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- Supervised Exercise Patterns among Diabetic and Non-diabetic Portuguese AdultsPublication . Esteves, Dulce; Gouveia, Ana; Rodrigues, Ricardo; Pinheiro, Paulo; Brás, Rui; O'Hara, Kelly; Duarte, PauloBackground. Physical activity (PA) is a keystone of diabetes management, but although self-exercise is beneficial, supervised exercise (SE), adapted to individual characteristics, and is more effective. Objectives. The main research goal is to compare SE patterns among diabetic and non-diabetic Portuguese adults. Methods. A total of 484 participants (85 diabetics, 399 non-diabetics), aged 41-90 years old (mean=58.9; SD=11.9) were interviewed. PA level was assessed using short form of the International Physical Activity Questionnaire. Attendance in different SE programs was evaluated across three kinds of PA programs providers: gym/health-clubs; swimming pools and other club/ sports facilities. Itens like Barriers to Exercise; Intention to participate; Importance of the structure and PA information sources were also evaluated. Independent t-tests were used to examine the difference between the group means, and Levene’s test was used to check the homokedasticity of the groups’ variances. Results. PA level of diabetics (32% low; 25% moderate; 44% high) and non-diabetics (29% low; 33% moderate; 39% high) display no differences. 90% of diabetics do not attend SE. The main barrier for diabetics’ non-participation is the perception that the exercise is not adequate to their health. Doctors are the preferred information source for diabetics and they rely less on information provided by the Internet, with may impair on-line campaigns. Conclusion. Promoting exercise in diabetics should shift the focus from "promoting physical activity" to "promoting SE".
- Evaluation of Risks and Benefits of Physical Activity: Fighting a Societal BurdenPublication . Brás, Rui; Esteves, Dulce; Rodrigues, Ricardo; Duarte, Paulo; Gouveia, Ana; O'Hara, Kelly; Pinheiro, PauloPhysical Activity (PA) is considered a coadjutant factor in the control of hypertension, helping to control this societal burden. This study investigates the factors that may influence the adoption of PA recommendations by hypertensive individuals by comparing physical activity patterns among hypertensives and normotensives and the importance placed on PA by both groups. Data from 966 Portuguese participants aged between 18 to 90 years old, representing hypertensives (n=144) and normotensives (n=822) were collected using a face-to-face questionnaire. The results show significant differences between the two groups in terms of causes of non-participation and dropping out, preferred PA activities, perceived knowledge, and information-seeking behaviour. The main barriers to exercise reported by hypertensives were the perception that PA is not adequate or even dangerous to their health. Doctors must be considered a key factor in promoting exercise. When compared to normotensives, hypertensives feel that PA information available is not appropriate (p=.0006). Hypertensives consider that existing programmes will not meet their needs and do not like traditional fitness classes, such as those in gyms. The fear of risks associated with exercise seems to be a significant barrier that impairs PA participation.