scholarly journals Prevalence and Predictors of Nonadherence to Diet and Physical Activity Recommendations among Type 2 Diabetes Patients in Southwest Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Getandale Zeleke Negera ◽  
Dariowani Charles Epiphanio

Background. Nonadherence to lifestyle modification recommendations is a major challenge in the management of diabetes mellitus. This study was conducted to measure the prevalence and predictors of nonadherence to diet and physical activity recommendations among type 2 diabetes patients (T2D). Methods. A cross-sectional study involving 322 type 2 diabetes patients was conducted from April 1 to June 30, 2019. Data were collected through face-to-face interviews using structured and pretested questionnaire. Data on sociodemographic, psychosocial, and clinical characteristics were collected. Descriptive analytical results were reported in text, tables, and figures. Logistic regression was conducted to identify predictors of nonadherence to diet and physical activity. Variables with p value ≤0.25 in bivariate logistic regression were considered as candidates for multivariable regression. Multivariate logistic regression was performed to identify independent predictors. Odds ratios and their 95% confidence intervals together with p value <0.05 were used to declare statistical significance. Result. The rate of nonadherence to physical activity and diet was 64.3% and 36%, respectively. Female gender (AOR: 2.6, 95% CI [1.52–4.56]), age > 60 years (AOR: 2.9, 95% CI [1.12–7.42]), being illiterate (AOR: 4.2, 95% CI [1.86–9.73]), diabetes duration of >5 years (AOR: 2.5, 95% CI [1.42–4.41]), and lack of social support (AOR: 2.4, 95% CI [1.42–4.35]) were independent predictors of nonadherence to physical activity recommendations. Factors associated with nonadherence to dietary recommendations were being male (AOR = 2.8, 95% CI: [1.35–5.65]), age > 60 years (AOR = 6.3, 95% CI: [2.21–18.17]), khat chewing (AOR = 8.0, 95% CI: [3.86–16.7]), lack of social support (AOR = 15.26, 95% CI = [7.45–32.8]), and doctor’s instructions or advice regarding diet (AOR = 8.9, 95% CI = [4.26–18.9]). Conclusion. The rate of nonadherence to diet and physical activity recommendations was high in the study area. Predictors of nonadherence to physical activity are female gender, age > 60 years, being illiterate, diabetes duration of >5 years, and lack of social support. Predictors of nonadherence to diet are being male, khat chewing, lack of social support, and doctor’s instructions or advice regarding diet.

2020 ◽  
Vol 57 (7) ◽  
pp. 765-777
Author(s):  
Liangying Hou ◽  
Long Ge ◽  
Yanfei Li ◽  
Yajing Chen ◽  
Huijuan Li ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0200681 ◽  
Author(s):  
Mirthe Muilwijk ◽  
Mary Nicolaou ◽  
Samera A. Qureshi ◽  
Carlos Celis-Morales ◽  
Jason M. R. Gill ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e016946 ◽  
Author(s):  
Thamra Alghafri ◽  
Saud M Alharthi ◽  
Yahya Mohd Al Farsi ◽  
Elaine Bannerman ◽  
Angela Mary Craigie ◽  
...  

ObjectivesPhysical activity is fundamental in diabetes management for good metabolic control. This study aimed to identify barriers to performing leisure time physical activity and explore differences based on gender, age, marital status, employment, education, income and perceived stages of change in physical activity in adults with type 2 diabetes in Oman.DesignCross-sectional study using an Arabic version of the ‘Barriers to Being Active’ 27-item questionnaire.SettingSeventeen primary health centres randomly selected in Muscat.ParticipantsIndividuals>18 years with type 2 diabetes, attending diabetes clinic for >2 years and with no contraindications to performing physical activity.Primary and secondary outcome measuresParticipants were asked to rate how far different factors influenced their physical activity under the following categories: fear of injury, lack of time, social support, energy, willpower, skills, resources, religion and environment. On a scale of 0–9, barriers were considered important if scored ≥5.ResultsA total of 305 questionnaires were collected. Most (96%) reported at least one barrier to performing leisure time physical activity. Lack of willpower (44.4%), lack of resources (30.5%) and lack of social support (29.2%) were the most frequently reported barriers. Using χ2test, lack of willpower was significantly different in individuals with low versus high income (54.2%vs40%, P=0.002) and in those reporting inactive versus active stages of change for physical activity (50.7%vs34.7%, P=0.029), lack of resources was significantly different in those with low versus high income (40%vs24.3%, P=0.004) and married versus unmarried (33.8%vs18.5%, P=0.018). Lack of social support was significant in females versus males (35.4%vs20.8%, P=0.005).ConclusionsThe findings can inform the design on physical activity intervention studies by testing the impact of strategies which incorporate ways to address reported barriers including approaches that enhance self-efficacy and social support.


