Type 2 diabetes and dog walking: patients' longitudinal perspectives about implementing and sustaining physical activity

BACKGROUND: Physical activity is particularly important for people with type 2 diabetes, as evidence suggests that any reduction in sedentary time is good for metabolic health. AIM: To explore type 2 diabetes patients' talk about implementing and sustaining physical activity. DESIGN OF STUDY: Longitudinal, qualitative study using repeat in-depth interviews with 20 patients over 4 years following clinical diagnosis. SETTING: Patients were recruited from 16 general practices and three hospitals across Lothian, Scotland. RESULTS: Discussion, and salience, of physical activity was marginal in patient accounts of their diabetes management. Patients claimed to have only received vague and non-specific guidance about physical activity from health professionals, and emphasised a perceived lack of interest and encouragement. Aside from walking, physical activities which were adopted tended to attenuate over time. Patients' accounts revealed how walking a dog assisted this kind of activity maintenance over time. Three main themes are highlighted in the analysis: 1) incidental walking; 2) incremental physical activity gains; and 3) augmenting physical activity maintenance. The problems arising from walking without a dog (for example, lack of motivation) are also examined. CONCLUSION: Asking patients about pet preferences might seem tangential to medical interactions. However, encouraging dog walking or identifying another interest that promotes a regular commitment to undertake physical activity may yield long-term health benefits.