Non-adherence to Life-style Modification and its Factors Among Type 2 Diabetic Patients.
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Date
2014-01
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Abstract
Non-adherence to preventive and therapeutic life-style recommendations among patients with diabetes is special
challenge in the management of these patients. This study aimed to measure the proportion of non-adherence to lifestyle
modifi cation and factors associated with these among a group of Bangladeshi type 2 diabetic patients. Under
an analytical cross-sectional design 374 type 2 diabetic patients (age >20 years), diagnosed for at least 1 year, were
selected from different health care centers operated by the Diabetic Association of Bangladesh. Non-adherence rate
were assessed for: Diet (88%), exercise (25%), routine blood glucose testing (32%), foot care (70%), smoking (6%)
and betel quid chewing habit (25%). Binary logistic regression suggests that higher education group (P = 0.013),
rural area (P = 0.013) and attendance to diabetes education classes (P = 0.043) showed good adherence to diet and
non-attendance to diabetes education class (P = 0.014), older age (P = 0.037) are associated to non-adherence to
exercise. Unemployed patients showed more non-adherence to blood glucose testing (P = 0.045) than others. Nonattendance
to diabetes education class (P = 0.037) and business occupation group (P = 0.039) showed signifi cant
association to smoking and betel quid intake habit respectively.
Description
Keywords
Adherence, Diabetes, Exercise, Lifestyle modifi cation, Non-adherence
Citation
Mumu Shirin Jahan, Saleh Farzana, Ara Ferdous, Afnan Fadia, Ali Liaquat. Non-adherence to Life-style Modification and its Factors Among Type 2 Diabetic Patients. Indian Journal of Public Health. 2014 Jan-Mar; 58(1): 40-44.