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

BMC Public Health

Jeffrey A Johnson⁴  Catherine Pelletier²  Lawrence A Leiter¹  Marie-France Langlois⁶  Peggy Dunbar³  Steven T Johnson⁵  Marianne E Gee²  Calypse B Agborsangaya⁴ 

[1] Keenan Research Centre in the Li Ka Shing Knowledge Institute of St. Michael’s Hospital, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, M5B 1W8, Canada;Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON, K1A 0K9, Canada;Diabetes Care Program of Nova Scotia, Halifax, NS, B3H 2Y9, Canada;Department of Public Health Sciences, 2–040 Li Ka Shing Center for Health Research and Innovation, University of Alberta, Edmonton, AB T6G 2E1, Canada;Centre for Nursing & Health Studies, Faculty of Health Disciplines, 1 University Drive, Athabasca University, Athabasca, Alberta, T9S 3A3, Canada;Division of Endocrinology, Faculté de médecine et des sciences de la santé, Université de Sherbrooke and Étienne-LeBel Clinical Research Center, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, J1H 5N4, Canada

关键词: Self-management;    Health professional advice;    Health behaviors;    Type 2 diabetes;   

Others  :  1162230
DOI  :  10.1186/1471-2458-13-451

 received in 2012-09-27, accepted in 2013-05-03,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Agborsangaya et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Public Health Agency of Canada. Diabetes in Canada: Facts and figures from a public health perspective. Ottawa: Public Health Agency of Canada; 2011. http://www.phac-aspc.gc.ca/cd-mc/publications/diabetes-diabete/facts-figures-faits-chiffres-2011/index-eng.php webcite. Accessed on May 22, 2012
• [2]Public Health Agency of Canada. Report from the National Diabetes Surveillance System: diabetes in Canada. Ottawa, Canada: Public Health Agency of Canada; 2008. http://www.phac-aspc.gc.ca/publicat/2009/ndssdic-snsddac-09/index-eng.php webcite. Accessed on May 22, 2012
• [3]Ohinmaa A, Jacobs P, Simpson S, Johnson J: The projection of prevalence and cost of diabetes in Canada: 2000 to 2016. Can J Diabetes 2004, 28(2):00-00.
• [4]Statistics Canada: Leading causes of death in Canada, 2000 to 2004 (Catalogue 84-215-X). 2008. http://www.statcan.gc.ca/pub/84-215-x/2012001/tbl/t001-eng.htm webcite .Accessed on May 22, 2012
• [5]PHAC: Public Health Agency of Canada. Fast facts about Diabetes: Data compiled from the 2011 Survey on Living with Chronic Diseases in Canada. Ottawa; 2011. http://www.phac-aspc.gc.ca/cd-mc/publications/diabetes-diabete/ff-rr-2011-eng.php webcite
• [6]Canadian Diabetes Association Clinical Practice Guidelines Expert Committee: Canadian diabetes association 2008 clinical practice guidelines for the prevention and management of diabetes in canada. Can J Diabetes 2008, 32:S1-S201.
• [7]American Diabetes Association: Standards of medical care in diabetes--2011. Diabetes Care 2011, 34(Suppl 1):S11-61.
• [8]Siminerio L: Overcoming Barriers to Better Health Outcomes in Patients with Diabetes – Improving and Balancing Patient Education and Pharmacotherapy Initiation, European Endocrinology - Diabetes Management. US Endocrinology 2008, 4(2):44-46.
• [9]Graham L, Sketris I, Burge F, Edwards L: The effect of a primary care intervention on management of patients with diabetes and hypertension: a pre-post intervention chart audit. Healthc Q 2006, 9(2):62-71.
• [10]Johnson ST, Bell GJ, McCargar LJ, Welsh RS, Bell RC: Improved cardiovascular health following a progressive walking and dietary intervention for type 2 diabetes. Diabetes Obes Metab 2009, 11(9):836-843.
• [11]Millar A, Cauch-Dudek K, Shah BR: The impact of diabetes education on blood glucose self-monitoring among older adults. J Eval Clin Pract 2010, 16(4):790-793.
• [12]Plotnikoff RC, Karunamuni ND, Johnson JA, Kotovych M, Svenson LW: Health-related behaviours in adults with diabetes: associations with health care utilization and costs. Can J Public Health 2008, 99(3):227-231.
• [13]Plotnikoff RC, Taylor LM, Wilson PM, Courneya KS, Sigal RJ, Birkett N, Raine K, Svenson LW: Factors associated with physical activity in Canadian adults with diabetes. Med Sci Sports Exerc 2006, 38(8):1526-1534.
