Alcohol consumption is inversely associated with adherence to diabetes self-care behaviours
Alcohol consumption is inversely associated with adherence to diabetes self-care behaviours
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DOI：
10.1111/j.1464-5491.2006.01878.x
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发表时间：
2006-07-01
影响因子：
3.5
通讯作者：
Liu, J.
中科院分区：
文献类型：
--
作者：
Ahmed, A. T.;Karter, A. J.;Liu, J.
目的我们的目的是研究酒精消费与六个糖尿病自我保健behaviors.Methods的协会，我们确定了酒精消费水平和研究酒精消费和六个自我保健behaviors. Methods之间的关联65 996成人糖尿病患者谁收到的照顾，通过凯撒永久北方加州和谁回应了1994-1997年的调查。从电子记录中确定对自我监测血糖、HbA（1c）检测和糖尿病药物治疗建议的依从性;自我报告吸烟和使用饮食和运动治疗糖尿病。多元Logistic回归模型被用来确定酒精消费量（平均数量的饮料/天，在过去的一年）和坚持每个自我保健behaviors.Results的概率之间的关联，目前的酒精消费量报告的50.8%的成年糖尿病患者。在调整后的模型中，我们观察到随着饮酒量的增加，糖尿病自我护理行为依从性差的风险逐渐增加，从那些每天喝一杯的人开始。前饮酒者有最大的遵守每一个自我护理behaviors. Conclusions，除了目前的吸烟。酒精消费是一个标记较差的坚持糖尿病自我护理行为。这些发现强调了糖尿病患者酒精摄入量常规评估的重要性，特别是一半的糖尿病成年人饮酒。鉴于现有证据表明，适度饮酒可能对糖尿病患者有心血管益处，因此值得研究心血管益处与自我护理行为依从性较低的潜在风险之间的权衡。
Aims Our aim was to examine the associations of alcohol consumption with six diabetes self-care behaviours.Methods We determined levels of alcohol consumption and examined associations between alcohol consumption and six self-care behaviours in 65 996 adults with diabetes who received care through Kaiser Permanente Northern California and who responded to a 1994-1997 survey. Adherence with recommendations for self monitoring of blood glucose, HbA(1c) testing, and diabetes medications were determined from electronic records; smoking and use of diet and exercise to treat diabetes were self reported. Multiple logistic regression models were used to determine the associations between alcohol consumption (average number of drinks/day in the past year) and the probability of adherence to each self-care behaviour.Results Current alcohol consumption was reported by 50.8% of adults with diabetes. In adjusted models, we observed a gradient of increasing risk for poor adherence to diabetes self-care behaviours with increasing alcohol consumption, starting with those who consume even one drink a day. Former drinkers had the greatest compliance with each self-care behaviour, except for current smoking.Conclusions Alcohol consumption is a marker for poorer adherence to diabetes self-care behaviours. These findings highlight the importance of routine assessment of alcohol intake in people with diabetes, particularly as half of adults with diabetes consume alcohol. Given extant evidence that moderate alcohol intake may have cardiovascular benefits for patients with diabetes, examination of the trade-offs between cardiovascular benefits vs. potential risk of lower adherence with self-care behaviours deserves study.