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Purpose <p>Diabetes mellitus is a chronic metabolic diseases characterized by chronic hyperglycemia. It is responsible for over a million deaths annually. Physical activity improves insulin resistance, lipid profile and lessens diabetic related complications. Just like, it should be for people with T2DM or in general, people with T1DM should be encouraged to engage in sports and physical activity. This study aimed to assess the level of physical activity and its predictors among adult diabetic men attending follow-up visits at health facilities in Bale Zone, Southeast Ethiopia.</p> Method <p>This cross-sectional study included 420 adult diabetic men who were on follow-up at the outpatient departments of Robe and Goba hospitals between March 1 and April 30, 2022. Participants were selected using a systematic random sampling technique from the hospital registries. The inclusion criteria were: male sex, age ≥ 18 years, confirmed diagnosis of diabetes mellitus, and those who have no communication difficulties. The International Physical Activity Questionnaire (IPAQ) was used to assess physical activity levels. Data were collected through face-to-face interviews and medical record reviews. After collection, the data were entered into Epidata version 4.6 for validation, cleaning, and coding to minimize errors. The cleaned dataset was then exported to SPSS version 26 for statistical analysis. Descriptive statistics, chi-square tests, and ordinal logistic regression were used to analyze the data, with adjustments for potential confounding factors such as age.</p> Result <p>This study found that 143 (34%; 95% CI: 29.3–38.3) of diabetic men engaged in low physical activity, while 195 (46%; 95% CI: 41.7–51.2) reported moderate-intensity activity. Only 82 (20%; 95% CI: 16–23.8) participated in strenuous physical activity. Age, khat chewing, and waist-to-hip ratio showed statistically significant associations (<i>p</i> &lt; 0.05) with physical activity levels among participants.</p> Conclusion <p>While 46% of diabetic men met moderate intensity physical activity recommendations, 34% were sedentary—underscoring a need for targeted interventions. Older age and higher waist-to-hip ratio significantly predicted lower activity levels, highlighting key modifiable barriers for diabetes management in Ethiopia. Conversely, khat chewing showed a statistical association with higher activity levels in this analysis. Public health programs should consider these complex behavioral patterns within culturally adapted strategies for diabetes management.</p>

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Level of physical activity and its predictors among adult diabetic men who were on follow-up at health facilities in Bale Zone, Southeast Ethiopia: institution-based cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月12日

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  • Telila Mesfin Tadesse,
  • Demisu Zenbaba,
  • Neway Ejigu,
  • Biniyam Sahiledengle,
  • Degefa Gomora,
  • Kenbon Seyoum,
  • Girma Geta,
  • Derese Eshetu,
  • Fikreab Desta,
  • Girma Beressa,
  • Tesfay Gebrekirstos,
  • Yohannes Kebede,
  • Eshetu Mesfin Tadesse

摘要

Purpose

Diabetes mellitus is a chronic metabolic diseases characterized by chronic hyperglycemia. It is responsible for over a million deaths annually. Physical activity improves insulin resistance, lipid profile and lessens diabetic related complications. Just like, it should be for people with T2DM or in general, people with T1DM should be encouraged to engage in sports and physical activity. This study aimed to assess the level of physical activity and its predictors among adult diabetic men attending follow-up visits at health facilities in Bale Zone, Southeast Ethiopia.

Method

This cross-sectional study included 420 adult diabetic men who were on follow-up at the outpatient departments of Robe and Goba hospitals between March 1 and April 30, 2022. Participants were selected using a systematic random sampling technique from the hospital registries. The inclusion criteria were: male sex, age ≥ 18 years, confirmed diagnosis of diabetes mellitus, and those who have no communication difficulties. The International Physical Activity Questionnaire (IPAQ) was used to assess physical activity levels. Data were collected through face-to-face interviews and medical record reviews. After collection, the data were entered into Epidata version 4.6 for validation, cleaning, and coding to minimize errors. The cleaned dataset was then exported to SPSS version 26 for statistical analysis. Descriptive statistics, chi-square tests, and ordinal logistic regression were used to analyze the data, with adjustments for potential confounding factors such as age.

Result

This study found that 143 (34%; 95% CI: 29.3–38.3) of diabetic men engaged in low physical activity, while 195 (46%; 95% CI: 41.7–51.2) reported moderate-intensity activity. Only 82 (20%; 95% CI: 16–23.8) participated in strenuous physical activity. Age, khat chewing, and waist-to-hip ratio showed statistically significant associations (p < 0.05) with physical activity levels among participants.

Conclusion

While 46% of diabetic men met moderate intensity physical activity recommendations, 34% were sedentary—underscoring a need for targeted interventions. Older age and higher waist-to-hip ratio significantly predicted lower activity levels, highlighting key modifiable barriers for diabetes management in Ethiopia. Conversely, khat chewing showed a statistical association with higher activity levels in this analysis. Public health programs should consider these complex behavioral patterns within culturally adapted strategies for diabetes management.