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

Mirahmadizadeh, Alireza; Khorshidsavar, Haniyeh; Seif, Mozhgan; Sharifi, Mohammad Hossein

doi:10.1007/s13300-019-00750-8

Cited by 55 publications

(52 citation statements)

References 38 publications

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“…In our study, a higher percentage of diabetic patients in the group with higher adherence to MeDiet was observed. This is similar as published in a cohort of diabetic patients, where they found that 77.2% of patients had moderate adherence to MeDiet, greater than other populations with vascular risk factors [18]. This fact could be explained by the greater dietary control that is included in the treatment of patients with diabetes and to the awareness of these patients to control their diet.…”

Section: Discussionsupporting

confidence: 87%

Impact of Mediterranean Diet prior to Stroke on the Prognosis of Patients Undergoing Endovascular Treatment

et al. 2021

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Introduction: Mediterranean diet (MeDiet) has been associated with lower risk of stroke. Additionally, animal models suggested that some components of MeDiet are associated with better outcomes after ischemic stroke (IS). We aimed to evaluate the association between global adherence to the MeDiet and the consumption of particular components of the MeDiet with stroke outcomes. Material and Methods: Multicenter observational study of consecutive IS patients treated with endovascular therapy. Inclusion criteria were large anterior circulation vessel occlusion and pre-stroke modified Rankin scale (mRS) <2. Adherence to MeDiet prior to stroke was evaluated using MEDAS 14-item scale. We evaluated the total score and also individual components of the scale. Clinical, radiological, and prognostic variables were collected. Good functional prognosis was considered as mRS ≤2 and complete recanalization as thrombolysis in cerebral infarction 3. Results: From January 1 to October 30, 2018, 239 patients were included (mean age 71 years, 48% women, median baseline NIHSS 16). Median MEDAS scale was 8 points (7–10). Patients with a higher adherence to MeDiet had significantly lower total and LDL-cholesterol levels. Total adherence score was not associated with stroke outcomes. In multivariate analyses, consumption of olive oil as the principal source of fat was independently associated with good functional outcome at 3 months, OR 3.2 (1.1–10.1) and daily consumption of wine was independently associated with complete recanalization, OR 2.0 (1.1–3.8). Conclusions: Our study suggests that some components of MeDiet, such as olive oil and wine consumption, are related to better prognosis after stroke. More studies are needed to confirm these findings.

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Section: Discussionsupporting

confidence: 87%

Impact of Mediterranean Diet prior to Stroke on the Prognosis of Patients Undergoing Endovascular Treatment

et al. 2021

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“…We assessed the medication adherence using a self-reported, structured, eight-item questionnaire that has been validated in different study settings [19,20] with the following cutoff scores: >2 = low adherence, 1 or 2 = medium adherence, 0 = high adherence [21]. The eight items in the questionnaire were: (1) medication frequency, (2) history, (3) deliberately missed doses, (4) cutting back without consultation, (5) forgetfulness while traveling, (6) stopping in an under-control situation, (7) inconvenience of taking medicine every day, and (8) difficulties in remembering to take the medicine.…”

Section: Data Collection and Variablesmentioning

confidence: 99%

Factors associated with low adherence to medication among patients with type 2 diabetes at different healthcare facilities in southern Bangladesh

Mannan

Hasan

Akter

et al. 2021

Global Health Action

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Background : Diabetic individuals must adhere to their medications to control their glucose levels and prevent diabetes-related complications. However, there is limited evidence of medication adherence in patients with type 2 diabetes in Bangladesh. Objectives : We assessed the level of adherence and factors associated with low adherence to anti-diabetic medication among patients with type 2 diabetes at different health facilities in southern Bangladesh. Methods : This cross-sectional study included 2,070 patients with type 2 diabetes who presented at five health facilities in the Chittagong Division between November 2018 and June 2019. We assessed medication adherence using a self-reported, structured, eight-item questionnaire and performed multiple logistic regression to investigate the factors associated with low medication adherence. Results : The overall prevalence of low medication adherence was 46.3% (95% CI: 41.4–55.8%) of our study population. Multiple logistic regression analysis revealed that males (OR: 1.37; 95% CI: 1.13–1.67), those with a family income of < 233 USD (OR: 1.54, 95% CI: 1.17–2.03), and those with a diabetic ulcer (OR: 1.42, 95% CI: 1.04–1.94) showed low adherence. Diabetic ulcers, retinopathy, and obesity were relatively more elevated among diabetic patients with low medication adherence. Conclusion : Low medication adherence among patients with type 2 diabetes in southern Bangladesh is a key public health challenge. Factors such as male sex, low annual family income, and diabetic ulcers were associated with low medication adherence. Patient counseling and awareness programs may enhance medication adherence among people with type 2 diabetes. Our findings will help physicians and public health workers to develop targeted strategies to increase awareness of the same among their patients.

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“…[ 1 ] In Iran, the prevalence of Type 2 diabetes among adults was rapidly growing from 5.75% in 2010 to 8.7% in 2018. [ 2 ] Diabetes, characterized by elevated levels of blood glucose, can potentially lead to serious damages to heart, blood vessels, eyes, kidneys, and nerves over time, if not controlled. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Using health action process approach to determine diet adherence among patients with Type 2 diabetes

Ranjbaran

Shojaeizadeh

Dehdari

et al. 2020

J Edu Health Promot

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INTRODUCTION: Diet adherence may cause diabetes complications to be diminished. OBJECTIVES: This study aimed at identifying determinants of diet adherence among patients with Type 2 diabetes based on the health action process approach (HAPA). METHODS: In this cross-sectional study, 734 patients with Type 2 diabetes, attending to South Tehran health centers, were recruited during June–December 2018. The dietary regimen scale (nine items) and a researcher-designed questionnaire consisting of HAPA constructs were used to gather the data. Data were analyzed using the Mann–Whitney test, Pearson Chi-squared test, Fisher's exact test, and linear regression test. All statistical tests were assessed using SPSS (IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY, USA: IBM Corp.). RESULTS: The level of nonadherence to diet was 91.1%. Diet adherence was significantly associated with family income ( P = 0.005), level of education ( P < 0.001), and age ( P = 0.009). The linear regression showed that 55% of the variance of diet adherence was determined by HAPA variables. Diet adherence was associated with intention ( P < 0.001), action planning ( P = 0.005), and barriers ( P = 0.003). CONCLUSION: Most of the patients did not adhere to their diet. Appropriate programs should be designed to promote diet adherence among the patients, especially those with low literacy and patients living in poor communities.

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

Cited by 55 publications

References 38 publications

Impact of Mediterranean Diet prior to Stroke on the Prognosis of Patients Undergoing Endovascular Treatment

Impact of Mediterranean Diet prior to Stroke on the Prognosis of Patients Undergoing Endovascular Treatment

Factors associated with low adherence to medication among patients with type 2 diabetes at different healthcare facilities in southern Bangladesh

Using health action process approach to determine diet adherence among patients with Type 2 diabetes

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