Non-adherence to life-style modification and its factors among type 2 diabetic patients

• Published in: Indian journal of public health 2014-01, Vol.58 (1), p.40-44
• Main Authors: Mumu, Shirin Jahan, Saleh, Farzana, Ara, Ferdous, Afnan, Fadia, Ali, Liaquat
• Format: Article
• Language: English
• Subjects: Activities of daily living; Adherence; Adult; Age; Bangladesh; Blood; Care and treatment; Chewing; Cross-Sectional Studies; Developing countries; Diabetes; Diabetes mellitus; Diabetes Mellitus, Type 2 - psychology; Diabetes Mellitus, Type 2 - therapy; Diabetics; Diet; Education; Exercise; Female; Females; Glucose; Habits; Health aspects; Health Behavior; Health Education; Humans; LDCs; Life Style; Lifestyle modification; Male; Mastication; Middle Aged; Non-adherence; Patient compliance; Patient Compliance - statistics & numerical data; Patients; Physical fitness; Prognosis; Psychological aspects; Questionnaires; Regression analysis; Rural areas; Smoking; Sociodemographics; Socioeconomic Factors; Urban areas
• ISSN: 0019-557X; 2229-7693
• DOI: 10.4103/0019-557X.128165

Non-adherence to preventive and therapeutic life-style recommendations among patients with diabetes is special challenge in the management of these patients. This study aimed to measure the proportion of non-adherence to life-style modification and factors associated with these among a group of Bangladeshi type 2 diabetic patients. Under an analytical cross-sectional design 374 type 2 diabetic patients (age >20 years), diagnosed for at least 1 year, were selected from different health care centers operated by the Diabetic Association of Bangladesh. Non-adherence rate were assessed for: Diet (88%), exercise (25%), routine blood glucose testing (32%), foot care (70%), smoking (6%) and betel quid chewing habit (25%). Binary logistic regression suggests that higher education group (P = 0.013), rural area (P = 0.013) and attendance to diabetes education classes (P = 0.043) showed good adherence to diet and non-attendance to diabetes education class (P = 0.014), older age (P = 0.037) are associated to non-adherence to exercise. Unemployed patients showed more non-adherence to blood glucose testing (P = 0.045) than others. Non-attendance to diabetes education class (P = 0.037) and business occupation group (P = 0.039) showed significant association to smoking and betel quid intake habit respectively.