Factors associated with nonadherence to diet and physical activity among nepalese type 2 diabetes patients; a cross sectional study

Parajuli, Janaki; Saleh, Farzana; Thapa, Narayan; Ali, Liaquat

doi:10.1186/1756-0500-7-758

Cited by 116 publications

(179 citation statements)

References 23 publications

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“…Besides, failures in the provision of information were associated to low adherence to drug treatment, lack of regular physical exercise, and consumption of foods with high sugar content. These findings are coherent with previous studies which mentioned that not having received or understood the information about portions and the frequency of meals may be associated with low adherence to diet in diabetic patients (Ranasinghe et al, 2015;Cheng et al, 2016;Parajuli, Saleh, Thapa & Ali, 2014). Thence, it is important that the information provided to the diabetic patient has clear recommendations for self-care, expressed in a kind of language that the patient may fully understand.…”

Section: Discussionsupporting

confidence: 90%

Distress and its association with self-care in people with type 2 diabetes

Martínez-Vega

Doubova

Pérez‐Cuevas³

2017

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Introduction. Low adherence to diabetes self-care affects glycemic control and increases the risk of diabetes complications and premature deaths. Studies from the United States have found a relationship between distress and adherence to self-care in patients with diabetes; however, there is a lack of research on distress and its association with self-care in Mexican patients with diabetes. Objective. To evaluate the prevalence and association of distress with low self-care in patients with type 2 diabetes. Method. A cross-sectional study was carried out in two family medicine clinics of the Mexican Institute of Social Security in Mexico City. Four hundred eighty-nine type 2 diabetic patients ≥ 19 years of age participated. The statistical analysis incorporated a multiple Poisson regression. Results. Of the patients 18.8% had distress, 44.8% had low adherence to medication, 43.8% had low adherence to regular physical exercise, 82.4% did not consume the recommended amount of vegetables and 51.1% consumed foods with high sugar content. The distress was associated with poor adherence to medication and lack of regular physical exercise. Discussion and conclusion. The high prevalence of distress in type 2 diabetic patients in comparison with the general population reveals the importance of distress screening and health care at family practice clinics

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Section: Discussionsupporting

confidence: 90%

Distress and its association with self-care in people with type 2 diabetes

Martínez-Vega

Doubova

Pérez‐Cuevas³

2017

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“…Their preferred health message disseminator was, in order of preference, a doctor, nurse, other health professional and trained community members (community health care workers). This may be as a result of the fact that these health professionals are regarded as having expertise in health matters confirming the findings of Parker, Steyn, Levitt, and Lombard (2012), Parajuli, Saleh, Thapa, and Ali (2014) and Levesque et al (2012). These authors found that adherence to interventions worked better when the doctor is the source of the information as this allowed patients to build a relationship with the person disseminating the health messages and facilitated discussing their problems.…”

Section: Discussionsupporting

confidence: 66%

Adherence challenges encountered in an intervention programme to combat chronic non-communicable diseases in an urban black community, Cape Town

Solomons¹,

Kruger²,

Puoane³

2017

Health SA Gesondheid

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Chronic non-communicable diseases Focus group discussion Intervention programme Non-adherence a b s t r a c t Background: Chronic non-communicable diseases (CNCD) have become the greatest contributor to the mortality rate worldwide. Despite attempts by Governments and various non-governmental organisations to prevent and control the epidemic with various intervention strategies, the number of people suffering from CNCD is increasing at an alarming rate in South Africa and worldwide.Objectives: Study's objectives were to explore perceived challenges with implementation of, and adherence to health messages disseminated as part of a CNCD intervention programme; to gain an understanding of participants' expectations of CNCD intervention programmes;, and to explore the acceptability and preference of health message dissemination methods. In addition, participants' awareness of, and willingness to participate in CNCDs intervention programmes in their community was explored.Methods: Participants were recruited from the existing urban Prospective Urban Rural Epidemiology study site in Langa, Cape Town. Focus group discussions were conducted with 47 participants using a question guide. Summative content analysis was used to analyse the data.Results: Four themes emerged from the data analysis: practical aspects of implementation and adherence to intervention programmes; participants' expectations of intervention programmes; aspects influencing participants' acceptance of interventions; and their preferences for health message dissemination. The results of this study will be used to inform CNCDs intervention programmes.Conclusions: Our findings revealed that although participants found current methods of health message dissemination in CNCDs intervention acceptable, they faced real challenges with implementing and adhering to CNCDs to these messages. Available online at www.sciencedirect.com ScienceDirect journal homepage: http://ees.elsevier.com/hsa g/ de faul t.asp h e a l t h s a g e s o n d h e i d 2 2 ( 2 0 1 7 ) 7 0 e7 8 http://dx

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“…Studies have reported compliance ranging from 12% to 63% for dietary advice amongst diabetic patients. 16,17,[24][25][26] Majority of the respondents in our study had made minor omissions or additions in their diet. In our study compliance was defined as any modification in diet as per the advice provided during the camp.…”

Section: Discussionmentioning

confidence: 92%

“…Other studies have reported a compliance ranging for 48% to 75% for exercise among diabetic patients. 17,[24][25][26] The commonest physical activity taken up by the respondents was walking. This is an option which can be easily practiced as it does not need special equipment or resources.…”

Section: Discussionmentioning

confidence: 99%

Telephonic follow-up to assess compliance to advice regarding lifestyle modification and confirmation of diagnosis given during a diabetes screening camp

Pardeshi

Daral

Das

et al. 2017

Int J Community Med Public Health

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Background: Compliance to the advice given in the diabetes screening camp will ensure timely diagnosis and lifestyle modification in high risk individuals. The objective of the study was to determine factors associated with follow up telephonic contacts and compliance to advice regarding lifestyle modification and confirmation of diagnosis. Methods: A prospective cohort study was conducted among persons aged more than 30 years attending a diabetes screening camp in outpatient department of a tertiary care hospital. Follow up telephonic contact to assess compliance was done among those with random blood sugar level >140mg/dl. Fisher’s exact test and relative risk with 95% confidence interval were calculated. Results: Out of the 1798 individuals attending the screening camp, 170 (9.4%) had raised random blood sugar level. Of these, 113 (66%) could be contacted telephonically. Male gender (RR=1.45, 95% CI=1.12-1.89; p=0.002), formal education (RR=1.85, 95% CI=1.20-2.86; p=0.00), gainful employment (RR=1.31, 95% CI=1.002-1.72; p=0.04) and perception of diabetes as serious and fatal disease (RR=1.26, 95% CI=1.02-1.55;p=0.04) were significantly associated with successful follow up contact. Of the 103 eligible individuals followed up for assessment of compliance, 82 (80%), 63 (61%) and 50 (49%) were compliant to advice regarding diet, physical activity and follow up visits for confirmation of diagnosis respectively. None of the independent factors were significantly associated with compliance. Confirmation of diagnosis of diabetes and initiation of antidiabetic treatment was reported by 33 respondents. Conclusions: A robust and holistic follow up mechanism to ensure better compliance to lifestyle modification and confirmation of diagnosis after a diabetes screening camp is needed.

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Factors associated with nonadherence to diet and physical activity among nepalese type 2 diabetes patients; a cross sectional study

Cited by 116 publications

References 23 publications

Distress and its association with self-care in people with type 2 diabetes

Distress and its association with self-care in people with type 2 diabetes

Adherence challenges encountered in an intervention programme to combat chronic non-communicable diseases in an urban black community, Cape Town

Telephonic follow-up to assess compliance to advice regarding lifestyle modification and confirmation of diagnosis given during a diabetes screening camp

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