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Research articles for PA -> DM (Diabetes.org (ADA) recommends: Aiming…

- - - - Background
        
        INTENTION = main determinant of behavior
        
        proximal determinants of intention:
        
        perceived behavioral control
        
        Perceived resources/opportunities, Perceived barriers
        
        attitute
        
        Perceived benefits + drawbacks of adopting behavior
        
        subjective norm
        
        Perceived expectations of specific individuals or groups regarding adoption of behavior
        
        moral norm
        
        Perception of the moral correctness or incorrectness of performing a particular behavior
        
        takes into account personal feelings of responsibility to perform, or refuse to perform, a certain behavior
        
        "by providing self-management support, the primary healthcare team advice to people with type 2 diabetes to engage in physical activity may engender a sense of moral obligation to act and to become active."
      - Methods
        
        secondary analysis
        
        subjective norm not measured
      - Results
        
        Determinants of intent
        
        Past behavior + attitude and perceived behavioral control -> R2= 0.50
        
        Past behavior + attitude and perceived behavioral control + moral norm -> R2= 0.63
        
        Past participation alone -> R2= 0.18
        
        Prediction of Leisure-Time Physical Activity
        
        R2 = 0.43
        
        Influence of moral norm on behavior is mediated by intention and perceived behavioral control ??
        
        CONCLUSION: In order to develop positive intention towards regular leisure-time physical activity, interventions should prioritize moral norm. Perceived control should be addressed to foster positive intentions.
        
        Determinants of behavior (intention, perceived control, moral norm) all slightly positively correlated
- - - - moderate strength training group VS aerobic training group.
        20 weeks (2 10 week phases)
        Anthro/biochem measurements at baseline, 10 weeks, 20 weeks.
      - mixed ANOVA model for intra/inter analyses
    - - 11/20 pts completed training. (5 ST 6 AT)
        No change in anthros
        differences in A1C (bigger in ST group)
      - Conclusion: Both aerobic and strength exercises can help the metabolic control in patients with type 2 diabetes, even without significant changes in anthropometry over the 20 weeks of training.
    - - noted small sample size
- - - - Tips
        
        Take the stairs
        
        Stand instead of sit
        
        Completing yard work
        
        Grocery shopping
        
        Walking the dog
        
        Cleaning the house
        
        Create wellness challenges
        
        Throw out your garbage can
        
        Implement walking meetings
        
        Change your mode of transportation (walk/bike/bus)
      - Troubleshoot
        
        Figure out what's stopping you and work with it.
        
        Ex. Don't want to take dog on a walk because it's too hot outside. -> Wait until the sun starts to go down.
      - Start with something obvious.
        The easy one-choice things.
    - - Long term:
        
        Feel better when you're older
        
        Lose weight
        
        Live long and be with your family
      - Short term:
        
        Take time out to yourself
        
        Stress relief
        
        (Stairs) avoid small talk
        
        Don't have to be stuck in shopping cart traffic
        
        My car won't get scratched
      - Not only long term, distant, intangible reasons,
        but immediate tangible reasons!
    - - Don't feel like you have to do it well. Just do it.
      - You don't need perfect form (but do prevent injury)
      - You don't need exercise for a long period of time before it "counts." 3 x 10 minute intervals of activity is equal to 30 minutes of activity.
      - If you couldn't do much today, that's okay.
    - - You can if you want to!
      - Don't think of it as exercise. You don't need to go to the gym or put on workout clothes. Just move.
  - - - Aerobic
      - Strength