TY - JOUR
T1 - Determinants of lifestyle behavior in type 2 diabetes
T2 - Results of the 2011 cross-sectional survey on living with chronic diseases in Canada
AU - Agborsangaya, Calypse B.
AU - Gee, Marianne E.
AU - Johnson, Steven T.
AU - Dunbar, Peggy
AU - Langlois, Marie France
AU - Leiter, Lawrence A.
AU - Pelletier, Catherine
AU - Johnson, Jeffrey A.
N1 - Funding Information:
CBA is a research associate supported by a Canadian Institutes for Health Research (CIHR) Team Grant to the Alliance for Canadian Health Outcomes Research in Diabetes (reference #: OTG-88588), sponsored by the CIHR Institute of Nutrition, Metabolism and Diabetes. JAJ is a Senior Scholar with Alberta Innovates-Health Solutions and holds a Canada Research Chair in Diabetes Health Outcomes. The funding body had no role in the study design or conduct; in data collection, management, analysis or interpretation; preparation or review of the manuscript.
PY - 2013
Y1 - 2013
N2 - Background: Lifestyle behavior modification is an essential component of self-management of type 2 diabetes. We evaluated the prevalence of engagement in lifestyle behaviors for management of the disease, as well as the impact of healthcare professional support on these behaviors. Methods. Self-reported data were available from 2682 adult respondents, age 20 years or older, to the 2011 Survey on Living with Chronic Diseases in Canada's diabetes component. Associations with never engaging in and not sustaining self-management behaviors (of dietary change, weight control, exercise, and smoking cessation) were evaluated using binomial regression models. Results: The prevalence of reported dietary change, weight control/loss, increased exercise and smoking cessation (among those who smoked since being diagnosed) were 89.7%, 72.1%, 69.5%, and 30.6%, respectively. Those who reported not receiving health professional advice in the previous 12 months were more likely to report never engaging in dietary change (RR = 2.7, 95% CI 1.8 - 4.2), exercise (RR = 1.7, 95% CI 1.3 - 2.1), or weight control/loss (RR = 2.2, 95% CI 1.3 - 3.6), but not smoking cessation (RR = 1.0; 95% CI: 0.7 - 1.5). Also, living with diabetes for more than six years was associated with not sustaining dietary change, weight loss and smoking cessation. Conclusion: Health professional advice for lifestyle behaviors for type 2 diabetes self-management may support individual actions. Patients living with the disease for more than 6 years may require additional support in sustaining recommended behaviors.
AB - Background: Lifestyle behavior modification is an essential component of self-management of type 2 diabetes. We evaluated the prevalence of engagement in lifestyle behaviors for management of the disease, as well as the impact of healthcare professional support on these behaviors. Methods. Self-reported data were available from 2682 adult respondents, age 20 years or older, to the 2011 Survey on Living with Chronic Diseases in Canada's diabetes component. Associations with never engaging in and not sustaining self-management behaviors (of dietary change, weight control, exercise, and smoking cessation) were evaluated using binomial regression models. Results: The prevalence of reported dietary change, weight control/loss, increased exercise and smoking cessation (among those who smoked since being diagnosed) were 89.7%, 72.1%, 69.5%, and 30.6%, respectively. Those who reported not receiving health professional advice in the previous 12 months were more likely to report never engaging in dietary change (RR = 2.7, 95% CI 1.8 - 4.2), exercise (RR = 1.7, 95% CI 1.3 - 2.1), or weight control/loss (RR = 2.2, 95% CI 1.3 - 3.6), but not smoking cessation (RR = 1.0; 95% CI: 0.7 - 1.5). Also, living with diabetes for more than six years was associated with not sustaining dietary change, weight loss and smoking cessation. Conclusion: Health professional advice for lifestyle behaviors for type 2 diabetes self-management may support individual actions. Patients living with the disease for more than 6 years may require additional support in sustaining recommended behaviors.
KW - Health behaviors
KW - Health professional advice
KW - Self-management
KW - Type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=84877073577&partnerID=8YFLogxK
U2 - 10.1186/1471-2458-13-451
DO - 10.1186/1471-2458-13-451
M3 - Journal Article
C2 - 23647616
AN - SCOPUS:84877073577
VL - 13
JO - BMC Public Health
JF - BMC Public Health
IS - 1
M1 - 451
ER -