Gisele de Souza Tupinambá, Odaleia Barbosa de Aguiar, Bruno Pereira de Moura, Maria Inês Schmidt, Maria Del Carmen Bisi Molina, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca
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Participants with low adherence were more than twice as likely to have inadequate levels of glycated hemoglobin (OR: 2.09; 95%CI 1.14-4.10). Consumption of ultra-processed foods and insufficient intake of leafy vegetables showed initial associations that did not remain significant after adjustments, suggesting the influence of additional factors, such as socioeconomic conditions.</p><p><strong>Conclusion: </strong>These results reinforce the need for interventions that combine health education, self-care support and public policies aimed at equality of treatment access, contributing to glycemic control and the reduction of complications associated with type 2 diabetes.</p>","PeriodicalId":93887,"journal":{"name":"Arquivos brasileiros de cardiologia","volume":"122 6","pages":"e20240867"},"PeriodicalIF":1.9000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266605/pdf/","citationCount":"0","resultStr":"{\"title\":\"Association between Self-Care Behaviors and Inadequate Glycemic Control in ELSA-Brasil Participants with Type 2 Diabetes.\",\"authors\":\"Gisele de Souza Tupinambá, Odaleia Barbosa de Aguiar, Bruno Pereira de Moura, Maria Inês Schmidt, Maria Del Carmen Bisi Molina, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca\",\"doi\":\"10.36660/abc.20240867\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Type 2 diabetes is a prevalent chronic condition, often associated with metabolic and cardiovascular complications.</p><p><strong>Objective: </strong>This study aimed to evaluate the association between self-care behaviors, such as consumption of ultra-processed foods, vegetables, greens and fruits, physical activity, adherence to pharmacological treatment and smoking, and inadequate glycemic control in ELSA-Brasil participants with type 2 diabetes.</p><p><strong>Methods: </strong>This is a cross-sectional study with 2,567 individuals, in which the associations between the variables of interest were analyzed by multiple logistic regression (p<0.05).</p><p><strong>Results: </strong>Adherence to pharmacological treatment was the only behavior consistently associated with inadequate glycemic control. 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引用次数: 0
摘要
背景:2型糖尿病是一种常见的慢性疾病,常伴有代谢和心血管并发症。目的:本研究旨在评估elsa - brazil 2型糖尿病患者的自我保健行为(如超加工食品、蔬菜、蔬菜和水果的消费、体育活动、药物治疗依从性和吸烟)与血糖控制不足之间的关系。方法:这是一项包含2567人的横断面研究,其中通过多元逻辑回归分析了感兴趣的变量之间的关联(结果:坚持药物治疗是唯一与血糖控制不充分相关的行为)。低依从性的参与者糖化血红蛋白水平不足的可能性是其两倍多(OR: 2.09;95%可信区间1.14 - -4.10)。超加工食品的消费和叶类蔬菜摄入不足显示出最初的关联,在调整后没有保持显著,这表明其他因素的影响,如社会经济条件。结论:这些结果加强了干预措施的必要性,结合健康教育,自我保健支持和旨在平等获得治疗的公共政策,有助于控制血糖和减少2型糖尿病相关并发症。
Association between Self-Care Behaviors and Inadequate Glycemic Control in ELSA-Brasil Participants with Type 2 Diabetes.
Background: Type 2 diabetes is a prevalent chronic condition, often associated with metabolic and cardiovascular complications.
Objective: This study aimed to evaluate the association between self-care behaviors, such as consumption of ultra-processed foods, vegetables, greens and fruits, physical activity, adherence to pharmacological treatment and smoking, and inadequate glycemic control in ELSA-Brasil participants with type 2 diabetes.
Methods: This is a cross-sectional study with 2,567 individuals, in which the associations between the variables of interest were analyzed by multiple logistic regression (p<0.05).
Results: Adherence to pharmacological treatment was the only behavior consistently associated with inadequate glycemic control. Participants with low adherence were more than twice as likely to have inadequate levels of glycated hemoglobin (OR: 2.09; 95%CI 1.14-4.10). Consumption of ultra-processed foods and insufficient intake of leafy vegetables showed initial associations that did not remain significant after adjustments, suggesting the influence of additional factors, such as socioeconomic conditions.
Conclusion: These results reinforce the need for interventions that combine health education, self-care support and public policies aimed at equality of treatment access, contributing to glycemic control and the reduction of complications associated with type 2 diabetes.