Determinants of lifestyle behavior in type 2 diabetes: results of the 2011 cross-sectional survey on living with chronic diseases in Canada

作者：Agborsangaya Calypse B; Gee Marianne E; Johnson Steven T; Dunbar Peggy; Langlois Marie France; Leiter Lawrence A; Pelletier Catherine; Johnson Jeffrey A^*

来源：BMC Public Health, 2013, 13: 451.

DOI：10.1186/1471-2458-13-451

• Type 2 diabetes
• Health behaviors
• Health professional advice
• Self-management

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. %26lt;br%26gt;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%26apos;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. %26lt;br%26gt;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. %26lt;br%26gt;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.

• 出版日期2013-5-7