Sex differences in the association of psychological status with measures of physical activity and sedentary behaviour in adults with type 2 diabetes

Indelicato, Liliana, Dauriz, Marco, Bacchi, Elisabeth, Donà, Silvia, Santi, Lorenza, Negri, Carlo, Cacciatori, Vittorio, Bonora, Enzo, Nouwen, Arie ORCID logoORCID: and Moghetti, Paolo (2018) Sex differences in the association of psychological status with measures of physical activity and sedentary behaviour in adults with type 2 diabetes. Acta Diabetologica, 55 (6) . pp. 627-635. ISSN 0940-5429 [Article] (doi:10.1007/s00592-018-1132-0)

PDF - Final accepted version (with author's formatting)
Download (765kB) | Preview


Aim – To assess the association of psychological variables on leisure time physical activity and sedentary time in men and women with type 2 diabetes mellitus (T2D).
Methods – In this cross-sectional study, we evaluated 163 patients with T2D, consecutively recruited at the Diabetes Centre of the Verona General Hospital. Scores on depression and anxiety symptoms, psychosocial factors (including self-efficacy, perceived interference, perceived severity, social support, misguided support behaviour, spouse’s positive behaviour), physical activity and time spent sitting were ascertained using questionnaires responses to the Beck Depression Inventory-II, Beck Anxiety Inventory, Multidimensional Diabetes Questionnaire, International Physical Activity Questionnaire.
Results – Physical activity was significantly associated with higher social support in women, and with increased self-efficacy in men. Sedentary time was significantly associated with higher perceived interference, anxiety and depressive symptoms, and with reduced diabetes self-efficacy in women, while it was associated solely with anxiety in men. Depressive symptoms and self-efficacy in women and anxiety symptoms in men were independent predictors of sedentary time when entered in a multivariable regression model also including age, BMI, hemoglobin A1c, diabetes duration, perceived interference and self-efficacy as covariates.
Conclusions – Lower self-efficacy and higher symptoms of depression were closely associated with increased sedentary time in women, but not in men, with T2D. It is possible that individualized behavioral interventions designed to reduce depressive symptoms and to improve diabetes self-efficacy would ultimately reduce sedentary behaviours, particularly in women with T2D.

Item Type: Article
Research Areas: A. > School of Science and Technology > Psychology > Applied Health Psychology group
Item ID: 23896
Notes on copyright: This is a post-peer-review, pre-copyedit version of an article published in Acta Diabetologica. The final authenticated version is available online at:
Useful Links:
Depositing User: Arie Nouwen
Date Deposited: 16 Mar 2018 16:27
Last Modified: 29 Nov 2022 19:52

Actions (login required)

View Item View Item


Activity Overview
6 month trend
6 month trend

Additional statistics are available via IRStats2.