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
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 diab...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08866-4 |
| _version_ | 1819057475027992576 |
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| author | Abril Violeta Muñoz-Torres Patricia Medina-Bravo Brenda Elizabeth Valerio-Pérez Grecia Mendoza-Salmeron Jorge Escobedo-de la Peña Lubia Velázquez-López |
| author_facet | Abril Violeta Muñoz-Torres Patricia Medina-Bravo Brenda Elizabeth Valerio-Pérez Grecia Mendoza-Salmeron Jorge Escobedo-de la Peña Lubia Velázquez-López |
| author_sort | Abril Violeta Muñoz-Torres |
| collection | DOAJ |
| description | 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. 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. 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. Conclusions Positive health beliefs are associated with better metabolic control indicators in patients with type 2 diabetes. |
| first_indexed | 2024-12-21T13:39:53Z |
| format | Article |
| id | doaj.art-07c110a951904ef981946d7ba17dad4a |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-21T13:39:53Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-07c110a951904ef981946d7ba17dad4a2022-12-21T19:02:03ZengBMCBMC Public Health1471-24582020-05-012011910.1186/s12889-020-08866-4Positive health beliefs are associated with improvement of glycated hemoglobin and lipid profiles in Mexican patients with type 2 diabetes mellitus: a cross-sectional studyAbril Violeta Muñoz-Torres0Patricia Medina-Bravo1Brenda Elizabeth Valerio-Pérez2Grecia Mendoza-Salmeron3Jorge Escobedo-de la Peña4Lubia Velázquez-López5Department of Public Health, School of Medicine, National Autonomous University (Universidad Nacional Autónoma de Mexico, UNAM)Department of Endocrinology, “Federico Gómez” Children’s Hospital of Mexico, Ministry of Health (SSA)Department of Nutrition and Health, Iberoamerican University (Universidad Iberoamericana)Clinical Epidemiology Research Unit, “Carlos Mac Gregor Sánchez Navarro” Hospital, Mexican Social Security Institute (Instituto Mexicano del Seguro Social, IMSS)Clinical Epidemiology Research Unit, “Carlos Mac Gregor Sánchez Navarro” Hospital, Mexican Social Security Institute (Instituto Mexicano del Seguro Social, IMSS)Clinical Epidemiology Research Unit, “Carlos Mac Gregor Sánchez Navarro” Hospital, Mexican Social Security Institute (Instituto Mexicano del Seguro Social, IMSS)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. 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. 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. Conclusions Positive health beliefs are associated with better metabolic control indicators in patients with type 2 diabetes.http://link.springer.com/article/10.1186/s12889-020-08866-4Health beliefsType 2 diabetesDietPhysical activityMetabolic control |
| spellingShingle | Abril Violeta Muñoz-Torres Patricia Medina-Bravo Brenda Elizabeth Valerio-Pérez Grecia Mendoza-Salmeron Jorge Escobedo-de la Peña Lubia Velázquez-López 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 BMC Public Health Health beliefs Type 2 diabetes Diet Physical activity Metabolic control |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Health beliefs Type 2 diabetes Diet Physical activity Metabolic control |
| url | http://link.springer.com/article/10.1186/s12889-020-08866-4 |
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