PMID: 26321029Sep 1, 2015Paper

The association of lifestyle and stress with poor glycemic control in patients with diabetes mellitus type 2: a Croatian nationwide primary care cross-sectional study

Croatian Medical Journal
Valerija Bralić LangDavorka Vrdoljak

Abstract

To assess lifestyle habits and self-reported stress levels among type 2 diabetes mellitus (T2DM) patients and their association with hemoglobin A1c (HbA1c) in general practitioners' (GP) offices in Croatia. 449 GPs from all Croatian regions from 2008 to 2010 consecutively recruited up to 20-25 participants diagnosed with T2DM at least 3 years prior to the study, aged ≥40 years, and scheduled for diabetes control check-ups. The recruitment period lasted six months. Lifestyle habits and self-reported stress were assessed using the questionnaire from the Croatian Adult Health Survey. The study included 10285 patients with T2DM with mean (±standard deviation) age of 65.7±10.05 years (48.1% men). Mean HbA1c level was 7.57±1.58%. 79% of participants reported insufficient physical activity, 24% reported inappropriate dietary patterns, 56% reported current alcohol consumption, 19% were current smokers, and 85% reported at least medium level of stress. Multivariate analysis showed that having received advice to stop drinking alcohol, inadequate physical activity, consumption of milk and dairy products, adding extra salt, and high level of stress were significantly associated with increased HbA1c (P < 0.05). Poor glycemic control was mor...Continue Reading

Citations

Jun 10, 2016·BMC Psychiatry·Miquel RocaUNKNOWN MooDFOOD Prevention Trial Investigators
Nov 3, 2017·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Xuying WangJun Ma
Jul 30, 2017·Diabetic Medicine : a Journal of the British Diabetic Association·J D NoyesE R Pearson

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