Determinants of the self-assessment of the health of individuals with type II diabetes
Journal Title: Rehabilitacja Medyczna - Year 2013, Vol 17, Issue 4
Abstract
Introduction: Diabetes mellitus type 2 is a metabolic disorder that is characterized by insulin resistance in combination with impairedinsulin secretion from the beta cells of the pancreas. Pharmacological treatment largely consists of supplementing theinsulin level, the use of medication which improves the sensitivity of cells to insulin and that affects their production. Of essentialimportance is the modification of lifestyle, especially adaptation to a diabetic diet and weight reduction. One of the most important risk factors of diabetes is the low level of physical activity of potential patients. Aim of the study: To determine the relationship of selected elements of lifestyle, in particular, physical activity on the selfassessment of health in patients with type 2 diabetes.Material and methods: 185 people - 98 females (53% of the total) and 87 males (47%) were examined: these being patients with diagnosed type 2 diabetes of a diabetic clinic from several Silesian cities. In this study, psychometric techniques supplemented by basic anthropometry with the measurement of body height, body weight and the circumferences of the waist and hips were used. The survey consisted of metrics and standardized questionnaires: physical activity - HPA, quality of life related with health - SF-36. For statistical analyses used were: descriptive statistics - mean and standard deviation, differences level calculated by analyses of variance (ANOVA). Dependencies using the Pearson correlation coefficient. The adopted level of statistical significance was: p≤0.05.Results: The correlation between the time of diabetes diagnosis and age were statistically significant. There were no gender, use of diet, BMI and WHR statistical significant differences between the patients who adhered to the dietary recommendations in practice, and those patients who neglected this type of therapy. Differences between physical activity with regard to gender, BMI and WHR index were no found. Both in females and males, age negatively correlated with physical and mental components of health, while self-assessment of health indifferently correlates with physical activity.Conclusions: Physical activity in patients with type 2 diabetes was at a low-level. Declared physical activity and diet had no impact on the BMI and WHR index. Physical activity positively correlated with the self-assessment of health.
Authors and Affiliations
Jerzy Rottermund, Andrzej Knapik, Mariola Saulicz
Keywords
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