Exercise Type and Frequency, Diet Conformity, and Medication Adherence Are Captured in Patients with Type 2 DM
Keywords:
Type 2 Diabetes Mellitus, Exercise Frequency, Diet Adherence, Medication Adherence, Polypharmacy, Glycemic ControlAbstract
This cross-sectional study investigates the relationships between exercise behaviors, dietary adherence, and medication use in 69 patients with type 2 diabetes mellitus (T2DM) recruited from hospitals in Iraq, where in our study Participants were primarily middle-aged adults (40-69 years), with a predominance of females (56.5%) and married individuals (78.3%) as well as Data on exercise type and weekly frequency, diet conformity, and anti-diabetic medication usage were collected through interviews and questionnaires, the finding were showed varied exercise engagement, with aerobic activities linked to higher frequency, highlighting exercise's role in glycemic control also found Dietary adherence correlated positively with the number of oral hypoglycemic drugs taken, suggesting interaction between lifestyle and pharmacotherapy so concloude from this paper polypharmacy was negatively associated with patients' self-assessed general health. These findings emphasize the importance of integrating personalized lifestyle modifications with optimized medication regimens to enhance adherence and health outcomes in T2DM management.
References
1. American Diabetes Association. (2010). Diagnosis and classification of diabetes mellitus. Diabetes care, 33(Supplement_1), S62-S69.
2. Tomic, D., Shaw, J. E., & Magliano, D. J. (2022). The burden and risks of emerging complications of diabetes mellitus. Nature Reviews Endocrinology, 18(9), 525-539.
3. Kanaley, Jill A., Sheri R. Colberg, Matthew H. Corcoran, Steven K. Malin, Nancy R. Rodriguez, Carlos J. Crespo, John P. Kirwan, and Juleen R. Zierath. "Exercise/physical activity in individuals with type 2 diabetes: a consensus statement from the American College of Sports Medicine." Medicine and science in sports and exercise 54, no. 2 (2022): 353.
4. "Summary of revisions: Standards of Care in Diabetes—2025." Diabetes Care 48, no. Supplement_1 (2025): S6-S13.
5. https://www.who.int/news-room/fact-sheets/detail/diabetes
6. https://www.who.int/health-topics/diabetes#tab=tab_1
7. Kirwan, J. P., Sacks, J., & Nieuwoudt, S. (2017). The essential role of exercise in the management of type 2 diabetes. Cleveland Clinic journal of medicine, 84(7 Suppl 1), S15.
8. Goldstein, B. J. (2002). Insulin resistance as the core defect in type 2 diabetes mellitus. The American journal of cardiology, 90(5), 3-10.
9. Mphasha, M., & Mothiba, T. (2025). Personalised nutrition approaches in the prevention and management of type 2 diabetes: A narrative review of evidence and practice. International Journal of Environmental Research and Public Health, 22(7), 1047.
10. Yuan, S., Li, X., Liu, Q., Wang, Z., Jiang, X., Burgess, S., & Larsson, S. C. (2023). Physical activity, sedentary behavior, and type 2 diabetes: mendelian randomization analysis. Journal of the Endocrine Society, 7(8), bvad090.
11. Balooch Hasankhani, M., Mirzaei, H., & Karamoozian, A. (2023). Global trend analysis of diabetes mellitus incidence, mortality, and mortality-to-incidence ratio from 1990 to 2019. Scientific Reports, 13(1), 21908.
12. Zimmet, P., Alberti, K. G., Magliano, D. J., & Bennett, P. H. (2016). Diabetes mellitus statistics on prevalence and mortality: facts and fallacies. Nature Reviews Endocrinology, 12(10), 616-622.
13. Harding, J. L., Weber, M. B., & Shaw, J. E. (2024). The global burden of diabetes. Textbook of diabetes, 28-40.
14. Colberg, Sheri R., Ronald J. Sigal, Jane E. Yardley, Michael C. Riddell, David W. Dunstan, Paddy C. Dempsey, Edward S. Horton, Kristin Castorino, and Deborah F. Tate. "Physical activity/exercise and diabetes: a position statement of the American Diabetes Association." Diabetes care 39, no. 11 (2016): 2065.
15. Kirwan, J. P., Sacks, J., & Nieuwoudt, S. (2017). The essential role of exercise in the management of type 2 diabetes. Cleveland Clinic journal of medicine, 84(7 Suppl 1), S15.
16. Ribeiro, A. K. P. D. L., Carvalho, J. P. R., & Bento-Torres, N. V. O. (2023). Physical exercise as treatment for adults with type 2 diabetes: a rapid review. Frontiers in Endocrinology, 14, 1233906.
17. Kennerly, A. M., & Kirk, A. (2018). Physical activity and sedentary behaviour of adults with type 2 diabetes: a systematic review. Practical Diabetes, 35(3), 86-89g.
18. Gérvas, J., & Pérez-Fernández, M. In medicine, more is not always better. The case of prevention (and prediabetes).
19. Rosenfeld, R. M., Grega, M. L., Karlsen, M. C., Abu Dabrh, A. M., Aurora, R. N., Bonnet, J. P., ... & Gulati, M. (2025). Lifestyle interventions for treatment and remission of type 2 diabetes and prediabetes in adults: a clinical practice guideline from the American College of Lifestyle Medicine. American Journal of Lifestyle Medicine, 19(2_suppl), 10S-131S.
20. Rosenfeld, R. M., Grega, M. L., Karlsen, M. C., Abu Dabrh, A. M., Aurora, R. N., Bonnet, J. P., ... & Gulati, M. (2025). Executive summary of lifestyle interventions for treatment and remission of type 2 diabetes and prediabetes in adults: a clinical practice guideline from the American College of Lifestyle Medicine. American Journal of Lifestyle Medicine, 19(2_suppl), 132S-154S.
21. Nascimento, T., Andrade, A., Pinto, E., Cabrita, C., Pais, S., & Puerta, R. D. L. (2025). Medication Adherence and Glycemic Control in Older Adults with Type 2 Diabetes: A Cross-Sectional Study in a Community Setting. Diabetology, 6(5), 33.
22. Nascimento, T., Andrade, A., Pinto, E., Cabrita, C., Pais, S., & Puerta, R. D. L. (2025). Medication Adherence and Glycemic Control in Older Adults with Type 2 Diabetes: A Cross-Sectional Study in a Community Setting. Diabetology, 6(5), 33.
