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Karki A, Vandelanotte C, Rawal LB. Depressive Symptoms, Perceived Stress, and Associated Socio-Demographic and Diabetes-Related Factors in People With Type 2 Diabetes in Nepal. Asia Pac J Public Health 2024:10105395241277892. [PMID: 39257040 DOI: 10.1177/10105395241277892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/12/2024]
Abstract
The aim of this study was to assess the prevalence and associated factors of depressive symptoms and perceived stress among people with Type 2 diabetes mellitus (T2DM) in Nepal. Using a cross-sectional design, we collected data from 481 participants with T2DM in Kavrepalanchok and Nuwakot districts of Nepal. Depressive symptoms and perceived stress were assessed using Patient Health Questionnaire (PHQ-9) and Perceived Stress Scale, respectively. Associated independent variables were examined using binary logistic regression analyses. Of 481 participants, 123 (25.8%) had depressive symptoms (PHQ-9 score ≥5) and 156 (32.4%) experienced perceived stress. Low monthly income (
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Affiliation(s)
- Ashmita Karki
- School of Health, Medical and Applied Sciences, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Corneel Vandelanotte
- School of Health, Medical and Applied Sciences, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
| | - Lal B Rawal
- School of Health, Medical and Applied Sciences, Appleton Institute, Central Queensland University, Rockhampton, QLD, Australia
- Translational Health Research Institute, Western Sydney University, Sydney, NSW, Australia
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Huang L, Li H, Liu H, Tian H, Luo H, Wu J, Luo Y, Peng L, Guo L. Socioecological influencers of health-promoting lifestyles in Chinese: a preliminary survey using convenient samples. Front Public Health 2024; 11:1309824. [PMID: 38259776 PMCID: PMC10800470 DOI: 10.3389/fpubh.2023.1309824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 11/28/2023] [Indexed: 01/24/2024] Open
Abstract
Background Healthy lifestyles are considered important means to reduce the burden of diseases. This cross-sectional study was conducted based on the Ecological Model of Health Behavior (EMHB) to analyze the factors associated with the health-promoting lifestyles of Chinese residents. Methods We carried out a cross-sectional investigation in July 2023. Our investigated factors included social-demographic characteristics (including sex, age, education level, employment status, marital status, personal monthly income, and daily behavioral habits [which were measured by a questionnaire)], health literacy [which was measured by the Chinese version of the Health Literacy Scale Short-Form scale (HLS-SF12)], and family health [which was measured by the Chinese version of the Short-Form of the Family Health Scale (FHS-SF)]. Our outcome was health promoting lifestyle, which was measured by a revised version of Health Promoting Lifestyle Profile-II (HPLP-IIR). Data were analyzed using stepwise regression. Results A total of 1,402 participants were enrolled. Higher scores of HLS-SF12 (β = 0.467), having regular exercise (β = 0.212), and regular physical examination (β = 0.088) were associated with better health-prompting lifestyles. However, older age (≥60 years) (β = -0.046), drinking (β = -0.066), and sleeping time (5-6 h/day) (β = -0.048) were associated lower levels of health-prompting lifestyles. Living with family (β = 0.077), FHS-SF (β = 0.104), and married (β = -0.077) were significant influencers. Unemployed (β = -0.048), receiving retirement pay (β = -0.053), and economic support provided by parents (β = 0.094) were associated with better health-prompting lifestyles. There were multiple influencing factors of the six dimensions of the HPLP-IIR. Our findings indicate that community residents with higher health literacy, better family health, and health-related behaviors tend to have better health-promoting lifestyles. Conclusion Our findings have confirmed the complex impacts of social-ecological factors on health-promoting lifestyles, which may help policy makers with health-promotion strategies making and also help researchers to control for confounding in study design.
