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Activation, physical activity, and outcomes among individuals with T2D
Radhika Nair, Eric Meadows, Richard Sheer1
1Humana Healthcare Research Inc, 500 W Main St, Louisville, KY 40202.
The American Journal of Managed Care
|August 18, 2022
Summary
Patient activation and physical activity significantly improve health outcomes for older adults with type 2 diabetes. Higher activation and activity levels correlate with fewer unhealthy days and lower HbA1c, enhancing quality of life.
Area of Science:
- Gerontology
- Endocrinology
- Public Health
Background:
- Older adults with type 2 diabetes (T2D) often face challenges in managing their condition, impacting their quality of life.
- Patient activation and physical activity are key modifiable factors influencing health outcomes in chronic disease management.
Purpose of the Study:
- To investigate the relationships between patient activation, physical activity, hemoglobin A1c (HbA1c), and healthy days in older adults with T2D.
- To assess the impact of wellness programs on these associations.
Main Methods:
- Observational, longitudinal cohort study using survey, claims, and wellness program data from adults aged 55-89 with T2D.
- Data collected on patient activation (Consumer Health Activation Index), physical activity (step counts, SilverSneakers), HbA1c, and healthy days.
- Generalized linear and predictive models used to analyze associations and predict outcomes, controlling for confounders.
Main Results:
- Higher patient activation levels were associated with significantly fewer unhealthy days.
- Increased physical activity (high step counts) predicted fewer unhealthy days and lower HbA1c levels.
- Participation in SilverSneakers (≥2 activities/week) was linked to a 49% reduction in acute care visits.
Conclusions:
- Enhancing patient activation is crucial for promoting physical activity among older adults with T2D.
- These combined strategies can lead to improved glycemic control and better health-related quality of life.
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