ArticleDiabetic medicine : a journal of the British Diabetic Association2026
What barriers need to be removed to incorporate resistance exercise into the lives of older adults with long-term diabetes and prefrailty? A deductive framework analysis using the Capability, Opportunity, Motivation and Behaviour (COM-B) behavioural science model.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
aimsMaintaining physical function, and thus independence, is essential for people ageing with diabetes. For older adults with long-term insulin-treated diabetes, managing frailty, preserving body mass index (BMI) and muscle strength and mitigating hypoglycaemia risk are key challenges. Resistance training (RT) offers benefits, including reduced hypoglycaemia risk, increased bone density and improved muscle strength, yet its uptake remains low. This study explores behavioural influences and barriers to RT participation among older adults living with insulin-treated diabetes and prefrailty.
methodsA qualitative approach was employed, involving semi-structured interviews with individuals living with prefrailty aged 60 years or older with insulin-treated diabetes (type 1 diabetes (n = 12); type 2 diabetes with BMI < =30 kg/m2 (n = 4)). Frailty was assessed using the Rockwood Clinical Frailty Scale (3-4). Data were analysed using framework analysis and aligned to the COM-B model of behaviour change to deductively identify barriers and facilitators.
resultsBarriers to RT were identified across psychological capability, physical capability and social opportunity COM-B domains. Key barriers included fears of fatigue, hypoglycaemia and injury, diabetes-related complications and difficulties using RT equipment. Outdated advice about exercise safety and lack of awareness of RT's benefits further hindered participation. Facilitators included tailored education on diabetes-specific RT benefits, a supportive, flexible training environment and the presence of an exercise-competent partner.
conclusionsThis study highlights perceptual and practical barriers that discourage older adults with diabetes and prefrailty from engaging in resistance exercise. Addressing these barriers through educational initiatives and creating adaptable exercise programmes could enhance exercise participation rates in this population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.