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|Title: ||Non-adherence to lifestyle modifications (Diet and exercise) amongst type 2 diabetes mellitus patients attending extension II clinics in Gaborone, Botswana|
|Authors: ||Bisiriyu, Ganiyu Adewale|
|Advisors: ||Mabuza, L H|
|Keywords: ||Diet and exercise|
|Issue Date: ||2010|
|Publisher: ||University of Limpopo (Medunsa Campus)|
|Abstract: ||Abundant literature supports the beneficial effects of diet and exercise recommendations for improving and maintaining glycaemic levels of people with type 2 diabetes mellitus. Patient adherence to therapeutic lifestyle measures is notoriously difficult to initiate and sustain; however, reason for non-adherence amongst diabetes population is very complex and multi-faceted in nature.
To determine rates of non-adherence and reasons/barriers for not adhering to diet and exercise recommendations amongst type 2 diabetes mellitus patients attending Extension II clinic in Gaborone, Botswana.
Summary of methods
Design: descriptive cross-sectional study using self administered questionnaire
Setting: Extension II clinic, a public family practice in Gaborone, Botswana.
Study population: Consenting adults diagnosed with type 2 diabetes mellitus, aged 30 years or older, diagnosed 2 or more years and on clinic care.
Sample selection: Convenience sampling method was used to select 35 subjects per month, over a period of three successive months and a total of 105 participants were recruited into the study, made up of 44 men and 61 women.
104 correctly filled questionnaires were included in the data analysis, of which, 59% were female. Estimated rates of non-adherence to diet and exercise were 37.4%; 95% CI, 27.7 – 46.3% and 52%; 95% CI, 42.4 – 61.6% respectively. The main perceived reasons for non-adherence to diet were granting self-permission (36.5%), lack of information (33.3%), eating out (31.7%), financial constraints (28.8%) and poor self control (26.9%); while the main perceived reasons for non-adherence to exercise were lack of information (65.7%), exercise as potentially exacerbating illness (57.6%), lack of exercise partner (24.0%), specific locations away from home (18.0%), and winter weather (15.4%). The overall reasons for not adhering to diet and exercise include lack of moral and emotional supports from the spouse (54.1%), family members (44.8%), and friends (58.7%). 95% and 67.3% of the participants had reported that diet and exercise respectively could improved and maintained their diabetic control.
Non-adherence to diet and exercise recommendations amongst type 2 diabetes patients is far more prevalent and no particular single reason could be attributed to poor adherence to either diet or exercise recommendations, rather a combination of many factors.|
|Description: ||Thesis (M Med (Family Medicine))--University of Limpopo (Medunsa Campus), 2010.|
|Appears in Collections:||Theses and Dissertations (Family Medicine)|
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