The temporal interplay between physical activity, emotional well-being, and health-related quality of life in individuals with recently diagnosed type 2 diabetes mellitus: a cross-lagged panel analysis
Authors' conclusion
HRQoL and EWB predicted subsequent MVPA, whereas MVPA showed limited and inconsistent effects on later HRQoL or EWB.
Study context
- Population
- Adults recently diagnosed with T2D
- Participants
- 972 participants
- Outcome
- Bidirectional associations between accelerometry-measured MVPA, health-related quality of life (HRQoL) (SF-12 PCS, MCS) and emotional well-being (WHO-5)
- Follow-up
- Baseline, 24 and 48 months
Methodological detailsthree-wave cross-lagged panel model, adjusted for age and sex
- Three-wave cross-lagged panel model
- Adjusted for age and sex
Main finding
As reported in the abstract
- Baseline PCS predicted moderate to vigorous physical activity (MVPA) at 24 months
- β = 0.124, p < 0.001
- PCS at 24 months predicted MVPA at 48 months
- β = 0.146, p < 0.001
- Baseline MCS predicted MVPA at 24 months
- β = 0.116, p = 0.001
- Baseline MCS did not predict MVPA at 48 months
- β = −0.016, p = 0.653
- Baseline emotional well-being (EWB) predicted MVPA at 24 months
- β = 0.080, p = 0.023
- Baseline EWB did not predict MVPA at 48 months
- β = 0.068, p = 0.058
- Baseline MVPA did not predict PCS at 24 months
- β = 0.038, p = 0.184
- MVPA at 24 months predicted PCS at 48 months
- β = 0.065, p = 0.024
Observational data: associations, not effects.
Original publication
The temporal interplay between physical activity, emotional well-being, and health-related quality of life in individuals with recently diagnosed type 2 diabetes mellitus: a cross-lagged panel analysis. Diabetes Res Clin Pract. Published 23 February 2026. doi:10.
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