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Positive health beliefs are associated with improvement of glycated hemoglobin and lipid profiles in Mexican patients with type 2 diabetes mellitus: a cross-sectional study.
- Source :
-
BMC public health [BMC Public Health] 2020 May 24; Vol. 20 (1), pp. 761. Date of Electronic Publication: 2020 May 24. - Publication Year :
- 2020
-
Abstract
- Background: Health beliefs are relevant to consider in patients with type 2 diabetes since disease control depends mainly on the patient's behaviour. The aim of this study was to assess the association between health beliefs and glycated hemoglobin levels in Mexican patients with type 2 diabetes.<br />Methods: An analytical cross-sectional study was conducted, and 336 patients were included. Fasting blood levels of glycated hemoglobin, glucose, cholesterol; triglycerides, high-density lipoprotein cholesterol (HDL-c), and low-density lipoprotein cholesterol (LDL-c) were measured. Body fat percentage, weight, height; waist circumference, and systolic and diastolic blood pressures were also obtained. A previously validated self-administered questionnaire was used to assess the health beliefs with regards to non-pharmacological treatment. Health beliefs were classified as positive, neutral, and negative.<br />Results: The average age of patients was 54.7 ± 8.5 years, with a higher proportion of females (69%). The questionnaire had a good internal consistency with a Cronbach's alpha score of 0.83. More than 90% of patients attributed a health benefit to diet and exercise, 30 to 40% experienced barriers, and more than 80% had a perception of complications associated to uncontrolled diabetes. Patients with positive health beliefs had lower HbA1c levels (8.2 ± 1.7%) compared to those with neutral (9.0 ± 2.3%), or negative (8.8 ± 1.8%; p = 0.042). The LDL-c levels were lower (p = 0.03), and HDL-c levels were higher (0.002) in patients with positive heath beliefs.<br />Conclusions: Positive health beliefs are associated with better metabolic control indicators in patients with type 2 diabetes.
- Subjects :
- Blood Pressure
Body Mass Index
Cross-Sectional Studies
Diet
Female
Health Knowledge, Attitudes, Practice
Health Surveys
Humans
Male
Mexico
Middle Aged
Blood Glucose analysis
Cholesterol blood
Cholesterol, HDL blood
Cholesterol, LDL blood
Diabetes Mellitus, Type 2 blood
Diabetes Mellitus, Type 2 metabolism
Glycated Hemoglobin analysis
Lipoproteins, LDL blood
Triglycerides blood
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2458
- Volume :
- 20
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC public health
- Publication Type :
- Academic Journal
- Accession number :
- 32448139
- Full Text :
- https://doi.org/10.1186/s12889-020-08866-4