Perceived barriers to physical activity in Type 2 Diabetes Mellitus (T2DM) patients during COVID-19 pandemic in the UAE

Physical activity plays a vital role in the prevention and treatment of Type2 Diabetes Mellitus (T2DM) (Hayes and Kriska, 2008). During the COVID-19 pandemic, physical activity is shown to be imperative in helping support a strong immune system (Chastin et al., 2021) and patients with COVID-19 who have been consistently physically inactive have a significantly higher risk of severe outcomes than patients who were doing some activity (Sallis et al., 2021). Therefore, the objective of this qualitative study was to evaluate the sufferer’s perception of physical inactivity and its social determinants among people with diabetes. Interviews were conducted with 14 participants with diabetes aged 40-60 years old living in the UAE in June-July 2021. The barriers of physical activity were explored through in-depth, semi-structured, audio-taped interviews. Barriers for physical inactivity were grouped around five themes: (1)Life-altering COVID-19: the pandemic that changed the world (2)Social and cultural norms: Islamic faith and family are the two most important influences among Arabs (3)Fatigue: prolonged sitting (due to long commute and sedentary jobs) and in some participants post-viral fatigue syndrome due to COVID-19 infection (4)Fear of illness: due to hyperthermia and comorbidities (5)Impact of lockdown. The prevalence of physical inactivity is high among Arabs. Weather restrictions and cultural obligations may lead to reduction in physical activity levels. Therefore, meeting physical activity guidelines can reduce the risk for severe COVID-19 outcomes among infected adults and is likely to prevent increases in diabetes incidence in this population.

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