Personality as a predictor of HbA1c level in patients with type 2 diabetes mellitus

Abstract

Type 2 diabetes mellitus (T2DM) is the most common type of diabetes, accounting for around 90% of all cases worldwide. One means to strengthen the prevention and treatment of diabetes is via changes in self-management and lifestyle behaviors. However, lifestyle and personal health behaviors are strongly influenced by personality traits, and thus personality may play a significant role in such aspects as medication compliance, exercise habits, blood glucose monitoring, diet control, and maintenance of an ideal body weight. In this study, we examined whether certain personality traits of patients with T2DM are correlated with higher glycohemoglobin (HbA1c) levels. A total of 214 participants with T2DM were recruited from an outpatient setting. χ 2 test and logistic regression analyses with 5 models were employed. The OR for the “neuroticism” trait was 3.199 (95% CI = 1.228–8.331, P = .017), and those with this trait were 3.199 times more likely to have higher HbA1c levels than those with the “openness-extraversion” personality trait. This strong relationship between neuroticism and a higher HbA1c level was also evident in models 2, 3, 4, and 5. One-way ANOVA also indicated that the group with the neuroticism personality trait had significantly different mean fasting glucose, HbA1c, triglyceride, and high-density lipoprotein cholesterol levels. We found that a personality characterized by neuroticism is an independent predictor of higher HbA1c level in this study. We also found that people in the pre-contemplation and contemplation stages of exercise have higher HbA1c levels.

Exercise Adherence and Compliance and Its Related Factors Among Elderly Patients with Type 2 Diabetes in China: A Cross-Sectional Study

“…8,9 Related disease factors include duration of illness and hypoglycemia, while individual factors involve cognition, self-efficacy, and mood. [10][11][12][13][14] Relevant social factors include the availability of professional support and exercise environment. 15 Because elderly patients have spent a lifetime developing patterns and habits, it is important to determine how to move these individuals out of their comfort zone to participate in exercise regimens.…”

Type A personality, sleep quality, and cerebral small vessel disease: investigating the mediating role of sleep in a community-based study

“…. studies have found that TABP was associated with hypertension (34), hyperlipidemia (35), diabetes (36), alcohol consumption (37), and atherosclerosis (35), all of which may increase the risk of CSVD burden. We also found that TABP was positively correlated with WMH and EPVS but not LA and CMB, which may be due to the different pathogenesis of the four CSVD markers.…”

Personality Traits and Self-Care Behaviors in Adults with Type 2 Diabetes Mellitus

“… 32 This personality trait is also associated with a more significant initiative by the patient to use health applications, which helps them improve self-care in T2DM. 33 In addition, some studies report a lower percentage of body fat, lower total cholesterol level, 34 lower BMI, and higher glucose self-monitoring, 15 as well as a lower risk of mortality. 35 In this way, people with T2DM and greater openness might present more willing to give a change in routine that helps them control their disease.…”