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Affiliation(s)
- Li Huang
- College of Physical Education, Southwest University, Chongqing, China
- Key Lab of Physical Fitness Evaluation and Motor Function Monitoring, Southwest University, Chongqing, China
| | - Hansen Li
- College of Physical Education, Southwest University, Chongqing, China
| | - Haowei Liu
- College of Physical Education, Southwest University, Chongqing, China
| | - Haodong Tian
- College of Physical Education, Southwest University, Chongqing, China
| | - Haoyue Luo
- College of Physical Education, Southwest University, Chongqing, China
| | - Jinlong Wu
- College of Physical Education, Southwest University, Chongqing, China
| | - Yue Luo
- Chongqing College of International Business and Economics, Chongqing, China
| | - Li Peng
- College of Physical Education, Southwest University, Chongqing, China
- Key Lab of Physical Fitness Evaluation and Motor Function Monitoring, Southwest University, Chongqing, China
| | - Liya Guo
- College of Physical Education, Southwest University, Chongqing, China
- College of Physical Education, Yili Normal University, Xinjiang, China
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Okeke NM, Onah BN, Ekwealor NE, Ekwueme SC, Ezugwu JO, Edeh EN, Okeke PM, Ndille R, Onwuadi CC, Amedu AN, Nwaogaidu JC, Nnamani RG, Okolie CN, Okoro K, Solomon KC, Owonibi OE. Effect of a religious coping intervention of rational emotive behavior therapy on mental health of adult learners with type II diabetes. Medicine (Baltimore) 2023; 102:e34485. [PMID: 37773818 PMCID: PMC10545252 DOI: 10.1097/md.0000000000034485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 07/03/2023] [Indexed: 10/01/2023] Open
Abstract
BACKGROUND Some previous studies have highlighted the high rate of mental health problems associated with type II diabetes (T2DM). The primary purpose of this study was to investigate the effect of a religious coping intervention of rational emotive behavior therapy (REBT) on the mental health of adult learners with T2DM. METHODS This study utilized a randomized controlled trial to select 146 adult learners with T2DM and mental health-related problems. The treatment group was made up of 73 adult learners, while the control group was also made up of 73 adult learners. The experimental group received 8 sessions of a religious coping intervention of REBT, while the control group received usual care. Data were collected using the patient health questionnaire, Warwick-Edinburgh mental well-being scale, and Kessler psychological distress scale. Repeated ANOVA and univariate analysis of covariance were used for data analyses. RESULTS The religious coping intervention of REBT substantially enhanced the mental health of adult learners with T2DM as measured by Warwick-Edinburgh mental well-being scale (P < .000) and patient health questionnaire (P < .000). The religious coping intervention of REBT significantly alleviated the psychological distress of adult learners with T2DM as measured by Kessler psychological distress scale (P < .000). CONCLUSION In this study, it has been demonstrated that a religious coping intervention of REBT effectively improves the mental health of adult learners with T2DM. The study concludes that the religious coping intervention of REBT is a practical alternative medicine approach to enhancing the mental health of adult learners with T2DM.
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Affiliation(s)
- Nkechi Mercy Okeke
- Department of Adult Education & Extra-Mural Studies, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Beatrice N. Onah
- Department of Adult Education & Extra-Mural Studies, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Nwakaego Ebele Ekwealor
- Department of Adult Education & Extra-Mural Studies, University of Nigeria, Nsukka, Enugu State, Nigeria
| | | | | | - Esther Nwarube Edeh
- Department of Adult Education & Extra-Mural Studies, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Polycarp M.D. Okeke
- Department of Adult Education & Extra-Mural Studies, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Roland Ndille
- Department of History, University of Buea Cameroon, Buea, Cameroon
| | - Charles C. Onwuadi
- Department of Adult Education & Extra-Mural Studies, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Amos N. Amedu
- Department of Educational Psychology, University of Johannesburg, Johannesburg, South Africa
| | - John Chidubem Nwaogaidu
