Abstract
Abstract
Background
Health beliefs are relevant to consider in patients with type 2 diabetes since disease control depends mainly on the patient’s behaviour. The aim of this study was to assess the association between health beliefs and glycated hemoglobin levels in Mexican patients with type 2 diabetes.
Methods
An analytical cross-sectional study was conducted, and 336 patients were included. Fasting blood levels of glycated hemoglobin, glucose, cholesterol; triglycerides, high-density lipoprotein cholesterol (HDL-c), and low-density lipoprotein cholesterol (LDL-c) were measured. Body fat percentage, weight, height; waist circumference, and systolic and diastolic blood pressures were also obtained. A previously validated self-administered questionnaire was used to assess the health beliefs with regards to non-pharmacological treatment. Health beliefs were classified as positive, neutral, and negative.
Results
The average age of patients was 54.7 ± 8.5 years, with a higher proportion of females (69%). The questionnaire had a good internal consistency with a Cronbach’s alpha score of 0.83. More than 90% of patients attributed a health benefit to diet and exercise, 30 to 40% experienced barriers, and more than 80% had a perception of complications associated to uncontrolled diabetes. Patients with positive health beliefs had lower HbA1c levels (8.2 ± 1.7%) compared to those with neutral (9.0 ± 2.3%), or negative (8.8 ± 1.8%; p = 0.042).
The LDL-c levels were lower (p = 0.03), and HDL-c levels were higher (0.002) in patients with positive heath beliefs.
Conclusions
Positive health beliefs are associated with better metabolic control indicators in patients with type 2 diabetes.
Funder
Kellogg’s Institute of Nutrition and Health
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference49 articles.
1. Whiting DR, Guariguata L, Weil C, Shaw J. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011;94:311–2.
2. Subramanian K, Midha I, Chellapilla V. Overcoming the Challenges in Implementing Type 2 Diabetes Mellit Prevention Programs Can Decrease the Burden on Healthcare Costs in the United States. J Diabetes Res. 2017. https://doi.org/10.1155/2017/2615681.
3. US Preventive Services Task Force, Grossman DC, Bibbins-Domingo K, et al. Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Risk Factors: US Preventive Services Task Force Recommendation Statement. JAMA. 2017;318:167–74.
4. Look AHEAD Research Group, Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the look AHEAD trial. Arch Intern Med. 2010;170:1566–75.
5. Coombes Y, McPherson K. Review of models of health-related behavior change. London: Health promotion sciences unit, London School of Hygiene and tropical medicine; 1996.
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