{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:57:44Z","timestamp":1777557464035,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2011,7,1]],"date-time":"2011-07-01T00:00:00Z","timestamp":1309478400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Technology &amp; Therapeutics"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The aims of this study were (1) to demonstrate the reliability and validity of the Impact of Weight on Activities of Daily Living Questionnaire (IWADL), a measure of ability to perform daily physical activities, in individuals with type 2 diabetes who are moderately obese and (2) to characterize those individuals with low self-reported ability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Data from a web-based survey of individuals with type 2 diabetes and body mass index (BMI) of 30\u201340\u2009k\/mg\n                      <jats:sup>2<\/jats:sup>\n                      were used to calculate Cronbach's\n                      <jats:italic toggle=\"yes\">\u03b1<\/jats:italic>\n                      and demonstrate both IWADL factorial and construct validity. These data were entered into a multivariable multinomial logistic regression model with survey variables (demographics, health status, weight- and diabetes-related) as the independent variables and three IWADL scoring groups (Low, Medium, and High) as the dependent variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Study participants were 349 individuals with type 2 diabetes (mean age\u2009=\u200959 years, 44% male, 91% white, mean BMI\u2009=\u200935\u2009k\/mg\n                      <jats:sup>2<\/jats:sup>\n                      ). Factor analysis indicated a one-factor solution for a seven-item IWADL with Cronbach's\n                      <jats:italic toggle=\"yes\">\u03b1<\/jats:italic>\n                      \u2009=\u20090.94. Significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05) relationships were identified between IWADL and variables previously shown to be related to level of physical activity. Ten variables remained independently (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05) related to IWADL scores, including age, gender, health status, current exercise, using exercise programs or hypnosis as a step to lose weight, and self-reported weight history.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The IWADL is a reliable and valid measure of the ability of individuals with type 2 diabetes and moderate obesity to perform daily physical activities. This ability may be an important patient-reported end point to include in clinical trials of antihyperglycemic medications that produce weight loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/dia.2011.0027","type":"journal-article","created":{"date-parts":[[2011,4,19]],"date-time":"2011-04-19T11:25:19Z","timestamp":1303212319000},"page":"705-712","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Ability to Perform Daily Physical Activities in Individuals with Type 2 Diabetes and Moderate Obesity: A Preliminary Validation of the Impact of Weight on Activities of Daily Living Questionnaire"],"prefix":"10.1177","volume":"13","author":[{"given":"Risa P.","family":"Hayes","sequence":"first","affiliation":[{"name":"Global Health Outcomes"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Global Statistical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Meldahl","sequence":"additional","affiliation":[{"name":"Global Health Outcomes"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley H.","family":"Curtis","sequence":"additional","affiliation":[{"name":"Global Health Outcomes"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,7,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S4237"},{"key":"e_1_3_3_3_2","unstructured":"National Institute of Diabetes and Digestive and Kidney Diseases. 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