scholarly journals An analytical study of the factors affecting the health promoting lifestyle; comparison of type II diabetic patients with healthy people

2019 ◽  
Vol 8 (3) ◽  
pp. 247-252 ◽  
Author(s):  
Reyhaneh Pourjam ◽  
Fatemeh Estebsari ◽  
Zahra Rahimi Khalifeh Kandi ◽  
Kimia Estebsri ◽  
Davoud Mostafaei

Introduction: The most important risk factors for type II diabetic patients are poor nutrition, low physical activity, smoking and obesity indicating an inappropriate lifestyle. Objectives: This study aimed to investigate the factors affecting the health promoting lifestyle in type II diabetic patients compared with healthy people. Patients and Methods: The study was descriptive-analytic with two case-control groups carried out on 150 type II diabetic patients and 150 healthy people. Data were collected using demographic characteristics questionnaire and health promoting lifestyle profile II (HPLII). Results: There was a significant difference between the lifestyle of type II diabetic patients and healthy people (P<0.001). Additionally, there were significant differences regarding lifestyle dimensions between physical activity, nutrition and stress management in type II diabetic patients compared with healthy people (P<0.001). There was no significant difference between the two groups in the dimensions of spiritual growth (P=0.074), communication with others (P=0.363) and health responsibility (P=0.582). Conclusion: This study showed the effective role of lifestyle components in the development of type II diabetes. It is recommended to prevent or manage type II diabetes, through emphasizing on maintaining lifestyle and its dimensions.

Author(s):  
Farideh Moradi ◽  
Arash Ziapour ◽  
Jaffar Abbas ◽  
Sahar Najafi ◽  
Shahab Rezaeian ◽  
...  

Background the most important way to control diabetes is to follow a preventive lifestyle and if a diabetic individual follows a preventive lifestyle which he or she has accepted. The main objective of the current study is to compare the factors affecting the lifestyle in patients suffering from Type II diabetes and the healthy individuals in Kermanshah City. Methods this study is based on a case-control design where using simple random sampling, 110 patients suffering from type II diabetes are selected as the case group and 111 healthy subjects among the companions of other patients are selected as the control group from the Center for Diabetics in Kermanshah City. The average age of the participants is [Formula: see text]. The questionnaires used for collecting the data included the following: the demographic information questionnaire and the lifestyle questionnaire which covers diet, physical activity, coping with stress, and smoking. Software applications including STSTA14 and SPSS23 were used for performing statistical computations and logistic regression or linear regression tests were used for analyzing the collected data. Results in the subscales of diet, physical activity, spiritual growth, and stress management, there was a significant difference between the diabetic and healthy groups in a wat that the average score for these subscales was higher in the healthy individuals. While the average score for “health responsibility” was higher in the diabetic group compared to the healthy subjects, the difference was not significant ([Formula: see text]). Moreover, there was a significant statistical relationship between the two groups, i.e. the diabetic and healthy groups, and the variables of age, education level, and occupation (P > 0.05). Conclusion healthy lifestyle including proper diet and athletic activity is effective in preventing type II diabetes. Accordingly, implementing policies in the urban transportation system such as providing a special lane for bikers in the cities, increasing the tax for harmful foods, considering subsidies for healthy food products, and self-care of individuals can be effective.


2017 ◽  
Vol 2 (2) ◽  
pp. 26-34
Author(s):  
Hridaya Parajuli ◽  
Jyotsna Shakya ◽  
Bashu Dev Pardhe ◽  
Puspa Raj Khanal ◽  
Narayan Prasad Parajuli ◽  
...  

Background: Hyperuricemia is associated with type 2 diabetes, which is a metabolic disorder of multiple etiologies resulting from defects in insulin action. The present study wascarried out to look for any association between uric acid and Type II Diabetes Mellitus and also status of triacylglycerol level among those patients.Methods: The blood samples were collected 100 diabetic and 100 non-diabetic individuals in the department of biochemistry and then analyzed for estimation of blood glucose, Uric Acid and Triacylglycerol level.Results: The average level of serum uric acid in diabetic patients was higher (5.706±1.617) in comparison to non diabetic subjects (4.322±0.784) with statistically significant difference (p≤0.05). For female the result indicate there was a positive correlation between (FBS and triglycerides) and (triglycerides and uric acids) which was statistically significant (r =-0.465, n = 41, p = 0.002) and(r =-0.370, n = 41, p = 0.017) respectively.Conclusions: This study documents that hyperuricemia is associated with type 2 diabetes mellitus. Furthermore, the serum triacylglycerol and serum uric acid is also found to be associated risk factors for diabetic complications. Hence, timely diagnosis and management of diabetes is vital to control the complications related to diabetes.Ann. Clin. Chem. Lab. Med. 2016:2(1); 26-34