• [14]Statistics Canada: Survey on Living with Chronic Diseases in Canada - 2011 User Guide. Statistics Canada; 2011. http://www.statcan.gc.ca/cgi-bin/imdb/p2SV.pl?Function=getDocumentationLink&Item_Id=119561&qItem_Id=84771&TItem_Id=84769&lang=en&db=imdb&adm=8&dis=2 webcite . Accessed on May 22, 2012
• [15]Canadian Community Health Survey (CCHS) Annual component User guide: 2010 and 2009–2010 Microdata files. [http://www.statcan.gc.ca/imdb-bmdi/document/3226_D7_T9_V8-eng.pdf webcite]
• [16]Rao JNK: Symposium 2010: Social Statistics: The Interplay Among Censuses, Surveys and Administrative Data. In Statistics Canada International Symposium Series: Proceedings Edited by Canada S. 2010. http://www.statcan.gc.ca/bsolc/olc-cel/olc-cel?lang=eng&catno=11-522-X200600110416 webcite Accessed on May 22, 2012
• [17]Otero-Sabogal R, Arretz D, Siebold S, Hallen E, Lee R, Ketchel A, Li J, Newman J: Physician-community health worker partnering to support diabetes self-management in primary care. Qual Prim Care 2010, 18(6):363-372.
• [18]Siddiqui A, Gul A, Ahmedani MY, Masood Q, Miyan ZM: Compliance to dietary counseling provided to patients with type 2 diabetes at a tertiary care hospital. J Diabetology 2010, 1:5.
• [19]Christian JG, Bessesen DH, Byers TE, Christian KK, Goldstein MG, Bock BC: Clinic-based support to help overweight patients with type 2 diabetes increase physical activity and lose weight. Arch Intern Med 2008, 168(2):141-146.
• [20]Andrews RC, Cooper AR, Montgomery AA, Norcross AJ, Peters TJ, Sharp DJ, Jackson N, Fitzsimons K, Bright J, Coulman K: Diet or diet plus physical activity versus usual care in patients with newly diagnosed type 2 diabetes: the Early ACTID randomised controlled trial. Lancet 2011, 378(9786):129-139.
• [21]Heisler M, Cole I, Weir D, Kerr EA, Hayward RA: Does physician communication influence older patients’ diabetes self-management and glycemic control? Results from the Health and Retirement Study (HRS). J Gerontol A Biol Sci Med Sci 2007, 62(12):1435-1442.
• [22]Heisler M, Tierney E, Ackermann RT, Tseng C, Narayan KM, Crosson J, Waitzfelder B, Safford MM, Duru K, Herman WH: Physicians’ participatory decision-making and quality of diabetes care processes and outcomes: results from the triad study. Chronic Illn 2009, 5(3):165-176.
• [23]Heisler M, Bouknight RR, Hayward RA, Smith DM, Kerr EA: The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. J Gen Intern Med 2002, 17(4):243-252.
• [24]Hokanson JM, Anderson RL, Hennrikus DJ, Lando HA, Kendall DM: Integrated tobacco cessation counseling in a diabetes self-management training program: a randomized trial of diabetes and reduction of tobacco. Diabetes Educ 2006, 32(4):562-570.
• [25]Canga N, De Irala J, Vara E, Duaso MJ, Ferrer A, Martinez-Gonzalez MA: Intervention study for smoking cessation in diabetic patients: a randomized controlled trial in both clinical and primary care settings. Diabetes Care 2000, 23(10):1455-1460.
• [26]Haire-Joshu D, Glasgow RE, Tibbs TL: Smoking and diabetes. Diabetes Care 2004, 27(Suppl 1):S74-75.
• [27]Dinca-Panaitescu S, Dinca-Panaitescu M, Bryant T, Daiski I, Pilkington B, Raphael D: Diabetes prevalence and income: results of the canadian community health survey. Health Policy 2011, 99(2):116-123.
• [28]Vallis TM, Higgins-Bowser I, Edwards L, Murray A, Scott L: The role of diabetes education in maintaining lifestyle changes. Canadian Journal of Diabetes 2005, 29(3):193-202.
• [29]Nwasuruba C, Osuagwu C, Bae S, Singh KP, Egede LE: Racial differences in diabetes self-management and quality of care in Texas. J Diabetes Complications 2009, 23(2):112-118.
• [30]Kessels RP: Patients’ memory for medical information. J R Soc Med 2003, 96(5):219-222.
• [31]McGuire LC: Remembering what the doctor said: organization and adults’ memory for medical information. Exp Aging Res 1996, 22(4):403-428.
• [32]Plotnikoff RC, Johnson ST, Karunamuni N, Boule NG: Physical activity related information sources predict physical activity behaviors in adults with type 2 diabetes. J Health Commun 2010, 15(8):846-858.