Evidence map›Paper›PMID 18452046›Full record

ArticleJournal of general internal medicine2008

Predictors of sustained walking among diabetes patients in managed care: the Translating Research into Action for Diabetes (TRIAD) study.

O Kenrik Duru, Robert B Gerzoff, Arleen F Brown, Andrew J Karter, Catherine Kim, David Kountz, K M Venkat Narayan, Stephen H Schneider, Chien-Wen Tseng, Beth Waitzfelder and 1 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

O Kenrik DuruDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095, USA. kduru@mednet.ucla.edu
Robert B Gerzoff
Arleen F Brown
Andrew J Karter
Catherine Kim
David Kountz
K M Venkat Narayan
Stephen H Schneider
Chien-Wen Tseng
Beth Waitzfelder
Carol M Mangione
University of California, Los Angeles · USCenters for Disease Control and Prevention · USJohnson University · USKaiser Permanente · USPacific Health Research and Education Institute · USUniversity of Hawaii System · USUniversity of Michigan–Ann Arbor · US

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI RODRIGUEZ, MICHAEL A., SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
DREW/UCLA Project Export CenterP20MD000148 · NIMHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHAPIRO, MARTIN F · 2002 to 2006
$3.6M
Diabetes and Aging in a Multi-Ethnic PopulationR01DK081796 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI HUANG, ELBERT S., KARTER, ANDREW JOHN · 2009 to 2013
$2.9M
NIA NIH HHS P30 AG021684NIA NIH HHS P30AG021684NIDDK NIH HHS R01 DK081796NIMHD NIH HHS P20 MD000148NIMHD NIH HHS P20MD000148NIMHD NIH HHS P20 MD000182NIMHD NIH HHS P20MD000182PHS HHS 04005
6 · The paper itself

Abstract

backgroundAlthough patients with diabetes may benefit from physical activity, few studies have examined sustained walking in this population.

objectiveTo examine the factors associated with sustained walking among managed care patients with diabetes.

designLongitudinal, observational cohort study with questionnaires administered 2.5 years apart.

participantsFive thousand nine hundred thirty-five patients with diabetes walking at least 20 minutes/day at baseline. MEASUREMENTS: The primary outcome was the likelihood of sustained walking, defined as walking at least 20 minutes/day at follow-up. We evaluated a logistic regression model that included demographic, clinical, and neighborhood variables as independent predictors of sustained walking, and expressed the results as predicted percentages.

resultsThe absence of pain was linked to walking behavior, as 62% of patients with new pain, 67% with ongoing pain, and 70% without pain were still walking at follow-up (p = .03). Obese patients were less likely (65%) to sustain walking than overweight (71%) or normal weight (70%) patients (p = .03). Patients > or =65 years (63%) were less likely to sustain walking than patients between 45 and 64 (70%) or < or =44 (73%) years (p = .04). Only 62% of patients with a new comorbidity sustained walking compared with 68% of those who did not (p < .001). We found no association between any neighborhood variables and sustained walking in this cohort of active walkers.

conclusionsPain, obesity, and new comorbidities were moderately associated with decreases in sustained walking. Whereas controlled intervention studies are needed, prevention, or treatment of these adverse conditions may help patients with diabetes sustain walking behavior.

Indexed as

Managed Care ProgramsAgedComorbidityDiabetes MellitusFemaleHumansLogistic ModelsLongitudinal StudiesMaleMiddle AgedPain MeasurementResidence CharacteristicsRisk FactorsSurveys and QuestionnairesWalking

Identifiers

PMID18452046
PMCPMC2517953
OpenAlexW2002182555

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.