LitKDM2 study: the impact of health Literacy and knowledge about the disease on the metabolic control of type 2 diabetes mellitus

Abreu, Isabel Ralha de; Baía, Catarina; Silva, Jorge; Santos, Ana Matos; Oliveira, Mafalda; Castro, Filipa de; Mozes, Mónica; Ferreira, Rute A. S.; Alves, Luís

doi:10.1007/s00592-022-01875-2

Cited by 7 publications

(5 citation statements)

References 35 publications

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“…In general, similar to other studies (34,(48)(49)(50)(51), the level of knowledge of the respondents is low, given the high percentage of wrong answers (and non-answers) to the items asked in the six dimensions of the DKT. So what factors are there to explain this lack of knowledge: Bad treating team-T2D patient communication?…”

Section: Discussionsupporting

confidence: 80%

Knowledge about type 2 diabetes: its impact for future management

Ferreira,

Morais,

Pimenta

et al. 2024

Front. Public Health

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Diabetes can cause several long-term complications. Knowledge about this disease can play an important role in reducing diabetes-related complications. In addition, the lack of awareness leads to misconceptions, which joined with inadequate knowledge, are relevant barriers to proper diabetes management. In this study, we aimed to assess the diabetes knowledge of a type 2 diabetes (T2D) population and identify major knowledge gaps, in order to prevent complications and to increase quality of life. In a cross-sectional, observational study in a convenience sample, we identified individuals diagnosed with T2D attending ambulatory visits from five health settings, older than 18 years, with a time diagnosis of at least 1 year, and attending multidisciplinary visits for at least 3 months. To assess the knowledge of T2D individuals, we applied the Portuguese version of the Diabetes Knowledge Test. The sample included a total of 1,200 persons, of whom almost half were female. The age range of the participants varied from 24 to 94 years old, and the mean age was 65.6 ± 11.4 years. Most of the sample had a level of education under secondary and lived with someone. In our sample, 479 (39.9%) were insulin-treated. The percentage of correct answers was 51.8% for non-insulin vs. 58.7% for insulin treated (p < 0.05). There were three items with a percentage of correct answers lower than 15%; the item with the lower value of correct answers was the one related to the identification of signs of ketoacidosis with only 4.4% of correct answers, the errors presented a random pattern; the item related to the identification of which food should not be used to treat low blood glucose with 11.9%, where 56.9% of the sample’s participants considered that one cup of skim milk would be the correct answer (53.1% in non-insulin patients and 62.6% in insulin treated patients; p < 0.001). The item regarding the knowledge of free food presented a 13.3% of correct answers (10.8% non-insulin group vs. 17.1% insulin group; p < 0.01). Two of the three items with lower value of correct answers were related to glycemic control and health status monitoring, the other was related to diet and food.

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Section: Discussionsupporting

confidence: 80%

Knowledge about type 2 diabetes: its impact for future management

Ferreira,

Morais,

Pimenta

et al. 2024

Front. Public Health

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“…A meta-analysis of 29 observational studies (n=13,457 participants) reported that almost 33% of patients with T2DM have low HL [247]. This is problematic because higher HL is associated with greater T2DM health knowledge and glucose control [248,249] and increased uptake of positive self-management behaviors such as medication adherence, physical activity and healthy diet [250][251][252][253].…”

Section: Health Literacymentioning

confidence: 99%

Type 2 Diabetes Mellitus and Sarcopenia as Comorbid Chronic Diseases in Older Adults: Established and Emerging Treatments and Therapies

Mesinovic,

Fyfe,

Talevski

et al. 2023

Diabetes Metab J

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Type 2 diabetes mellitus (T2DM) and sarcopenia (low skeletal muscle mass and function) share a bidirectional relationship. The prevalence of these diseases increases with age and they share common risk factors. Skeletal muscle fat infiltration, commonly referred to as myosteatosis, may be a major contributor to both T2DM and sarcopenia in older adults via independent effects on insulin resistance and muscle health. Many strategies to manage T2DM result in energy restriction and subsequent weight loss, and this can lead to significant declines in muscle mass in the absence of resistance exercise, which is also a first-line treatment for sarcopenia. In this review, we highlight recent evidence on established treatments and emerging therapies targeting weight loss and muscle mass and function improvements in older adults with, or at risk of, T2DM and/or sarcopenia. This includes dietary, physical activity and exercise interventions, new generation incretin-based agonists and myostatin-based antagonists, and endoscopic bariatric therapies. We also highlight how digital health technologies and health literacy interventions can increase uptake of, and adherence to, established and emerging treatments and therapies in older adults with T2DM and/or sarcopenia.

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“…No entanto, a influência do conhecimento específico da DAC no LS não é totalmente compreendida. Embora alguns estudos tenham mostrado a relação entre LS e conhecimento específico sobre a doença em diferentes grupos de pacientes (11,(16)(17) , outras investigações que incluíram pacientes com doenças crônicas e infecciosas não conseguiram demonstrar que o conhecimento específico sobre a doença influencia o LS (18)(19)(20)(21) . Uma metanálise que incluiu mais de 18.000 participantes com diabetes mostrou que níveis mais altos de LS estavam associados aos níveis mais elevados de conhecimento da doença (r = 0,308, p <0,001) e aos melhores desfechos clínicos, como redução dos valores de hemoglobina glicada (HbA1C) (r = -0,048, p = 0,027) (18) .…”

Section: Introductionunclassified

Fatores que influenciam o letramento em saúde em pacientes com doença arterial coronariana

Costa

Conceição

Butcher

et al. 2023

Rev. Latino-Am. Enfermagem

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Objetivo: investigar os fatores que influenciam o letramento em saúde em pacientes com doença arterial coronariana. Método: estudo transversal, incluindo 122 pacientes com coronariopatias (60,7% do sexo masculino; 62,07±8,8 anos); letramento em saúde e conhecimento específico da doença foram avaliados por meio de entrevista com os participantes, pelo Short Test of Functional Health Literacy in Adults e Short version of the coronary artery disease education questionnaire. Os dados foram descritos por medidas de tendência central e frequências. Fatores que influenciam o letramento em saúde foram determinados por modelo de regressão linear. O nível de significância adotado foi de 5%. O estudo foi aprovado pelo Comitê de Ética e Pesquisa. Resultados: idade e hipertensão apresentaram uma relação inversa e significativa com letramento em saúde. Por outro lado, maior escolaridade e estar empregado associaram-se com maiores pontuações no instrumento de letramento em saúde. O conhecimento específico da doença não influenciou o letramento em saúde. As variáveis do modelo de regressão explicaram 55,3% do letramento inadequado. Conclusão: no presente estudo o conhecimento sobre a doença não influência o letramento em saúde, mas os profissionais devem considerar os fatores sociodemográficos e clínicos para planejar as intervenções.

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LitKDM2 study: the impact of health Literacy and knowledge about the disease on the metabolic control of type 2 diabetes mellitus

Cited by 7 publications

References 35 publications

Knowledge about type 2 diabetes: its impact for future management

Knowledge about type 2 diabetes: its impact for future management

Type 2 Diabetes Mellitus and Sarcopenia as Comorbid Chronic Diseases in Older Adults: Established and Emerging Treatments and Therapies

Fatores que influenciam o letramento em saúde em pacientes com doença arterial coronariana

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