Audit of healthy lifestyle behaviors among patients with diabetes and hypertension attending ambulatory health care services in the United Arab Emirates

Baynouna, Latifa M.; Neglekerke, Nico J. D.; Ali, Habiba I.; ZeinAlDeen, Sana M.; Ameri, Thuraya A. Al

doi:10.1177/1757975914528248

Cited by 11 publications

(7 citation statements)

References 18 publications

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“…We observed weak associations with age (peaking at 41-50 years) and education as predictors of knowledge; this, however, did not hold on multivariate adjustment. In a recent study in the region, patients' self-perceived knowledge of diabetes declined with increasing age, supporting our findings (21). Al-Maskari and colleagues (3) reported several significant associations, possibly as a result of their larger sample size, but with small differences.…”

Section: Discussionsupporting

confidence: 90%

Knowledge of diabetes among patients in the United Arab Emirates and trends since 2001: a study using the Michigan Diabetes Knowledge Test

Hashim

Mustafa

Ali

2016

East Mediterr Health J

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Knowledge of diabetes among patients with the disease in the United Arab Emirates is essential for effective self-management. We assessed the level of diabetes-related knowledge among patients and compared it with that found in previous studies in the same city. A cross-sectional study, using an interviewer-administered questionnaire, was conducted at two clinics in Al Ain, United Arab Emirates. The Michigan Diabetes Knowledge Test, translated into Arabic, was used to assess knowledge of diabetes. Of 165 participants with diabetes, 130 (78.8%) were women. The mean knowledge score was low at 55% (6.6 out of a maximum possible score of 12, standard deviation 1.8). This is comparable to levels found in previous studies: 55.5% in 2001 and 68.2% in 2006. Misconceptions about the diabetic diet and blood testing were common. The level of diabetes-related knowledge has remained low since 2001. These results are of concern in view of the substantial investments made in diabetes care and health education in the region.

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Section: Discussionsupporting

confidence: 90%

Knowledge of diabetes among patients in the United Arab Emirates and trends since 2001: a study using the Michigan Diabetes Knowledge Test

Hashim

Mustafa

Ali

2016

East Mediterr Health J

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“…Therefore, it is essential to assess the factors and barriers that influence diabetes and hypertension control both in the community and facility context [17][18][19]. This assessment is crucial for devising population-specific interventions and assimilation of knowledge on complex multifactorial associations with the disease [20,21].…”

Section: Introductionmentioning

confidence: 99%

Socio-demographic, behavioural and clinical factors influencing control of diabetes and hypertension in urban Mysore, South India: a mixed-method study conducted in 2018

et al. 2022

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Background Inadequate control of diabetes and hypertension is a major concern in India because of rising mortality and morbidity. Few studies in India have explored factors that influence control of diabetes and hypertension. The current study aimed to improve the understanding of multifactorial influence on the control of diabetes and hypertension among patients in Primary Health Care Settings(PHC) of urban Karnataka. Methods We used a mixed-method study design, within a project aiming to improve non-communicable disease (NCD) continuum of care across PHC in Mysore city, India, conducted in 2018. The quantitative study was conducted among 399 patients with diabetes and/or hypertension and a logistic regression model was used to assess the factors responsible for biological control levels of diabetes and hypertension measured through Glycated Haemoglobin(HbA1c) and blood pressure. Further, in-depth interviews(IDI) were conducted among these patients and the counsellors at PHCs to understand the barriers and enablers for better control. Result The quantitative assessment found odds of poor control amongst diabetics’ increased with older age, longer duration of disease, additional chronic conditions, and tobacco consumption. For hypertensives, odds of poor control increased with higher body mass index(BMI), alcohol consumption, and belongingness to lower social groups. These findings were elaborated through qualitative assessment which found that the control status was affected by stress as a result of family or financial worries. Stress, poor lifestyle, and poor health-seeking behaviour interplay with other factors like diet and exercise leading to poor control of diabetes and hypertension. Conclusion A better understanding of determinants associated with disease control can assist in designing focused patient outreach plans, customized communication strategies, need-based care delivery plans, and specific competency-based capacity-building models for health care workers. Patient-centric care focusing on biological, social and behavioural determinants is pivotal for appropriate management of NCDs at community level in low-middle income countries.

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“…The majority of patients with T2D are not achieving optimum glycemic control, with deleterious consequences, and this could be partially attributed to non-adherence to healthy lifestyle options 12. Furthermore, studies reporting the dietary pattern of T2D patients and its association with glycemic control are scarce in the UAE 13,14. Assessing food consumption patterns among the T2D Emirati population may be beneficial for the development of regional diabetes management intervention recommendations.…”

Section: Introductionmentioning

confidence: 99%

<p>Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates</p>

Sadiya¹,

Mnla²

2019

DMSO

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Background Optimum nutrition has an integral role in glycemic control of diabetic patients. In this study, we intend to explore the frequency of food group/item consumption and its association with the risk of poor glycemic control (Hb A1c >7%) among type 2 diabetes (T2D) patients in the United Arab Emirates (UAE), since there are no data available in this region. Methods In this retrospective cross-sectional study, data on frequency of food group/item consumption of 843 T2D patients aged ≥18 years were collected from records documented by dietitians in a tertiary care center in the UAE. Results The trends of food consumption demonstrate that one-third of the participants consumed all five major food groups, and 10% adhered to the recommended “MyPlate” meal pattern with the optimum mix of food groups. Univariate analysis indicated that participants who adhered to the MyPlate meal pattern presented lower Hb A1c ( β =−0.78, 95% CI −1.22, −0.25; P <0.01). Daily intake of fresh fruit was shown to be protective ( β =−0.64, 95% CI −1.26, −0.04; P =0.04) while fruit juice intake >1 time/day increased the risk of poor glycemic control ( β =1.53, 95% CI 0.72, 2.35; P <0.001). Multiple logistic regression models (area under the receiver operating characteristics curve =0.67) showed consumption of fizzy drinks and fast food ≥1 time/week increased the odds of poor glycemic control by 2.05 (95% CI 1.16, 3.68; P =0.01) and 1.83 (95% CI 1.02, 3.3 P =0.04), respectively, while fresh fruit consumption indicated a clinically relevant protective effect (OR=0.65, 95% CI 0.23, 1.79; P =0.4). Conclusion Consuming food such as fizzy drinks and fast food ≥1 time/week could possibly serve as an independent predictor for poor glycemic control, while fresh fruit could have a protective effect on glycemic control among T2D patients. Clinical Trial Registry: ClinicalTrials.gov Identifier: NCT03388229

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Audit of healthy lifestyle behaviors among patients with diabetes and hypertension attending ambulatory health care services in the United Arab Emirates

Abstract: This practice-based audit provides an essential assessment for future interventions to improve adherence to healthy life style behaviors among patients with diabetes and hypertension attending primary health clinics in the UAE.

Cited by 11 publications

References 18 publications

Knowledge of diabetes among patients in the United Arab Emirates and trends since 2001: a study using the Michigan Diabetes Knowledge Test

Knowledge of diabetes among patients in the United Arab Emirates and trends since 2001: a study using the Michigan Diabetes Knowledge Test

Socio-demographic, behavioural and clinical factors influencing control of diabetes and hypertension in urban Mysore, South India: a mixed-method study conducted in 2018

<p>Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates</p>

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