Severe obesity and diabetes self‐care attitudes, behaviours and burden: implications for weight management from a matched case‐controlled study. Results from Diabetes <scp>MILES</scp>—Australia

Dixon, John; Browne, Jessica L.; Mosely, Kylie; Rice, Thomas Jackson; Jones, Kay Margaret; Pouwer, Frans; Speight, Jane

doi:10.1111/dme.12306

Cited by 20 publications

(19 citation statements)

References 30 publications

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“…Contrary to the findings of Dixon et al [23] in Australia, BMI and WC were not significantly associated to any of the self-care behaviours investigated in this study. The diabetes populations of the Dixon et al study and the current study could differ in their perception of the health risks of excess body weight.…”

Section: Discussioncontrasting

confidence: 99%

“…Overweight and obesity are common in individuals with type 2 diabetes [21, 22]. However, only one study [23] has evaluated the association between self-care behaviours and body mass index (BMI) and waist circumference (WC) in type 2 diabetes patients in which those with BMI ≥35 Kg/m 2 compared to those with BMI < 35 Kg/m 2 were less likely to achieve healthy diet and exercise targets. Consequently, there is limited data regarding the influence of body weight on adherence to self-care behaviours in type 2 diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana

et al. 2017

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BackgroundPrevious research has failed to examine more than one self-care behaviour in type 2 diabetes patients in Ghana. The purpose of this study is to investigate adult Ghanaian type 2 diabetes patients’ adherence to four self-care activities: diet (general and specific), exercise, self-monitoring of blood glucose (SMBG) and foot care.MethodsConsenting type 2 diabetes patients attending diabetes outpatient clinic appointments at three hospitals in the Tamale Metropolis of Ghana completed a cross-sectional survey comprising the Summary of Diabetes Self-Care Activities Measure, and questions about demographic characteristics and diabetes history. Height and weight were also measured. Multiple linear regression analyses were conducted to identify the factors associated with adherence to each of the four self-care behaviours.ResultsIn the last 7 days, participants exercised for a mean (SD) of 4.78 (2.09) days and followed diet, foot care and SMBG for a mean (SD) of 4.40 (1.52), 2.86 (2.16) and 2.15 (0.65) days, respectively. More education was associated with a higher frequency of reported participation in exercise (r = 0.168, p = 0.022), following a healthy diet (r = 0.223, p = 0.002) and foot care (r = 0.153, p = 0.037) in the last 7 days. Males reported performing SMBG (r = 0.198, p = 0.007) more frequently than their female counterparts.ConclusionAdherence to diet, SMBG and checking of feet were relatively low. People with low education and women may need additional support to improve adherence to self-care behaviours in this type 2 diabetes population.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana

et al. 2017

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“…Increase in BMI was associated with poor self-care. Similar results were found in Australia among 1,796 respondents with T2DM when a group with BMI ≥35 kg/m 2 was found to be less likely to achieve healthy diet and exercise targets and placed less importance on diet and exercise recommendations [ 26 ]. An increase in BMI is associated with low self-esteem, which may also affect self-care activities.…”

Section: Discussionsupporting

confidence: 63%

“…The strength of the present study is that it used the MDI, which is based on the DSM-IV, ICD-10 symptoms of major depression, and the SCI, which covers all recommended critical areas of diabetes self-care [ 18 26 ]. Limitations of the study are that we do not know the refusal rate, so there might have been a selection bias, although it is difficult to estimate how big this selection bias was.…”

Section: Discussionmentioning

confidence: 99%

Depressive Symptoms Are Negatively Associated with Glucose Testing and Eating Meals on Time among Individuals with Diabetes in Zambia

et al. 2017

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BackgroundDepression is an established risk factor for cardiovascular diseases and mortality among individuals living with diabetes, and impaired self-care behaviors may play a mediating role. In Africa, this association is not very well known. In this study, we examined the associations between depressive symptoms and different aspects of diabetes self-care in Zambian individuals with diabetes mellitus.MethodsA total of 157 individuals with diabetes mellitus participated. The sample was drawn from four city hospitals in Zambia. Diabetes self-care was assessed using the diabetes self-care inventory, and depression was assessed using the major depression inventory.ResultsFifty-nine percent of the sample had type 1 diabetes mellitus. Variations in self-care activities and behaviors were reported as least adhered to by individuals with type 1 and type 2 diabetes mellitus, in adolescent and adult patients. Regression analysis indicated that there was no association between total diabetes self-care and the depression total score. However, depression was associated with poor glucose testing and not eating meals on time by patients with diabetes.ConclusionSome variance on poor self-care was explained by demographic characteristics, specifically age, body mass index, and to some extent, socioeconomic status. Recognition and successful treatment of depression in patients with diabetes might help to optimize self-care behaviors, especially glucose testing and eating meals on time. However, this hypothesis needs further testing.

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“…Os prejuízos à saúde do indivíduo obeso advindas do pobre autocuidado podem contribuir para o agravamento de doenças crônicas (DIXON et al, 2014), do mesmo modo que a mudança de comportamento pode promover a melhora nas condições de saúde dos indivíduos, especialmente as condições periodontais (TONETTI et al, 2015).…”

Section: Qualidade De Vida E Satisfação Com a Vidaunclassified

Condições periodontais e de higiene bucal, qualidade de vida e satisfação com a vida em pacientes obesos diabéticos e não diabéticos submetidos à cirurgia bariátrica

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Severe obesity and diabetes self‐care attitudes, behaviours and burden: implications for weight management from a matched case‐controlled study. Results from Diabetes MILES—Australia

Abstract: Severely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals.

Cited by 20 publications

References 30 publications

Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana

Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana

Depressive Symptoms Are Negatively Associated with Glucose Testing and Eating Meals on Time among Individuals with Diabetes in Zambia

Condições periodontais e de higiene bucal, qualidade de vida e satisfação com a vida em pacientes obesos diabéticos e não diabéticos submetidos à cirurgia bariátrica

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