Adherence to physical activity in adults with chronic diseases: ELSA-Brasil

Forechi, Ludimila; Mill, José Geraldo; Griep, Rosane Härter; Santos, Itamar S; Pitanga, Francisco José Gondim; Molina, María del Carmen Bisi

doi:10.11606/s1518-8787.2018052000215

Cited by 56 publications

(51 citation statements)

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“…However, the effect of PA was attenuated in the fully adjusted model, which might be explained by the fact that those with 1 chronic condition at baseline tended to have inadequate PA. Evidence has shown that adherence to PA is low in individuals with chronic diseases [18]. Our findings on smoking and alcohol consumption differed from those of a Finnish study [11] which reported that smoking and alcohol consumption increased the risk of MM.…”

Section: Discussioncontrasting

confidence: 99%

Socio-demographic and lifestyle factors associated with multimorbidity in New Zealand

et al. 2019

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OBJECTIVES: The incidence of multimorbidity (MM) and its correlates among older adults remain poorly understood. This study aimed to examine the socio-demographic and lifestyle factors associated with MM in New Zealand.METHODS: People aged 55-70 years were invited to participate in a population-based cohort study, the Health Work and Retirement Study, in 2006. Those who accepted the invitation and completed the baseline questionnaire were followed up on a biennial basis. Data on socio-demographic factors, health and lifestyle behaviours, and diagnoses of chronic diseases were obtained from baseline and 6 waves of follow-up. Generalised estimating equations (GEE) adjusted for both time-constant and time-varying factors were used to model factors associated with the onset of MM.RESULTS: A total of 1,673 participants (with 0 or 1 chronic condition) contributed to an overall 8,616 person-years of observation. There were 590 new cases of MM over 10 years of follow-up, corresponding to an overall incidence of 68.5 per 1,000 person-years. The results of the age- and sex-adjusted GEE analysis showed that age, ethnicity, living alone, obesity, hypertension, and having 1 chronic condition at baseline were significant predictors of MM onset. Higher education, income, physical activity, and regular alcohol consumption were protective factors. In a fully adjusted model, marital status (odds ratio [OR], 1.18; 95% confidence interval [CI], 1.01 to 1.37; p=0.039), hypertension (OR, 1.23; 95% CI, 1.02 to 1.48; p=0.032) and having 1 chronic condition at baseline (OR, 2.92; 95% CI, 2.33 to 3.67; p<0.001) remained significant.CONCLUSIONS: The higher incidence of MM among Māori people, socioeconomically disadvantaged groups, those with low physical activity, and obese individuals highlights the importance of targeted prevention strategies.

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Section: Discussioncontrasting

confidence: 99%

Socio-demographic and lifestyle factors associated with multimorbidity in New Zealand

et al. 2019

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“…In this regard, it has been documented that the attitudes of the individuals, their sex, lack of motivation, beliefs, being busy, and the sense of self-care, among others, influence adherence significantly and, hence, on the adoption of healthy behavioral changes. (7,23,24) Among the strengths of this study, we highlight the measurement of adherence to treatment, pharmacological and non-pharmacological, in patients with arterial hypertension and T2DM. Most studies only evaluate adherence to pharmacological treatment.…”

Section: Discussionmentioning

confidence: 99%

Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes

Parra¹,

Guevara²,

Rojas³

2019

invest. educ. enferm

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Objective. To determine the factors associated with adherence to the therapeutic regime in patients with hypertension and type 2 diabetes mellitus cared for in primary care centers.Methods. This was an analytical cross-sectional study, conducted with 500 patients from two institutions in Bucaramanga (Colombia). Adherence to the therapeutic regime was measured with the label of Nursing outcomes “Treatment Behavior: Illness or Injury” and the instrument “Factors that influence on adherence to pharmacological and non-pharmacological treatments” by Ortiz Suárez was used. Results. Factors affecting negatively adherence to the therapeutic regime were: belonging to the subsidized regime, never being able to read written information about the management of their disease, and never receiving information about benefits of the medications ordered by the physician. On the contrary, positive influence was noted by referring “never” to the following statements, which impacted positively on adherence: the diverse occupations you have in and out of the house hinder your following the treatment; when your symptoms improve, do you interrupt the treatment? previously, have you had difficulties in complying with your treatment and believe there are difficult-to-change customs about foods and exercises? Conclusion. Two socioeconomic factors and one related with the health system and staff affected negatively on adherence to the therapeutic regime, while four factors related with the therapy favored it. The factors identified could be used in the design of nursing interventions to improve adherence in this population.Descriptors: treatment adherence and compliance; hypertension; diabetes mellitus, type 2; risk factors; cross-sectional studiesHow to cite this article: Parra DI, Romero SL, Rojas LZ. Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes. Invest. Educ. Enferm. 2019; 37(3):e02.

