Analysis of knowledge, attitudes and practices regarding exercise among type 2 diabetes patients and influencing factors: a cross-sectional study

Objective This study investigates exercise-related knowledge, attitude, and practice (KAP) status and its determinants among type T2DM, with the goal of offering practical references to optimize the implementation of exercise-based interventions for this patient group. Methods A questionnaire survey was conducted using cluster sampling among 383 hospitalized patients with type 2 diabetes in the endocrinology departments of seven tertiary hospitals across Guangdong, Guangxi and Hubei provinces, China. The study analyzed the current status and influencing factors of patients’ knowledge, attitudes and practices regarding physical activity. Results Among the T2DM participants, the overall exercise KAP score reached 122.89 ± 24.33, corresponding to a score rate of 66.43%. Specifically, the exercise knowledge subscale obtained 49.10 ± 13.82 points (score rate: 54.56%), the exercise attitude subscale yielded 26.44 ± 7.66 points (score rate: 66.1%), and the exercise practice subscale achieved 47.34 ± 12.55 points (score rate: 67.63%). Multivariate linear regression analysis revealed that long-term residence, educational attainment, monthly income, complications, regular exercise habits, diabetes exercise health education, and family support are related factors of exercise Knowledge-Attitude-Practice levels in T2DM patients ( R 2 = 0.284, P