2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Mostafa Jafari ◽  
Hossein Ashtarian ◽  
Parvin Nokhasi

Background: Various teaching methods could be used to reduce complications in diabetic patients. Objectives: The present study aimed to assess the effect of nutrition training based on the health belief model (HBM) and electronic methods on the awareness of patients with type II diabetes in Kermanshah, Iran in 2012. Methods: This quasi-experimental study was conducted at a diabetes clinic in Kermanshah City. In total, 60 patients were selected via convenience sampling and divided into three groups of 20, including SMS, blog, and collaborative blog. Data were collected before, immediately after, and three months after the educational intervention using a standard questionnaire. Data analysis was performed in SPSS version 16 using the Kruskal-Wallis test, Friedman’s test, and analysis of variance (ANOVA) at the significance level of 0.05. Results: The mean score of awareness was considered significant (P < 0.01). In addition, significant differences were observed in the perceived sensitivity and barriers, cue to action, and self-efficacy in the blog group (P < 0.05) before and three months after the intervention. In the collaborative blog group, a significant difference was denoted in the perceived severity and cue to action before and three months after the intervention (P < 0.05). Cue to action also differed significantly in the SMS group, and the self-efficacy score significantly changed only in the blog group after the intervention (P = 0.006). Conclusions: According to the results, using blogs, group/collaborative blogs, and SMS could effectively increase the awareness of the diabetic patients. Therefore, virtual training could enhance the structures of the HBM, with the exception of the perceived sensitivity domain.


2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Fatemeh Babadi

Context: Periodontal disease is a complication of diabetes mellitus. Both periodontal disease and diabetes mellitus stimulate the release of proinflammatory cytokines. The aim of the present study was to evaluate the salivary and serum levels of interleukin (IL-6) and IL-8 levels in type II diabetic patients with periodontal disease. Evidence Acquisition: The present study is a narrative review. A literature review was conducted using the electronic databases including Web of Science, PubMed, Scopus, Google Scholar as well as Persian databases such as SID, Magiran, and IranMedex from 2005 to 2019, particularly the last 10 years. The appropriate keywords were searched, including “Diabetes Mellitus”, “IL-6”, “IL-8”, Periodontal Disease”, “Saliva”, and “Serum”. Results: The present study analyzed four articles from the case-control series, including 42 to 90 patients. The results showed that the level of salivary concentration of IL-6 was increased in patients with periodontal disease with/without diabetes mellitus. A marginally statically significant correlation was found in salivary and serum levels of IL-6 after applying spearman’s nonparametric test. However, the relevant serum analysis showed only a minor influence of type II diabetes and periodontal disease on IL-6 serum levels. There was no significant difference between the periodontitis patients and IL-6 and IL-8 serum levels. A positive correlation was found between glycemic control and the severity of periodontal disease. Conclusions: The intensity of periodontal disease was high in patients with type II diabetes, underlining the need for special oral health care for these patients. The level of salivary IL-6 can be considered as a main biomarker in the diagnosis of diabetes and periodontal disease. The serum levels of the IL-6 and IL-8 showed no significant difference in patients with periodontitis.


2021 ◽  
Author(s):  
Neda Kianipour ◽  
Fakhrodin Chaboksavar ◽  
Mehrali Rahimi ◽  
Javad Yoosefi Lebni ◽  
Jaffar Abbas ◽  
...  

Abstract Background: Self-care practices in diabetes patients are crucial to keep the illness under control and prevent complications. Effective management of diabetes will be a difficult task without an adequate understanding of the current level of practice related to diabetes self-care. Therefore, this study aims to assess the factors affecting the self-care behaviors status of patients with Type II diabetes and the role of demographic variables in Iran. Methods: The present study is a descriptive-analytical study that was designed and conducted in 2020. This study's statistical population was type II diabetic patients at the Diabetes Research Center of Ayatollah Taleghani Hospital in Kermanshah who were selected by available sampling method of 280 samples. Data collection tools included demographic characteristics questionnaire and standard self-care questionnaire for the Glasgow and Tobert diabetic patients. Data were analyzed using SPSS-23 software, independent t-tests, one-way analysis of variance, and stepwise regression.Results: The mean of self-care scores was 2.07±2.08 and indicated an unfavorable condition. The highest mean scores of self-care were in the field of regular use of medications, and the lowest scores were in the field of blood-glucose testing. The mean scores of self-care were significantly different based on marital status, occupation status, residence, type of treatment, duration of diabetes, years, smoking status (P<0.05). Regression results showed that the variables predictors; type of treatment, smoking status, the complication of diabetes, education level status, place of residence explained 515% of the variance of self-care.Conclusion: The study showed that the extent to which individuals adhere to Type II diabetes recommended management is substantially low. Improving awareness of patients and the community at large is imperative, especially on the diet, exercise, blood-glucose testing, foot care, and no smoking.


