Factors Related To Non-Adherence To Lifestyle Modification In Patients With Diabetes Mellitus Type 2 At Harare Central Hospital

Abstract

Lifestyle modification is an important component of long-term management of patients with diabetes mellitus. The objectives of the cross-sectional study were to measure the level of adherence to lifestyle modification, to identify the factors influencing adherence to lifestyle modification, to measure the prevalence of diabetes complications among patients with type 2 diabetes mellitus. The sample comprised 119 participants who were diabetes mellitus type 2 patients registered at the study site, aged 18 years and above , could converse in English or Shona, and had been diagnosed within a period of 2 years. They were selected using simple random sampling with replacement. Data was collected through an interviewer administered questionnaire.. Adherence to lifestyle modification was low (7.56%). Factors influencing adherence to lifestyle modification; for diet they include, lack of money (21.01%), attending functions (15.13%), lack of satiety (12.61%), tempting foods (12.61%); for exercises they include, illness (26.89%), lack of time (18.49%), fatigue (15.13%) and no education (10.92%). The most common complications were retinopathy (79.83%), peripheral neuropathy (78.99%) and sexual dysfunction (44.54%). A weak negative linear relationship was shown between adherence to lifestyle modification and the total number of diabetes complications (r=-0.1398, p = 0.1295) but was not significant thus linear regression was not done.

Association between adherence to anti-diabetic therapy and adverse maternal and perinatal outcomes in diabetes in pregnancy

“…Such studies have been done in non-pregnant diabetic populations and similar rates of suboptimal adherence have been reported. 18,19 Non-adherence in diabetes in pregnancy is a very significant problem because diabetes affects pregnant women more than the non-pregnant population due to the presence of more than the usual pregnancy discomforts. Glycaemic control in PGDM is complicated by the presence of physiological pregnancy changes while the need to learn about diabetes and management in a short space of time in GDM is a major challenge.…”

Barriers of Adherence and Possible Solutions to Nonadherence to Antidiabetic Therapy in Women with Diabetes in Pregnancy: Patients’ Perspective

“…Though studies on factors related to nonadherence to therapy in nonpregnant populations with diabetes have been conducted in Zimbabwe, none have been done in pregnant women with diabetes. Adherence to lifestyle modification was low (7.56%) in a study conducted in Zimbabwe, and factors influencing adherence to diet included lack of money (21.01%), attending functions (15.13%), lack of satiety (12.61%), and tempting foods (12.61%) [ 12 ]. Factors influencing adherence to exercises were illness (26.89%), lack of time (18.49%), fatigue (15.13%), and no education (10.92%) [ 12 ].…”

“…Adherence to lifestyle modification was low (7.56%) in a study conducted in Zimbabwe, and factors influencing adherence to diet included lack of money (21.01%), attending functions (15.13%), lack of satiety (12.61%), and tempting foods (12.61%) [ 12 ]. Factors influencing adherence to exercises were illness (26.89%), lack of time (18.49%), fatigue (15.13%), and no education (10.92%) [ 12 ]. The purpose of the study was to explore the barriers to adherence to antidiabetic therapy and the possible solutions to nonadherence in pregnant women with diabetes.…”

Adherence to Anti-Diabetic Therapy in Women with Diabetes in Pregnancy

“…Adherence to therapy is one such social behavioural effect of diabetes in pregnancy. Such studies have been done in non-pregnant diabetic populations and similar rates of suboptimal adherence have been reported [13][14][15]17].…”

“…Poor adherence to diet, ranging from 7.56% to 37% has also been reported in non-pregnant diabetic populations [13][14][15][16][17], and in developed countries [8,18,19]. Some challenges of adhering to diet reported include difficulties with regular scheduling of meals, changing amount and type of food, failing to read body signals in relation to level of blood glucose [18], and having feelings of deprivation that resulted in some participants seeking out justifications for continuing with unhealthy dietary habits [19].…”