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Links between adiposity, physical activity and self-reported fatigue in patients with type 2 diabetes mellitus

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Abstract

Fatigue which is modulated by many physiological and psychological factors is a major reason why most patients do not pursue consistent physical activity at recommended levels. Patients with Type 2 Diabetes (T2D) usually have inappropriate adiposity and inadequate physical activity. This study describes the links between adiposity, physical activity and self-reported fatigue in a group of Nigerian patients with T2D. Participants for this cross-sectional survey were a consecutive sample of 122 T2D patients assessed for adiposity (using body mass index and body fat percentage), physical activity (International Physical Activity Questionnaire) and self-reported fatigue (Iowa fatigue Scale). Seventy-seven (63.1 %) of the participants were overweight-to-obese, 50.8 % had very high body fat percentage, 49.2 % presented with a low level of physical activity and 78.6 % reported substantial-to-severe fatigue. Significant associations were found between self-reported fatigue and each of body mass index (χ 2 = 21.076; p = 0.002), body fat percentage (χ 2 = 19.214; p = 0.016) and physical activity (χ 2 = 33.332; p = 0.0001). Adjusted odds ratio for reporting substantial-to-severe fatigue was 2.49 (95 % CI = 1.99–3.98) for obese patients and 0.52 (95 % CI = 0.26–0.74) for those with moderate physical activity level. Most of the participants presented with adiposity, low physical activity level, and reported substantial-to-severe fatigue. Self-reported fatigue was significantly linked with adiposity and physical activity. Overweight, obesity, and high body fat percentage increased the risk of reporting substantial-to-severe fatigue while moderate-to-high physical activity level reduced the risk. Commitment to physical activity may help to reduce fatigue in overweight-to-obese T2D patients.

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Acknowledgments

The authors are sincerely grateful to all the participants who took time out of their clinic schedule to fill out questionnaires and make themselves available for the adiposity measurements.

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Authors and Affiliations

  1. Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria

    Ade Fatai Adeniyi, Omoyemi Olubunmi Ogwumike & Akindele Olasunkanmi Akinwonmi

  2. Department of Medicine, University College Hospital, Ibadan, Nigeria

    Adesoji Adedipe Fasanmade

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  1. Ade Fatai Adeniyi
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  2. Omoyemi Olubunmi Ogwumike
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  3. Akindele Olasunkanmi Akinwonmi
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Correspondence to Ade Fatai Adeniyi.

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Adeniyi, A.F., Ogwumike, O.O., Akinwonmi, A.O. et al. Links between adiposity, physical activity and self-reported fatigue in patients with type 2 diabetes mellitus. Int J Diabetes Dev Ctries 34, 144–149 (2014). https://doi.org/10.1007/s13410-013-0175-6

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  • DOI: https://doi.org/10.1007/s13410-013-0175-6

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