2019 ◽  
Vol 6 (10) ◽  
pp. 3492
Author(s):  
Said El Mallah ◽  
Abd El Moniem Fareed ◽  
Omar M. Abd Al-Halim Ghaly

Background: The aim of this study is to evaluate the effect of hyperbaric oxygen therapy (HBOT) in healing of chronic foot ulcers in patients with type II diabetes mellitus.Methods: A case control study included 40 type II diabetic patients with chronic foot ulcers not healing for more than 4 weeks. It has been conducted at Naser Institute for Research and Treatment and Menoufia University Hospital during the period between April 2017 and September 2018. Patients with non-healing diabetic foot ulcers were referred by physicians and were also identified through a number of wound care clinics in various hospitals.Results: Most ulcers were observed in the sole and heel in both groups A and B (n=14 and 9 respectively), while the rest of ulcers were distributed in other areas of the foot, namely the medial and lateral malleoli, dorsum and toes. On comparing the wound related complications developing during the treatment period, no statistically significant difference was found between both groups (p=0.147). As regards Wagner's grade, 7 patients (17.5%) had grade 4 ulcers, 18 patients (45%) had grade 3 ulcers and 15 patients (37.5%) had grade 2 ulcers, showing no statistically significant difference between both groups before treatment (p=0.259).Conclusions: HBOT is a useful adjunct in the treatment of non-healing diabetic foot ulcers, and that the cost of HBOT itself will be reduced as it becomes more widely available in the clinical setting, and as further knowledge of its other advantages, such as limited side effects and relative safety, become more widely appreciated. 


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Pramila Baral ◽  
Neeta Tamrakar

Background: Lifestyle-related diseases are increasing worldwide representing 63% of all deaths globally. Health-promoting behaviors among nurses may affect the quality of patient care and education. This study aims to identify the health-promoting lifestyle among nurses. Methods: Descriptive, cross-sectional study design was used among 111 nurses working in Manipal Teaching Hospital, Pokhara from November 2016 to March 2017. A simple random sampling technique (lottery method) was applied using a self-administered structured standard tool, Health Promoting Lifestyle Profile II. The analysis was done using an independent t-test. Results: The total Health-Promoting Lifestyle Profile II mean score was 137.66±19.18. The highest mean score was in spiritual growth (27.43±4.63) and lowest in physical activity (17.03±4.88). A good health-promoting lifestyle was among 60.4% of the nurses. The significant difference in the mean score of total Health-Promoting Lifestyle Profile II was found in marital status (p=0.031) and educational qualification (p=0.009). Likewise, the significant mean difference of interpersonal relations, nutrition and stress management was found with educational qualification (p < 0.05). The significant mean difference in nutrition was also found with marital status (p=0.02). There was a significant mean difference in physical activity and spiritual growth with work experience  (p<0.05). Conclusion: The spiritual aspect of health has been more focused by the nurses. Along with this, nurses need to put greater emphasis on physical activity and stress management for better health.   


2020 ◽  
Author(s):  
Zahra Koohmareh ◽  
Majid Karandish ◽  
Ali Mohammad Hadianfard

BACKGROUND Nowadays digital games are not just an entertainment, but beside the routine treatments, they are being used in patient cares especially in patients with diabetes, a high prevalence disease in the world. Application of digital games in patient education could improve self-management of diabetes. OBJECTIVE The aim of the present study was to evaluate the effect of a mobile game (Amoo) implementation on enhancing the dietary information in patients with type II diabetes. METHODS A mobile game (called Amoo), which was developed for the self-education of patient with diabetes was applied. Sixty patients with type II diabetes were participated in the study. The participants took part in a pre-intervention test to determine their dietary information. The participants were randomly divided into one of two groups including intervention group: played the game for 15 minutes daily for 6 weeks, and control group: did not involve in the game. A post-intervention test was run to show a possible improvement in dietary information. RESULTS The results indicated a statistically significant difference between the pre and post test scores in the intervention group (p <0.0001). However, there was no significant difference in fasting blood sugar (p = 0.625). CONCLUSIONS The mobile game (Amoo) could enhance the knowledge of patients with type 2 diabetes about food calorie and glycemic index. This means that mobile games with educational value enhance learning process.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
J E F Gendy ◽  
N M Elmowafy ◽  
M M Elfiky ◽  
Y M Shaaban

