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BRIEF RESEARCH ARTICLE
Year : 2014  |  Volume : 58  |  Issue : 1  |  Page : 40-44

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


1 Assistant Professor, Department of Epidemiology, Bangladesh University of Health Sciences, Dhaka, Bangladesh
2 Associate Professor, Department of Community Nutrition, BUHS, Dhaka, Bangladesh
3 Senior Lecturer, Department of Community Nutrition, BUHS, Bangladesh
4 Honorary Professor, Department of Biochemistry and Cell Biology, BUHS, Dhaka, Bangladesh

Correspondence Address:
Shirin Jahan Mumu
Department of Epidemiology, Bangladesh University of Health Sciences (BUHS), 125/1 Darussalam, Mirpur, Dhaka 1216
Bangladesh
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-557X.128165

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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.


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