2021 ◽  
Vol 12 ◽  
pp. 204201882110546
Author(s):  
Samuel Seidu ◽  
Kamlesh Khunti ◽  
Tom Yates ◽  
Abdullah Almaqhawi ◽  
M.J. Davies ◽  
...  

Over time, various guidelines have emphasised the importance of physical activity and exercise training in the management of type 2 diabetes, chronic diseases, including cardiovascular disease and musculoskeletal disorders. The aim of this review is to evaluate the effectiveness of physical activity in people with type 2 diabetes and COVID-19. Most research to date indicates that people with type 2 diabetes who engage in both aerobic and resistance exercise see the greatest improvements in insulin sensitivity. Physical activity is now also known to be effective at reducing hospitalisation rates of respiratory viral diseases, such as COVID-19, due to the beneficial impacts of exercise on the immune system. Preliminary result indicates that home-based exercise may be an essential component in future physical activity recommendations given the current COVID-19 pandemic and the need for social distancing. This home-based physical exercise can be easily regulated and monitored using step counters and activity trackers, enabling individuals to manage health issues that benefit from physical exercise.


2008 ◽  
Vol 27 (2, Suppl) ◽  
pp. S118-S125 ◽  
Author(s):  
Manuel Barrera ◽  
Lisa A. Strycker ◽  
David P. MacKinnon ◽  
Deborah J. Toobert

2021 ◽  
Vol 9 (E) ◽  
pp. 273-277
Author(s):  
Raphaella Raphaella ◽  
Mutiara Indah Sari

BACKGROUND: Diabetes mellitus is a chronic metabolic disease with an increased blood glucose level. Lifestyle in the form of wrong diet and low or inadequate physical activity affect to type 2 diabetes. AIM: The purpose of this study was to determine the level of knowledge and attitude of medical students at the Universitas Sumatera Utara regarding diet and physical activity that contribute to type 2 diabetes. METHODS: Class 2017 medical students at the Universitas Sumatera Utara who met the inclusion and exclusion criteria were asked to participate as respondents in this cross-sectional study. Respondents were asked to answer online-based questionnaires containing 14 knowledge questions and 14 attitude statements about lifestyle towards type 2 diabetes. Knowledge scores equal to above 11 were categorized as good knowledge, and attitude scores equal to above 42 were categorized as good attitude. The data were presented as frequencies and percentage proportions using SPSS program version 22. RESULTS: Out of 255 class 2017 medical students, 72 students were respondents in this study. The results showed that the level of knowledge and attitude of medical students regarding diet that plays a role in type 2 diabetes in the good, moderate, and poor categories were 94.4%, 4.2%, 1.4% and 58.3%, 41.7%, 0%, respectively. The level of knowledge and attitude regarding physical activity that plays a role in type 2 diabetes in the good, moderate, and poor categories were 97.2%, 1.4%, 1.4% and 33.3%, 66.7%, 0%, respectively. Conclusions: In this study, it was shown that the knowledge and attitude of medical students at the Universitas Sumatera Utara towards eating pattern that contributes in type 2 diabetes were in line, namely the percentage of good categories was the highest percentage for each knowledge and attitude, but different results were found on the level of knowledge and attitude for physical activity.


2019 ◽  
Author(s):  
Edina Maria de Camargo ◽  
Jose Francisco López-Gil ◽  
Thiago Silva Piola ◽  
Jorge Augusto Pinto Silva Mota ◽  
Wagner de Campos

Abstract Background: To verify the relationship between the level of moderate to vigorous physical activity of parents and that social support with the level of moderate to vigorous physical activity in adolescents. Methods: Cross-sectional study that selected 1390 (59.6% female) adolescents. The questionnaires IPAQ, QAFA and ASAFA were used. Binary logistic regression was used to test the relationship between the study variables. The direction and magnitude measurement were verified. Results: In relation to girls, the fact of receiving incentives from parents (OR=1.589 – CI95%=1.060-2.382) and having parents/legal guardians who meet the vigorous moderate physical activity recommendations (OR=2.038 – CI95%=1.424-2.918) was associated with meeting the vigorous moderate physical activity recommendations. Regarding boys, the support of parents related to transportation (OR=1.741 – CI95%=1.114- 2.719), parents who comment on physical activity (OR=0.440 – CI95%=0.266-0.729) and parents who meet the vigorous moderate physical activity recommendations (OR=2.739 – CI95%=1.700-4.14) were associated with meeting the recommendations for adolescents. Conclusions: The social support from parents increased to practice physical activity contributes to adolescents chances of achieving moderate to vigorous physical activity recommendation. Adolescents who have physically active parents (who comply moderate to vigorous physical activity recommendations) are almost twice as likely to comply with the recommendations.


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