Stage of change and motivation to healthy diet and habitual physical activity in type 2 diabetes
| Autor: | Antonio E. Pontiroli, F. Strollo, Marina Trento, S. Vigili de Kreutzenberg, Elena Centis, A. Dei Cas, Anna Simona Sasdelli, M. Di Mauro, Cecilia Invitti, Giuseppe Pugliese, Franco Arturi, P. De Feo, A. Bruno, Giulio Marchesini, A. Molteni, P. Di Bonito |
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| Přispěvatelé: | E. Centi, M. Trento, A. Dei Ca, A. E. Pontiroli, P. De Feo, A. Bruno, A. S. Sasdelli, F. Arturi, F. Strollo, S. Vigili de’ Kreutzenberg, C. Invitti, P. Di Bonito, M. Di Mauro, G. Pugliese, A. Molteni, G. Marchesini |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Endocrinology Diabetes and Metabolism Population Stage-of-change Psychological intervention physical activity Type 2 diabetes Motor Activity Type 2 diabete Body Mass Index Endocrinology motivation stage-of-change diet lifestyle type 2 diabetes Surveys and Questionnaires Diabetes mellitus 80 and over Diabetes Mellitus Internal Medicine medicine Humans education Life Style Aged Aged 80 and over education.field_of_study exercise business.industry Behavior change Type 2 Diabetes Mellitus Diet Lifestyle Motivation Physical activity Diabetes Mellitus Type 2 Female Middle Aged General Medicine Odds ratio medicine.disease sense organs business Body mass index Type 2 Demography |
| Popis: | Lifestyle changes to healthy diet (HD) and habitual physical activity (HPA) are recommended in type 2 diabetes mellitus (T2DM). Yet, for most people with diabetes, it may be difficult to start changing. We investigated the stage of change toward healthier lifestyles according to Prochaska’s model, and the associated psychological factors in T2DM patients, as a prerequisite to improve strategies to implement behavior changes in the population. A total of 1,353 consecutive outpatients with T2DM attending 14 tertiary centers for diabetes treatment completed the validated EMME-3 questionnaire, consisting of two parallel sets of instruments to define the stage of change for HD and HPA, respectively. Logistic regression was used to determine the factors associated with stages that may hinder behavioral changes. A stage of change favoring progress to healthier behaviors was more common in the area of HD than in HPA, with higher scores in action and maintenance. Differences were observed in relation to gender, age and duration of disease. After adjustment for confounders, resistance to change toward HD was associated with higher body mass index (BMI) (odds ratio (OR) 1.05; 95 % confidence interval (CI) 1.02–1.08). Resistance to improve HPA also increased with BMI (OR 1.06; 95 %CI 1.03–1.10) and decreased with education level (OR 0.74; 95 % CI 0.64–0.92). Changing lifestyle, particularly in the area of HPA, is not perceived as an essential part of treatment by many subjects with T2DM. This evidence must be considered when planning behavioral programs, and specific interventions are needed to promote adherence to HPA. |
| Databáze: | OpenAIRE |
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