Knowledge and perceptions about diet and physical activity among Sri Lankan adults with diabetes mellitus: a qualitative study
Knowledge and perceptions about diet and physical activity among Sri Lankan adults with diabetes mellitus: a qualitative study
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DOI：
10.1186/s12889-015-2518-3
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发表时间：
2015-11-23
影响因子：
4.5
通讯作者：
Katulanda, P.
中科院分区：
文献类型：
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作者：
Ranasinghe, P.;Pigera, A. S. A. D.;Katulanda, P.
背景：糖尿病（DM）在斯里兰卡是一个快速增长的健康问题。饮食和体力活动是影响DM发病率、严重程度和管理的重要可改变风险因素。本研究的目的是评估知识和观念的饮食模式和身体活动之间的一组成年人与DM在Sri Lanka使用定性research methods.Methods：50名成年人从一个队列的糖尿病患者参加的医疗诊所在斯里兰卡国立医院被邀请进行这项研究。通过10个焦点小组讨论收集数据。逐字记录和记录的情绪反应进行了两个独立的观察员。在NVIVO v10.0的帮助下对定性数据进行定向内容分析。结果：平均年龄为61.2 ± 9.9岁，46%为男性。糖尿病的平均病程为10.4 +/- 7.5年。所有人都意识到饮食在糖尿病管理中的重要性。但大多数人很难将这些知识融入他们的生活，主要是由于社会环境。大多数人描述了DM的“好食物”和“坏食物”列表。他们认为，“好”的食物可以在任何时候食用，无论数量多少，“坏”的食物应该完全避免。许多人认为水果对糖尿病不好，而蔬菜被认为是健康的食物选择。大多数人认为有“特殊”的食物有助于控制血糖，最常见的是咖喱叶和冬瓜。大多数研究参与者都意识到身体活动的重要性。然而，缺乏共识和清晰度方面的类型，持续时间，时间和频率的体力activity.Conclusions：尽管了解的重要性，饮食控制和体力活动在糖尿病的管理，坚持的做法是穷人，主要是由于缺乏明确的信息提供。关于饮食有许多神话，其中一些起源于医疗保健专业人员。需要更多的证据来支持或反驳参与者认为对糖尿病有益的“特殊”食物的说法。
Background: Diabetes mellitus (DM) is a rapidly growing health concern in Sri Lanka. Diet and physical activity are important modifiable risk factors affecting the incidence, severity and management of DM. The present study aims to evaluate the knowledge and perceptions about dietary patterns and physical activity among a group of adults with DM in Sri Lanka using qualitative research methods.Methods: Fifty adults from a cohort of diabetic patients attending the medical clinics at the National Hospital of Sri Lanka were invited for the study. Data were collected via 10 Focus Group Discussions. Verbatim recording and documenting emotional responses were conducted by two independent observers. Directed content analysis of qualitative data was done with the help of NVIVO v10.0.Results: Mean age was 61.2 +/- 9.9 years and 46 % were males. Mean duration of diabetes was 10.4 +/- 7.5 years. All were aware of the importance of diet in the management of DM. But most had difficulty in incorporating this knowledge into their lives mostly due to social circumstances. The majority described a list of 'good foods' and 'bad foods' for DM. They believed that 'good' foods can be consumed at all times, irrespective of quantity and 'bad' foods should be completely avoided. Many believed that fruits were bad for diabetes, while vegetables were considered as a healthy food choice. The majority thought that there were 'special' foods that help to control blood glucose, the most common being curry leaves and bitter-gourd. Most study participants were aware of the importance of being physical active. However, there was lack of consensus and clarity with regards to type, duration, timing and frequency of physical activity.Conclusions: Despite understanding the importance of dietary control and physical activity in the management of diabetes, adherence to practices were poor, mainly due to lack of clarity of information provided. There were many myths with regards to diet, some of which have originated from health care professionals. More evidence is needed to support or refute the claims about 'special' foods that the participants believe as being good for diabetes.