women, the relationship between appearance (p=.99) and fitness (p=.37) motives and physical activity was not significant.

CONCLUSIONS: Unlike lean and overweight participants, obese participants report that the higher their appearance and fitness motives for physical activity, the higher their physical activity. Obese individuals with comorbid illnesses are at high risk to face severe complications. Whether interventions aimed at appearance and fitness motives increase physical activity in obese adults with depression and T2DM deserves further study.

Supported by NIH/NIMH Grant 1 R34 MH086678-01.

© 2015 American College of Sports Medicine