成人 2 型糖尿病患者的体重自我耻辱感与健康饮食和体育锻炼之间的关系:第二次澳大利亚糖尿病 MILES(MILES-2)研究的横断面结果。

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Sarah Manallack, Edith E. Holloway, Frans Pouwer, Jane Speight, Elizabeth Holmes-Truscott
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引用次数: 0

摘要

目的:在成年 2 型糖尿病患者中研究体重自我污名与健康饮食或体育锻炼之间的关系,以及自尊、糖尿病自我效能感和糖尿病社会支持的潜在调节作用:方法:采用澳大利亚横断面在线调查 "糖尿病 MILES-2 数据"。自认为超重并对体重管理表示担忧的2型糖尿病患者(N = 726;48%接受过胰岛素治疗)完成了体重自我成见问卷(WSSQ;总分和分量表:自我评价、对颁布成见的恐惧)、糖尿病自我护理措施(饮食、运动)以及假设的社会心理调节因素(自尊、糖尿病自我效能和糖尿病社会支持)。调整后的线性回归测试了相关性和交互效应,并按胰岛素治疗状态分别进行了测试:结果:体重自我耻辱感(WSSQ 总值)较强与自我饮食护理较差(两组均为:β = -0.3)和运动水平较低(仅非胰岛素组:β = -0.2;均为 p 0.5)相关。没有观察到明显的交互效应:这项研究提供了新的证据,证明体重自我污名与 2 型糖尿病成人患者的自我保健行为之间存在负相关。在 2 型糖尿病队列中,体重自我污名已被证明是自我护理行为的一个障碍。临床护理和健康计划需要认识到这一点,并制定策略来解决体重自我耻辱问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations between weight self-stigma and healthy diet and physical activity among adults with type 2 diabetes: Cross-sectional results from the second Diabetes MILES – Australia (MILES-2) study

Aims

To examine associations between weight self-stigma and healthy diet or physical activity, and potential moderating effects of self-esteem, diabetes self-efficacy, and diabetes social support, among adults with type 2 diabetes.

Methods

Diabetes MILES-2 data were used, an Australian cross-sectional online survey. Participants with type 2 diabetes who considered themselves overweight, and reported concern about weight management (N = 726; 48% insulin-treated), completed the Weight Self-Stigma Questionnaire (WSSQ; total score and subscales: self-devaluation, fear of enacted stigma), measures of diabetes self-care (diet, exercise), and hypothesised psychosocial moderators (self-esteem, diabetes self-efficacy, and diabetes social support). Adjusted linear regression tested associations and interaction effects, separately by insulin treatment status.

Results

Greater weight self-stigma (WSSQ total) was associated with less optimal dietary self-care (both groups: β = −0.3), and with a lower level of exercise (non-insulin only: β = −0.2; all p < 0.001). All hypothesised moderators were negatively associated with weight self-stigma (range r = −0.2 to r = −0.5). Positive associations were identified between the hypothesised moderators and self-care behaviours (strongest between diet and diabetes self-efficacy, r = > 0.5). No significant interaction effects were observed.

Conclusions

This study provides novel evidence of negative associations between weight self-stigma and self-care behaviours among adults with type 2 diabetes. Weight self-stigma is a demonstrated barrier to self-care behaviours in type 2 diabetes cohorts. Acknowledgement and strategies to address weight self-stigma are needed in clinical care and health programmes.

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来源期刊
Diabetic Medicine
Diabetic Medicine 医学-内分泌学与代谢
CiteScore
7.20
自引率
5.70%
发文量
229
审稿时长
3-6 weeks
期刊介绍: Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”
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