Do interactions between patients’ psychological distress and adherence to dietary recommendation predict glycemic control among persons with type 2 diabetes in Ghana?

Q3 Medicine Lifestyle medicine (Hoboken, N.J.) Pub Date : 2021-02-13 DOI:10.1002/lim2.22

Be-Ikuu Dominic Doglikuu, Abubakari Abdulai, Mehdi Yaseri, Elham Shakibazadeh, Abolghassem Djazayery, Khadijeh Mirzaei

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Abstract

Introduction

Psychological distress is a pervasive mental condition among persons with chronic noncommunicable diseases.

Aim

To examine whether interactions between patients’ psychological distress and adherence to dietary recommendations predict glycemic controls among persons with type 2 diabetes mellitus in Ghana.

Methods

Facility-based cross-sectional study involving 530 persons with type 2 diabetes mellitus was conducted between October 2018 and September 2019. Six health facilities were randomly selected and normal-weight persons with type 2 diabetes mellitus (T2DM) at baseline consecutively recruited from patients’ registers. Structured questionnaires were used to collect sociodemographic data. Glycemic control was the main outcome variable, and was determined using HbA1c%. Statistical Package for Social Sciences version 22 was used in data analysis.

Results

Systolic blood pressure (mm Hg), diastolic blood pressure (mm Hg), total cholesterol, and fasting blood sugar were statistically significant for glycemic control (HbA1c%) (p-value < 0.05). After adjusting for confounding variables, low adherence and moderate adherence to dietary recommendations were independently significant for poor glycemic control (high HbA1c%). Interaction between low psychological distress and low adherence to dietary recommendations was statistically significant for poor glycemic control (high HbA1c%). Interaction between low psychological distress and moderate adherence to dietary recommendations was also statistically significant for poor glycemic control (high HbA1c%), whereas interaction between moderate psychological distress and high adherence to dietary recommendations was statistically significant for poor glycemic control (high HbA1c%).

Conclusion

Interaction between psychological distress and adherence to dietary recommendations can influence glycemic controls among persons with T2DM.

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加纳2型糖尿病患者的心理困扰和饮食建议依从性之间的相互作用能否预测血糖控制?

心理困扰是慢性非传染性疾病患者普遍存在的精神状况。目的研究加纳2型糖尿病患者的心理困扰和饮食建议依从性之间的相互作用是否能预测血糖控制。方法2018年10月至2019年9月对530例2型糖尿病患者进行了基于设施的横断面研究。随机选择6个医疗机构，从患者登记册中连续招募基线体重正常的2型糖尿病患者。采用结构化问卷收集社会人口统计数据。血糖控制是主要结局变量，以HbA1c%确定。使用Statistical Package for Social Sciences version 22进行数据分析。结果收缩压(mm Hg)、舒张压(mm Hg)、总胆固醇和空腹血糖对血糖控制(HbA1c%)有统计学意义(p值<0.05)。在调整了混杂变量后，低依从性和中等依从性饮食建议对血糖控制不良(高HbA1c%)具有独立意义。低心理困扰和低饮食建议依从性之间的相互作用对于血糖控制不良(高HbA1c%)具有统计学意义。对于血糖控制不良(高HbA1c%)，低心理困扰和中度坚持饮食建议之间的相互作用也具有统计学意义，而对于血糖控制不良(高HbA1c%)，中度心理困扰和高度坚持饮食建议之间的相互作用具有统计学意义。结论心理困扰与饮食建议依从性的相互作用可影响T2DM患者的血糖控制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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