Abstract Introduction Numerous studies were dedicated to explaining the effect of type II diabetes on corneal endothelium. There seemed to be a conflict in the results of the studies, some highlighted that diabetes did not affect the corneal endothelium but rather the corneal thickness. While others disagreed stating that there was damage to the endothelium. The rest cited low endothelial cell density only in poor glycaemic control. This prospective analytical study will extensively investigate the effect of diabetes on the corneal endothelium using non-contact specular microscopy. Aim Prospective analysis of the effect of type II diabetes mellitus on the corneal endothelium performed by specular microscopic examination using KONAN Non-Contact Specular Microscope CC-5000 Cellchek; with regards to cell count, density, size, morphology and comparing them to normal subjects of the same age group. The aim of the study is to completely understand the changes that occur to the corneal endothelium in diabetic patients. Patients and Methods This is a cross-sectional study, in which 30 Diabetic eyes and 30 Control eyes were examined using non-contact specular microscope. Patients were recruited from the Specialized Eye Hospital Kobry El Kobba Military Medical Complex. Results The study included 17 males and 13 females in the non-diabetic control group while in the diabetic group it included 16 males and 14 females. By comparing the demographic data of the two study groups, no significant difference (p &gt; 0.05) was found. The same results were obtained in data regarding the age. Comparing both groups regarding the cell count, density and average cell size showed a highly significant difference (p &lt; 0.05). While comparing the coefficient of variation and the percentage of hexagonal cells in both groups showed a significant difference (p &gt; 0.05). Conclusion Diabetes has been implicated in the morbidity of the corneal endothelium. Our study concluded that it appears that diabetes has a significant impact on the corneal endothelial anatomy, causing endothelial cell loss and a decrease in cell density producing compensatory polymegathism. Triggering a disturbance in the physiological functions of the endothelium when under stress e.g. trauma, surgery or intraocular inflammation. However, under normal physiological conditions we found out that there was no abnormality or impairment in the corneal endothelial functions; in keeping the corneal deturgesence (relatively dehydrated, 70% hydration). Therefore, we concluded from the results that special caution should be taken in diabetic patients to whom any stress is applied on the corneal endothelium so that they do not develop corneal decompensation leading to significant morbidity.


2021 ◽  
Author(s):  
Neda Kianipour ◽  
Fakhroddin Chaboksavar ◽  
Mehrali Rahimi ◽  
Javad Yoosefi Lebni ◽  
Jaffar Abbas ◽  
...  

Abstract Background: Self-care practices in diabetes patients are crucial to keep the illness under control and prevent complications. Effective management of diabetes will be a difficult task without an adequate understanding of the current level of practice related to diabetes self-care. Therefore, this study aims to assess the factors affecting the self-care behaviors status of patients with Type II diabetes and the role of demographic variables in Iran. Methods: The present study is a descriptive-analytical study that was designed and conducted in 2020. This study's statistical population was type II diabetic patients at the Diabetes Research Center of Ayatollah Taleghani Hospital in Kermanshah who were selected by available sampling method of 280 samples. Data collection tools included demographic characteristics questionnaire and standard self-care questionnaire for the Glasgow and Tobert diabetic patients. Data were analyzed using SPSS-23 software, independent t-tests, one-way analysis of variance, and stepwise regression. Results: The mean of self-care scores was 2.07±2.08 and indicated an unfavorable condition. The highest mean scores of self-care were in the field of regular use of medications, and the lowest scores were in the field of blood-glucose testing. The mean scores of self-care were significantly different based on marital status, occupation status, residence, type of treatment, duration of diabetes, years, smoking status (P<0.05). Regression results showed that the variables predictors; type of treatment, smoking status, the complication of diabetes, education level status, place of residence explained 515% of the variance of self-care.Conclusion: The study showed that the extent to which individuals adhere to Type II diabetes recommended management is substantially low. Improving awareness of patients and the community at large is imperative, especially on the diet, exercise, blood-glucose testing, foot care, and no smoking.


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