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  • Explanatory variables of ob...
    Bogaert, Lotte; Willems, Iris; Calders, Patrick; Dirinck, Eveline; Kinaupenne, Manon; Decraene, Marga; Lapauw, Bruno; Strumane, Boyd; Van Daele, Margot; Verbestel, Vera; De Craemer, Marieke

    Diabetes & metabolic syndrome clinical research & reviews, April 2024, 2024-Apr, 2024-04-00, 20240401, Volume: 18, Issue: 4
    Journal Article

    Physical activity (PA), sedentary behavior (SB) and sleep (i.e. 24-h movement behaviors) are associated with health indicators in people with prediabetes and type 2 diabetes (T2D). To optimize 24-h movement behaviors, it is crucial to identify explanatory variables related to these behaviors. This review aimed to summarize the explanatory variables of 24-h movement behaviors in people with prediabetes or T2D. A systematic search of four databases (PubMed, Web of Science, Scopus & Embase) was performed. Only objective measurements of 24-h movement behaviors were included in the search strategy. The explanatory variables were classified according to the levels of the socio-ecological model (i.e. intrapersonal, interpersonal and environmental). The risk of bias was assessed using the Joanna Briggs Institute appraisal checklist. None of the 78 included studies investigated 24-h movement behaviors. The majority of the studies investigated PA in isolation. Most studied explanatory variables were situated at the intrapersonal level. Being male was associated with more moderate to vigorous PA but less light PA in people with T2D, and more total PA in people with prediabetes. An older age was associated with a decrease in all levels of PA in people with T2D. HbA1c was positively associated with sleep and SB in both groups. No associations were found at the interpersonal or environmental level. The results of this review underscore the lack of a socio-ecological approach toward explanatory variables of 24-h movement behaviors and the lack of focus on an integrated 24-h movement behavior approach in both populations. •The most frequently studied explanatory variables of all movement behaviors are situated at the intrapersonal level.•Limited research is available on explanatory variables of movement behaviors among people with prediabetes.•Research on the variables of integrated 24-h movement behaviors among people with prediabetes and type 2 diabetes is lacking.•Insight into the variables of 24-h movement behaviors may provide guidance for tailored interventions in these populations.