Background: This study aimed to investigate whether the relationship between psychosocial and perceived environmental factors and physical activity (PA) in adults at risk for type 2 diabetes is influenced by educational level. Methods: Based on the Finnish Diabetes Risk Score questionnaire, this study selected 164 adults (Mage: 38 (5.34) y, 13.4% men) at type 2 diabetes risk from 11 low socioeconomic neighborhoods in Flanders (Belgium). Participants filled out questionnaires on psychosocial and perceived environmental factors and wore an ActiGraph accelerometer for 5 consecutive days. Statistical analyses were performed using analysis of covariance in SPSS. Results: Educational level significantly influenced the association between perception of body weight and light PA (P = .01) and total PA (P = .03) on weekend days. Educational level did not influence the associations between other psychosocial and perceived environmental factors (ie, perceived social influence; environmental, time and attitudinal barriers, perceived self-efficacy; knowledge and fatalism) and PA. Conclusions: Educational level did not influence the relationship between most psychosocial and perceived environmental factors and PA in this sample of adults at type 2 diabetes risk. This suggests that addressing different psychosocial and perceived environmental correlates in lower and higher educated participants might not be necessary. However, more research in this specific population is needed.
Huys, Van Stappen, De Craemer, and Cardon are with the Faculty of Medicine and Health Sciences, Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium. Shadid is with the Department of Endocrinology and Metabolic Diseases, Ghent University Hospital, Ghent, Belgium. Androutsos and Manios are with the Department of Nutrition and Dietetics, School of Health Sciences & Education, Harokopio University, Kallithea, Athens, Greece. Lindström is with the Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland. Makrilakis is with the First Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens, Athens, Greece. de Sabata is with International Diabetes Federation European Region, Brussels, Belgium. Moreno and De Miguel-Etayo are with Growth, Exercise, Nutrition and Development (GENUD) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), University of Zaragoza, Zaragoza, Spain; and CIBER, Zaragoza, Spain. Iotova is with the Department of Paediatrics, Medical University of Varna, Varna, Bulgaria. Rurik is with the Department of Family and Occupational Medicine, University of Debrecen, Debrecen, Hungary.