- Institute of African Studies/Department of Sociology and Anthropology, University of Nigeria, Nsukka, Enugu State, Nigeria
| | | | - Charles Nkem Okolie
- Department of Philosophy and Religious and Cultural Studies, Alex Ekwueme Federal University Ndufu-Alike Ikwo, Ebonyi State, Nigeria
| | - Kingsley Okoro
- Department of Philosophy and Religious and Cultural Studies, Alex Ekwueme Federal University Ndufu-Alike Ikwo, Ebonyi State, Nigeria
| | - Kingsley Christopher Solomon
- Department of Philosophy and Religious and Cultural Studies, Alex Ekwueme Federal University Ndufu-Alike Ikwo, Ebonyi State, Nigeria
| | - Ola Elizabeth Owonibi
- Department of Sociology, Ibrahim Badamasi Babangida University, Lapai, Niger State, Nigeria
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Sharma K, Poudyal S, Subba HK, Khatiwada S. Metabolic syndrome and life style factors among diabetes patients attending in a teaching hospital, Chitwan. PLoS One 2023; 18:e0286139. [PMID: 37228052 DOI: 10.1371/journal.pone.0286139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 05/10/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND Metabolic syndrome (MetS) is associated with an increased incidence of chronic complications and mortality of diabetes patients. Prevention and treatment of MetS is important means of lowering the risk of cardiovascular diseases and mortality. OBJECTIVE This study aimed to find out metabolic syndrome and life style factors among diabetes patients. METHODS A cross-sectional survey was carried out among 296 patients with type 2 diabetes mellitus attending Chitwan Medical College Teaching Hospital. Consecutive sampling technique was used to select sample. Data were collected from 15th December 2021 to 15th March, 2022 using Interview Schedule, bio-physiological measurement and record review. Obtained data were analysed in SPSS version 20 for window using descriptive and inferential statistics. Chi-square test was applied to measure the association between the variables. Logistic regression analysis was performed to identify the factors associated with metabolic syndrome. RESULT Findings revealed that the prevalence of MetS was 66.2% and 58.4% in patients according to International Diabetes Federation (IDF) and National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) criteria respectively. The most common MetS parameters were raised fasting plasma glucose (94.6%) and abnormal waist circumference (78.4% in IDF criteria) while the least prevalent parameter was reduced HDL level (43.2%). Majorities of the patients were non-vegetarian (85.5%), had poor dietary compliance (poor-46.3%, very poor-32.1%), overweight/obese (65.5%), and suffered from moderate stress (90.1%). Bivariate analysis showed that MetS as per NCEP ATP criteria was significantly associated with gender (p = 0.006), occupation (p = 0.007), presence of other co-morbid condition (<0.001) and sleep problem (p = <0.001). However, MetS as per IDF criteria was significantly associated with age (p = <0.028), duration of diabetes (p = <0.001), follow-up visit (p = <0.030), blood sugar monitoring (p = <0.009) and physical activity of diabetes patients (p = <0.001). Further logistic regression analysis revealed that sleep problem (AOR = 21.812;95%CI = 8.512,55.894) and presence of other comorbidities (AOR = 4.024;95%CI = 2.220,7.295) were the significant factors of metabolic syndrome. CONCLUSION AND RECOMMENDATION Metabolic syndrome is high in patients with type 2 diabetes mellitus. Therefore, treating physicians and other health workers need to monitor MetS parameters regularly to reduce the risk of cardiovascular diseases, stroke and premature death.
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Affiliation(s)
- Kalpana Sharma
- School of Nursing, Chitwan Medical College, Bharatpur, Nepal
| | - Sunita Poudyal
- School of Nursing, Chitwan Medical College, Bharatpur, Nepal
| | - Hem K Subba
- School of Nursing, Chitwan Medical College, Bharatpur, Nepal
| | - Saurav Khatiwada
- Departments of Endocrine Medicine, Chitwan Medical College, Bharatpur, Nepal
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Vidyulatha J, Pramodkumar T, Pradeepa R, Deepa M, Poongothai S, Venkatesan U, Aarthi G, Thenmozhi S, Anjana R, Mohan V. Prevalence and impact of stress among individuals with type 2 diabetes attending a tertiary diabetes center in South India. JOURNAL OF DIABETOLOGY 2022. [DOI: 10.4103/jod.jod_12_22] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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