Summary

The increased risk of fractures and falls is under-appreciated by adults living with diabetes and by their healthcare providers. Strategies to overcome perceived exercise barriers and exercise programs optimized for bone health should be implemented.

Purpose

The purpose of the study was to assess the perceptions of fracture and fall risk, and the perceived benefits of and barriers to exercise in adults \(\ge\) 50 years old living with type 1 (T1D) and type 2 diabetes (T2D).

Methods

Participants were recruited through social media and from medical clinics and invited to complete a self-administered online survey, comprising 38 close-ended questions and 4 open-ended questions.

Results

A total of 446 participants completed the survey: 38% T1D, 59% T2D, and 3% with unreported diabetes type. Most participants did not believe that having diabetes increased their risk of fractures (81%) nor falls (68%), and more than 90% reported having not been informed about diabetes-related fracture risk by their physicians. Among exercise types, participation in moderate aerobic exercise was most common (54%), while only 31%, 32%, and 37% of participants engaged in strenuous aerobic, resistance, and balance/flexibility exercise, respectively. The most prevalent barrier to exercise for both T1D and T2D was a lack of motivation, reported by 54% of participants. Lack of time and fear of hypoglycemia were common exercise barriers reported by participants with T1D. Most participants owned a smart phone (69%), tablet (60%), or computer (56%), and 46% expressed an interest in partaking in virtually delivered exercise programs.

Conclusions

Adults living with diabetes have limited awareness of increased fall and fracture risk. These risks are insufficiently highlighted by health care providers; strategies to overcome perceived exercise barriers and exercise programs optimized for bone health should be implemented.

中文翻译：

---

对骨折和跌倒风险以及对糖尿病成人锻炼的益处和障碍的认识

概括

患有糖尿病的成年人及其医疗保健提供者没有充分认识到骨折和跌倒的风险增加。应实施克服感知运动障碍的策略和针对骨骼健康优化的运动计划。

目的

该研究的目的是评估对骨折和跌倒风险的看法，以及对50 岁患有 1 型 (T1D) 和 2 型糖尿病 (T2D)的成年人进行锻炼的益处和障碍.

方法

参与者是通过社交媒体和医疗诊所招募的，并被邀请完成一项自我管理的在线调查，包括 38 个封闭式问题和 4 个开放式问题。

结果

共有 446 名参与者完成了调查：38% 的 T1D、59% 的 T2D 和 3% 的糖尿病类型未报告。大多数参与者不相信患有糖尿病会增加他们的骨折风险（81%）或跌倒（68%），超过 90% 的参与者报告说他们的医生没有告知糖尿病相关的骨折风险。在运动类型中，参加中度有氧运动最为常见（54%），而参加剧烈有氧运动、阻力运动和平衡/柔韧性运动的参与者分别只有 31%、32% 和 37%。54% 的参与者报告说，对于 T1D 和 T2D 来说，最普遍的锻炼障碍是缺乏动力。缺乏时间和对低血糖的恐惧是 T1D 参与者报告的常见运动障碍。大多数参与者拥有智能手机（69%）、平板电脑（60%）或电脑（56%），

结论

患有糖尿病的成年人对跌倒和骨折风险增加的认识有限。医疗保健提供者没有充分强调这些风险；应实施克服感知到的运动障碍的策略和针对骨骼健康优化的运动计划。