PTRNSurveyThe science of diabetes self-management and care2026

Understanding Exercise Facilitators, Preferences, and Goals in Females With Type 2 Diabetes: A Mixed-Methods Analysis.

Sian A O'Gorman, Bridgette M Desjardins, Michelle A Keske and 1 others

PMID 42670703

WHAT IT FOUND

Females with type 2 diabetes most often wanted weight loss and glucose control, often to reduce medication.

They preferred moderate aerobic activity at home, 30 to 45 minutes, with weekly support, and goals were similar across younger and older groups.

Key findings

01The most frequently reported exercise facilitators were health benefits (48%), opportunities for incidental activity (47%), enjoyment (47%), goal setting and achievement (46%), and access to social support (41%), with no significant age differences.

02Most participants preferred aerobic activity, 3 to 6 days per week, at moderate intensity for 30 to 45 minutes, mainly at home with weekly check-ins; fewer than half (46%) selected resistance training.

03Of 119 participants, 111 (93%) gave free-text goals; weight loss was the most common goal (51%), improved glucose management was another key objective, and reducing medication reliance was a distinct theme, with no meaningful age differences.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for RNs

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What it does not show

The study used self-reported age, diagnosis, activity, medications, and A1C, so responses may be inaccurate or influenced by what participants thought was desirable. Participants were recruited through convenience advertising and self-selected into an online survey, so those already interested in exercise or diabetes management may be over-represented. Ethnic minorities were underrepresented, so the findings may not apply to all Australian female populations. The goals question was optional, responses were often brief, and could not be probed or clarified. Younger females were less likely to provide qualitative responses, so age-specific insight was limited. Missing data were not imputed, so some responses may be absent. This is a descriptive survey of views, not an intervention study, so it cannot show which counselling strategy improves diabetes outcomes.

Declared interests

No external funding was disclosed. S.O. was supported by an Australian Government Research Training Program Scholarship. The authors declared no potential conflicts of interest.

The easy way to misread this

Do not read these preferences and goals as evidence that exercise counselling improves diabetes outcomes. This was a descriptive online survey of self-reported views, not a trial, so it cannot show that any exercise strategy changes weight, glucose, medication use, or cardiovascular risk.

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