Health-related behaviours of people with diabetes and those with cardiometabolic risk factors: results from SHIELD.

Health-related behaviours of people with diabetes and those with cardiometabolic risk factors: results from SHIELD.
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DOI:
10.1111/j.1742-1241.2007.01588.x
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发表时间:
2007-11
影响因子:
2.6
通讯作者:
SHIELD Study Group
SHIELD Study Group
中科院分区:
医学4区
文献类型:
--
作者:
Green AJ;Bazata DD;Fox KM;Grandy S;SHIELD Study Group

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该研究评估了2型糖尿病和具有心脏代谢风险因素的受访者对健康、糖尿病、饮食和运动的知识、态度和行为。SHIELD研究中的受访者报告了他们的健康状况、锻炼、饮食和减肥情况。评估了三组:(i)2型糖尿病,(ii)高风险(HR)定义为以下因素中的3-5个:腹部肥胖、BMI ≥ 28 kg/m2、报告的血脂异常、高血压、冠心病或卒中诊断,(iii)低风险(LR)定义为≤ 2个因素。使用方差分析进行组间比较。更多的2型糖尿病和HR受访者(&gt; 46%)接受了改变生活习惯(增加锻炼和改变饮食习惯)的建议,而LR受访者的比例为&lt; 29%,p < 0.0001. Less than 25% of respondents agreed that type 2 diabetes is not as serious as type 1 diabetes and >85%同意肥胖会加重或导致慢性疾病的发作。2型糖尿病患者平均就诊次数(11.0)高于HR(9.4)和LR(6.1)组,p &lt; 0.05。2型糖尿病和HR受访者最不可能报告定期锻炼(26%),而LR(37%),p &lt; 0.05。更多的2型糖尿病(70%)和HR(72%)受访者报告试图减肥,而LR受访者(55%),p &lt; 0.05。2型糖尿病和人力资源受访者报告了有利于健康的态度和知识,但大多数受访者并没有将这些积极特征转化为饮食、运动和减肥方面的健康行为。
The study assessed knowledge, attitudes and behaviours towards health, diabetes, diet and exercise among respondents with type 2 diabetes mellitus and those with cardiometabolic risk factors. Respondents in the SHIELD study reported their health conditions, exercise, diet and weight loss. Three groups were assessed: (i) type 2 diabetes, (ii) high risk (HR) defined as 3–5 of the following factors: abdominal obesity, BMI ≥ 28 kg/m2, reported diagnosis of dyslipidaemia, hypertension, coronary heart disease or stroke and (iii) low risk (LR) defined as ≤ 2 factors. Comparisons across groups were made using analysis of variance. More type 2 diabetes and HR respondents (> 46%) received recommendations to change their lifestyle habits (increase exercise and change eating habits), compared with < 29% of LR respondents, p < 0.0001. Less than 25% of respondents agreed that type 2 diabetes is not as serious as type 1 diabetes and > 85% agreed that obesity can aggravate or contribute to onset of chronic conditions. Mean number of healthcare visits was highest in type 2 diabetes (11.0) than HR (9.4) and LR (6.1) groups, p < 0.05. Type 2 diabetes and HR respondents were least likely to report exercising regularly (26%), compared with LR (37%), p < 0.05. More type 2 diabetes (70%) and HR (72%) respondents reported trying to lose weight vs. LR respondents (55%), p < 0.05. Type 2 diabetes and HR respondents reported attitudes and knowledge conducive to good health, but the majority of respondents did not translate these positive traits into healthy behaviour with respect to diet, exercise and weight loss.
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