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

Parajuli J, Saleh F, Thapa N, Ali L - BMC Res Notes (2014)

Bottom Line: With increasing age, dietary advice adherence decreased (p = 0.06) and was positively correlated with the knowledge about diabetes mellitus (r = 0.115, p = 0.024).Determinants of nonadherence to dietary advice: Female gender, increasing age, joint or extended family members, farther distance from hospital, poor knowledge about diabetes mellitus and advice by others than physicians.Determinants for nonadherence to physical activity: negative family history of DM, divorced status, lower socioeconomic class.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine, Nepalgunj Medical College, Teaching Hospital, Koholpur, Banke, Nepal. meetjanaki@hotmail.com.

ABSTRACT

Background: Nonadherence to diet and physical activity is a major problem in the management of diabetes mellitus and its complications. This study was undertaken to measure the factors associated with nonadherence to diet and physical activity advice among Nepalese type 2 diabetic patients.

Methods: An analytical cross-sectional study was conducted among type 2 diabetic patients (age, M ± SD, 54.4 ± 11.5 yrs) and interviewed using three days recall method for dietary history and Compendium of Physical Activity for physical activity. Data were analysed by univariate and multivariate statistics.

Results: Out of 385 patients, 87.5% were nonadherent and 12.5% poorly adherent to dietary advice. 42.1% were nonadherent, 36.6% partially adherent while 21.3% good adherent to physical activity. Adherence to dietary advice was higher in males than females (M ± SD, 33 ± 16.7 vs 27 ± 15.5, p = 0.001), those staying nearer to hospital than farther (M ± SD, 32 ± 18.6 vs 28 ± 13.5, p = 0.013), those advice by physician than others (p = 0.001) and from nuclear family than joint and extended (p = 0.001). With increasing age, dietary advice adherence decreased (p = 0.06) and was positively correlated with the knowledge about diabetes mellitus (r = 0.115, p = 0.024). Physical activity adherence was higher in those with positive family history of diabetes than others (M ± SD, 74 ± 24.2 vs 65 ± 23.6, p = 0.001), upper middle socioeconomic class respondents than lower ones (p = 0.047) and from extended family than nuclear or joint ones (p = 0.041). Divorced were more nonadherent to physical activity than married and widowed patients (p = 0.021).

Conclusions: Determinants of nonadherence to dietary advice: Female gender, increasing age, joint or extended family members, farther distance from hospital, poor knowledge about diabetes mellitus and advice by others than physicians. Determinants for nonadherence to physical activity: negative family history of DM, divorced status, lower socioeconomic class.

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Correlation of adherence to dietary advice with total knowledge score percentage.
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Fig6: Correlation of adherence to dietary advice with total knowledge score percentage.

Mentions: Poor adherence was seen in 12.5% of the patients while maximum 87.5% were nonadherent to dietary advice. Mean adherence of physical activity is 30 ± 16.3 (M ± SD). In physical activity majority (162)42.1% were nonadherent to physical activity advice while 36.6% had poor adherence level and proportion of adherence was good only on 21.3% of the respondents. Mean adherence of physical activity was (M ± SD, 67 ± 23.9). (Figure 5 or Table 2). Adherence level was higher in males than females (M ± SD, 33 ± 16.7 vs 27 ± 15.5, p = 0.001). With increasing age, level of dietary advice adherence decreased (p = 0.06). Respondents from nuclear family were more adherent to dietary advice than joint and extended (p = 0.001) ones. Adherence level was higher among those staying nearer to hospital than far from hospital (M ± SD, 32 ± 18.6 vs 28 ± 13.5, p = 0.013). Adherence level of dietary advice was higher among those advised by physicians than others (p = 0.001). (Table 3) Adherence level was positively correlated with the knowledge about diabetes mellitus score (r = 0.115, p = 0.024) (Figure 6).Figure 5


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

Parajuli J, Saleh F, Thapa N, Ali L - BMC Res Notes (2014)

Correlation of adherence to dietary advice with total knowledge score percentage.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230343&req=5

Fig6: Correlation of adherence to dietary advice with total knowledge score percentage.
Mentions: Poor adherence was seen in 12.5% of the patients while maximum 87.5% were nonadherent to dietary advice. Mean adherence of physical activity is 30 ± 16.3 (M ± SD). In physical activity majority (162)42.1% were nonadherent to physical activity advice while 36.6% had poor adherence level and proportion of adherence was good only on 21.3% of the respondents. Mean adherence of physical activity was (M ± SD, 67 ± 23.9). (Figure 5 or Table 2). Adherence level was higher in males than females (M ± SD, 33 ± 16.7 vs 27 ± 15.5, p = 0.001). With increasing age, level of dietary advice adherence decreased (p = 0.06). Respondents from nuclear family were more adherent to dietary advice than joint and extended (p = 0.001) ones. Adherence level was higher among those staying nearer to hospital than far from hospital (M ± SD, 32 ± 18.6 vs 28 ± 13.5, p = 0.013). Adherence level of dietary advice was higher among those advised by physicians than others (p = 0.001). (Table 3) Adherence level was positively correlated with the knowledge about diabetes mellitus score (r = 0.115, p = 0.024) (Figure 6).Figure 5

Bottom Line: With increasing age, dietary advice adherence decreased (p = 0.06) and was positively correlated with the knowledge about diabetes mellitus (r = 0.115, p = 0.024).Determinants of nonadherence to dietary advice: Female gender, increasing age, joint or extended family members, farther distance from hospital, poor knowledge about diabetes mellitus and advice by others than physicians.Determinants for nonadherence to physical activity: negative family history of DM, divorced status, lower socioeconomic class.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine, Nepalgunj Medical College, Teaching Hospital, Koholpur, Banke, Nepal. meetjanaki@hotmail.com.

ABSTRACT

Background: Nonadherence to diet and physical activity is a major problem in the management of diabetes mellitus and its complications. This study was undertaken to measure the factors associated with nonadherence to diet and physical activity advice among Nepalese type 2 diabetic patients.

Methods: An analytical cross-sectional study was conducted among type 2 diabetic patients (age, M ± SD, 54.4 ± 11.5 yrs) and interviewed using three days recall method for dietary history and Compendium of Physical Activity for physical activity. Data were analysed by univariate and multivariate statistics.

Results: Out of 385 patients, 87.5% were nonadherent and 12.5% poorly adherent to dietary advice. 42.1% were nonadherent, 36.6% partially adherent while 21.3% good adherent to physical activity. Adherence to dietary advice was higher in males than females (M ± SD, 33 ± 16.7 vs 27 ± 15.5, p = 0.001), those staying nearer to hospital than farther (M ± SD, 32 ± 18.6 vs 28 ± 13.5, p = 0.013), those advice by physician than others (p = 0.001) and from nuclear family than joint and extended (p = 0.001). With increasing age, dietary advice adherence decreased (p = 0.06) and was positively correlated with the knowledge about diabetes mellitus (r = 0.115, p = 0.024). Physical activity adherence was higher in those with positive family history of diabetes than others (M ± SD, 74 ± 24.2 vs 65 ± 23.6, p = 0.001), upper middle socioeconomic class respondents than lower ones (p = 0.047) and from extended family than nuclear or joint ones (p = 0.041). Divorced were more nonadherent to physical activity than married and widowed patients (p = 0.021).

Conclusions: Determinants of nonadherence to dietary advice: Female gender, increasing age, joint or extended family members, farther distance from hospital, poor knowledge about diabetes mellitus and advice by others than physicians. Determinants for nonadherence to physical activity: negative family history of DM, divorced status, lower socioeconomic class.

Show MeSH
Related in: MedlinePlus