Associations between disease acceptance and dietary adherence in patients with type 2 diabetes mellitus in China: a cross-sectional study

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2025-04-21 DOI:10.1016/j.diabres.2025.112196

Xiao Liu , Qiran Zhang , Liu Huang , Yuhuan Zhuang

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引用次数: 0

Abstract

Studies on the correlation between dietary adherence in patients with Type 2 diabetes mellitus (T2DM) have focused on self-management, efficacy, and exercise. Limited empirical research on the impact of disease acceptance on dietary adherence. However, previous studies had shown that disease acceptance was an important factor influencing patients’ self-management behavior, of which dietary management was a key component. Therefore, it is of great significance to explore the relationship between disease acceptance and dietary adherence for the later development of relevant measures to improve dietary adherence.

Aims

The aim of this study was to investigate and report disease acceptance and diet adherence, as well as the factors that influenced diet adherence in patients with T2DM in China.

Methods

A descriptive study including 230 patients with T2DM was conducted in China. General socio-demographic data questionnaires, the Acceptance of Illness Scale (AIS), and the Dietary Adherence Scale (DAS) were used to explore the disease acceptance, dietary adherence. Correlation analyses were performed to determine the relationship between disease acceptance and dietary adherence, and logistic regression analyses were performed to determine the factors that contributed to dietary adherence in patients with T2DM.

Results

The mean score of disease acceptance was found to be (24.50 ± 7.34), and the mean score of dietary adherence was (78.79 ± 13.32). Correlation analysis indicated that disease acceptance was significantly and positively correlated with dietary adherence (r = 0.235, p ≤ 0.05). Further, regression analysis revealed that disease acceptance, gender, current treatment, and occupation were predictive of dietary adherence in patients with T2DM (R² = 0.124, F = 16.233).

Conclusion.

A greater acceptance of illness correlated with increased dietary adherence in patients with T2DM. Influences on dietary adherence were found to be multifaceted, encompassing socio-demographic data, disease-related factors, and disease acceptance. As such, targeted interventions may be enacted to enhance disease acceptance, thus improving the dietary adherence in patients with T2DM.

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中国2型糖尿病患者疾病接受度与饮食依从性之间的关系：一项横断面研究

关于2型糖尿病（T2DM）患者饮食依从性相关性的研究主要集中在自我管理、疗效和运动方面。疾病接受度对饮食依从性影响的实证研究有限。然而，以往的研究表明，疾病接受度是影响患者自我管理行为的重要因素，其中饮食管理是关键组成部分。因此，探讨疾病接受度与饮食依从性之间的关系，对于后期制定提高饮食依从性的相关措施具有重要意义。本研究的目的是调查和报告中国T2DM患者的疾病接受度和饮食依从性，以及影响饮食依从性的因素。方法对230例T2DM患者进行描述性研究。采用一般社会人口统计数据问卷、疾病接受度量表（AIS）和饮食依从性量表（DAS）来探讨疾病接受度、饮食依从性。通过相关分析确定疾病接受度与饮食依从性之间的关系，并通过logistic回归分析确定T2DM患者饮食依从性的影响因素。结果患者疾病接受度平均得分为（24.50±7.34）分，饮食依从性平均得分为（78.79±13.32）分。相关分析显示，疾病接受度与饮食依从性呈显著正相关（r = 0.235, p≤0.05）。此外，回归分析显示，疾病接受度、性别、当前治疗和职业是T2DM患者饮食依从性的预测因素（R2 = 0.124, F = 16.233）。T2DM患者对疾病的接受程度越高，饮食依从性越高。研究发现，对饮食依从性的影响是多方面的，包括社会人口统计数据、疾病相关因素和疾病接受度。因此，可以制定有针对性的干预措施来提高疾病接受度，从而提高T2DM患者的饮食依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.