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Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes.

Li D, Inouye J, Davis J, Arakaki RF - Nurs Res Pract (2013)

Bottom Line: Our hypothesis was tested through a structural equation modelling (SEM) approach.IBM SPSS Amos 20 was used for the SEM analysis at 5% level of significance, and the goodness fit of the SEM model was also evaluated.The results highlighted the importance of exercise and depression in diabetes patients' BMI, glycemic control, general health, and quality of life, which provide evidence for the need to alleviate patients' depression besides education and training in diet and exercise in future intervention studies among Asians and Pacific Islanders with type 2 diabetes.

View Article: PubMed Central - PubMed

Affiliation: Department of Public Health Sciences, University of Hawaii, Honolulu, HI 96822, USA.

ABSTRACT
The associations between psychosocial and physiological factors and diabetes' health indicators have not been widely investigated among Asians and Pacific Islanders. We hypothesize that health behaviour and depression are directly or indirectly associated with diabetes' health indicators such as BMI, glycemic control, general health, and diabetes quality of life. Our hypothesis was tested through a structural equation modelling (SEM) approach. Questionnaires that assessed health behaviour, depression, general health, diabetes quality of life, and haemoglobin A1c (HbA1c), along with patients' demographic information, were obtained from 207 Asian and Pacific Islander adults with type 2 diabetes. IBM SPSS Amos 20 was used for the SEM analysis at 5% level of significance, and the goodness fit of the SEM model was also evaluated. The final SEM model showed that diet and exercise and foot care had positive associations, while depression had a negative association with diabetes' health indicators. The results highlighted the importance of exercise and depression in diabetes patients' BMI, glycemic control, general health, and quality of life, which provide evidence for the need to alleviate patients' depression besides education and training in diet and exercise in future intervention studies among Asians and Pacific Islanders with type 2 diabetes.

No MeSH data available.


Related in: MedlinePlus

Final SEM with standardized coefficient weights on the associations between psychosocial and physiological factors and diabetes health indicators in Asian and Pacific Islander adults with type 2 diabetes.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig1: Final SEM with standardized coefficient weights on the associations between psychosocial and physiological factors and diabetes health indicators in Asian and Pacific Islander adults with type 2 diabetes.

Mentions: Based on the Pearson correlation matrix and previous studies on psychosocial and physiological effects on health indicators, SEM was used to study the association between health behavior, depression, and health indicators of BMI, HbA1c, general health, and diabetes quality of life. Correlations were used for associations where theory did not strongly suggest the direction of effect. Blood glucose and medication were excluded from the SEM model due to a lack of correlation with all other variables. Figure 1 showed the fitted SEM with estimated standardized regression coefficients and correlations. To provide a common unit for comparison of the various paths, regression results are presented as standardized coefficients giving associations in standard deviation units. More complete regression results are provided in Table 3, including unstandardized regression coefficients that give associations in the original measurement scales. The estimated correlations between diet, depression, and exercise and foot care were shown in Table 4.


Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes.

Li D, Inouye J, Davis J, Arakaki RF - Nurs Res Pract (2013)

Final SEM with standardized coefficient weights on the associations between psychosocial and physiological factors and diabetes health indicators in Asian and Pacific Islander adults with type 2 diabetes.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3824640&req=5

fig1: Final SEM with standardized coefficient weights on the associations between psychosocial and physiological factors and diabetes health indicators in Asian and Pacific Islander adults with type 2 diabetes.
Mentions: Based on the Pearson correlation matrix and previous studies on psychosocial and physiological effects on health indicators, SEM was used to study the association between health behavior, depression, and health indicators of BMI, HbA1c, general health, and diabetes quality of life. Correlations were used for associations where theory did not strongly suggest the direction of effect. Blood glucose and medication were excluded from the SEM model due to a lack of correlation with all other variables. Figure 1 showed the fitted SEM with estimated standardized regression coefficients and correlations. To provide a common unit for comparison of the various paths, regression results are presented as standardized coefficients giving associations in standard deviation units. More complete regression results are provided in Table 3, including unstandardized regression coefficients that give associations in the original measurement scales. The estimated correlations between diet, depression, and exercise and foot care were shown in Table 4.

Bottom Line: Our hypothesis was tested through a structural equation modelling (SEM) approach.IBM SPSS Amos 20 was used for the SEM analysis at 5% level of significance, and the goodness fit of the SEM model was also evaluated.The results highlighted the importance of exercise and depression in diabetes patients' BMI, glycemic control, general health, and quality of life, which provide evidence for the need to alleviate patients' depression besides education and training in diet and exercise in future intervention studies among Asians and Pacific Islanders with type 2 diabetes.

View Article: PubMed Central - PubMed

Affiliation: Department of Public Health Sciences, University of Hawaii, Honolulu, HI 96822, USA.

ABSTRACT
The associations between psychosocial and physiological factors and diabetes' health indicators have not been widely investigated among Asians and Pacific Islanders. We hypothesize that health behaviour and depression are directly or indirectly associated with diabetes' health indicators such as BMI, glycemic control, general health, and diabetes quality of life. Our hypothesis was tested through a structural equation modelling (SEM) approach. Questionnaires that assessed health behaviour, depression, general health, diabetes quality of life, and haemoglobin A1c (HbA1c), along with patients' demographic information, were obtained from 207 Asian and Pacific Islander adults with type 2 diabetes. IBM SPSS Amos 20 was used for the SEM analysis at 5% level of significance, and the goodness fit of the SEM model was also evaluated. The final SEM model showed that diet and exercise and foot care had positive associations, while depression had a negative association with diabetes' health indicators. The results highlighted the importance of exercise and depression in diabetes patients' BMI, glycemic control, general health, and quality of life, which provide evidence for the need to alleviate patients' depression besides education and training in diet and exercise in future intervention studies among Asians and Pacific Islanders with type 2 diabetes.

No MeSH data available.


Related in: MedlinePlus