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“…There is now clear evidence that regular PA has broad health benefits, ranging from reduced cancer risk to improved chronic disease management [10,11]. PA can also reduce blood glucose levels and increase insulin sensitivity [12].…”

Section: Introductionmentioning

confidence: 99%

Adherence to Medication, Diet and Physical Activity and the Associated Factors Amongst Patients with Type 2 Diabetes

et al. 2020

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Introduction: The prevalence of type 2 diabetes mellitus (T2D) has increased considerably while the outcome of diabetic management is suboptimal. In order to promote diabetic management, associated factors for adherence to medications, diet, and physical activity (PA) need to be more clearly identified amongst patients with T2D. Methods: This cross-sectional study was conducted on 206 men and 294 women amongst patients with diabetes who were registered in ten special diabetic clinics in Shiraz, Iran from November 2018 to April 2019. Levels of adherence to medication, Mediterranean diet (MD), and physical activity were measured with validated and appropriate questionnaires. Results: Mean age (± SD) was 56.92 ± 0.52 years and 294 (58.8%) were female. Data showed that reduced adherence to medication, MD, and PA increased glycated hemoblobin (HbA1c). Adherence to medication among low, moderate, and high levels was 27.2%, 59.2%, and 13.6%, respectively. Associated factors such as 50-64 years of age, at least 65 years of age, overweight, obese, divorced widow, smoker, and exsmoker had a significant influence on adherence to medication, P = 0.017, P = 0.018, P = 0.008. P = 0.045, P = 0.026, P\0.004, and P = 0.001, respectively. In addition, adherence to MD among low, moderate, and high levels was 5.4%, 77.2%, and 17.4%, respectively. Associated factors such as 50-64 years of age, at least 65 years of age, overweight, obese, and smoker had a significant influence on adherence to MD, P = 0.011, P = 0.046, P = 0.002, P\0.001, and P = 0.032, respectively. Furthermore, adherence to PA among low, moderate, and high levels was 21%, 68.6%, and 10.4%, respectively. Only the non-smoker factor played a significant role in PA adherence, P = 0.010. Conclusion: Levels of adherence to medications, diet, and PA amongst patients with T2D are not within the acceptable range. Recognized associated factors that contribute to adherence might improve diabetes management and allow one to tailor the appropriate message to improve glycemic indices.Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.11358593. A. Mirahmadizadeh Key Summary PointsWhy carry out this study?In order to promote diabetic management, the associated factors for adherence to medications, diet, and physical activity (PA) need to be more clearly identified amongst patients with type 2 diabetes (T2D).Although the levels of adherence to medication, diet, and physical activity have been evaluated separately in other studies in patients with T2D, few studies have simultaneously evaluated the adherence to these factors.What was learned from the study?Reduced adherence to medication, Mediterranean diet (MD), and PA increased HbA1c.Adherence to medication among low, moderate, and high levels was 27.2%, 59.2%, and 13.6%, respectively. Associated factors such as 50-64 years of age, at least 65 years of age, overweight, obese, divorced widow, smoker, and exsmoker had a significant influence on adherence to medication...

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Adherence to physical activity in adults with chronic diseases: ELSA-Brasil

Cited by 56 publications

References 28 publications

Socio-demographic and lifestyle factors associated with multimorbidity in New Zealand

Socio-demographic and lifestyle factors associated with multimorbidity in New Zealand

Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes

Adherence to Medication, Diet and Physical Activity and the Associated Factors Amongst Patients with Type 2 Diabetes

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