Severe obesity and diabetes self-care attitudes, behaviours and burden: implications for weight management from a matched case-controlled study. Results from Diabetes MILES-Australia
Aims To investigate whether diabetes self‐care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non‐severely obese control subjects. Methods The 1795 respon...
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| Published in | Diabetic medicine Vol. 31; no. 2; pp. 232 - 240 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford
Blackwell Publishing Ltd
01.02.2014
Blackwell Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Aims
To investigate whether diabetes self‐care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non‐severely obese control subjects.
Methods
The 1795 respondents to the Diabetes MILES—Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI ≥ 35 kg/m2; median BMI = 41.6 kg/m2) and these were matched with 530 control subjects (BMI < 35 kg/m2; median BMI = 28.2 kg/m2). Diabetes self‐care behaviours, attitudes and burden were measured with the Diabetes Self‐Care Inventory—Revised. Within‐group and between‐group trends were examined.
Results
The group with BMI ≥ 35 kg/m2 was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m2. The group with BMI ≥ 35 kg/m2 was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m2. There were no between‐group differences in other aspects of diabetes self‐care: self‐monitoring of blood glucose, use of medications and smoking. Moderate‐to‐severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management.
Conclusions
Severely obese people with diabetes demonstrated self‐care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self‐care behaviours are supported equally by severely obese and non‐severely obese individuals.
What's new?
This analysis demonstrates, for the first time, that severely obese and non‐severely obese (BMI < 35 kg/m2) individuals with Type 2 diabetes differ in their perceptions of diet, physical activity and weight management.
Despite more actively trying to lose weight, severely obese individuals placed less importance in, and report greater burden with, diet and exercise recommendations.
These differences appear weight‐specific and not seen in other diabetes self‐care behaviours, including blood glucose monitoring or medication use.
Awareness of this additional burden and specific support for weight management is clearly needed to improve diabetes self‐care outcomes for severely obese individuals. |
|---|---|
| AbstractList | To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non-severely obese control subjects. The 1795 respondents to the Diabetes MILES-Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI greater than or equal to 35 kg/m2; median BMI = 41.6 kg/m2) and these were matched with 530 control subjects (BMI < 35 kg/m2; median BMI = 28.2 kg/m2). Diabetes self-care behaviours, attitudes and burden were measured with the Diabetes Self-Care Inventory-Revised. Within-group and between-group trends were examined. The group with BMI greater than or equal to 35 kg/m2 was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m2. The group with BMI greater than or equal to 35 kg/m2 was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m2. There were no between-group differences in other aspects of diabetes self-care: self-monitoring of blood glucose, use of medications and smoking. Moderate-to-severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management. Severely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals. This analysis demonstrates, for the first time, that severely obese and non-severely obese (BMI < 35 kg/m2) individuals with Type 2 diabetes differ in their perceptions of diet, physical activity and weight management.Despite more actively trying to lose weight, severely obese individuals placed less importance in, and report greater burden with, diet and exercise recommendations.These differences appear weight-specific and not seen in other diabetes self-care behaviours, including blood glucose monitoring or medication use.Awareness of this additional burden and specific support for weight management is clearly needed to improve diabetes self-care outcomes for severely obese individuals. Aims To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non-severely obese control subjects. Methods The 1795 respondents to the Diabetes MILES--Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI ≥ 35 kg/m2; median BMI = 41.6 kg/m2) and these were matched with 530 control subjects (BMI < 35 kg/m2; median BMI = 28.2 kg/m2). Diabetes self-care behaviours, attitudes and burden were measured with the Diabetes Self-Care Inventory--Revised. Within-group and between-group trends were examined. Results The group with BMI ≥ 35 kg/m2 was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m2. The group with BMI ≥ 35 kg/m2 was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m2. There were no between-group differences in other aspects of diabetes self-care: self-monitoring of blood glucose, use of medications and smoking. Moderate-to-severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management. Conclusions Severely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals. What's new? This analysis demonstrates, for the first time, that severely obese and non-severely obese (BMI < 35 kg/m2) individuals with Type 2 diabetes differ in their perceptions of diet, physical activity and weight management. Despite more actively trying to lose weight, severely obese individuals placed less importance in, and report greater burden with, diet and exercise recommendations. These differences appear weight-specific and not seen in other diabetes self-care behaviours, including blood glucose monitoring or medication use. Awareness of this additional burden and specific support for weight management is clearly needed to improve diabetes self-care outcomes for severely obese individuals. [PUBLICATION ABSTRACT] To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non-severely obese control subjects.AIMSTo investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non-severely obese control subjects.The 1795 respondents to the Diabetes MILES--Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI ≥ 35 kg/m(2); median BMI = 41.6 kg/m(2)) and these were matched with 530 control subjects (BMI < 35 kg/m(2); median BMI = 28.2 kg/m(2)). Diabetes self-care behaviours, attitudes and burden were measured with the Diabetes Self-Care Inventory-Revised. Within-group and between-group trends were examined.METHODSThe 1795 respondents to the Diabetes MILES--Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI ≥ 35 kg/m(2); median BMI = 41.6 kg/m(2)) and these were matched with 530 control subjects (BMI < 35 kg/m(2); median BMI = 28.2 kg/m(2)). Diabetes self-care behaviours, attitudes and burden were measured with the Diabetes Self-Care Inventory-Revised. Within-group and between-group trends were examined.The group with BMI ≥ 35 kg/m(2) was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m(2). The group with BMI ≥ 35 kg/m(2) was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m(2). There were no between-group differences in other aspects of diabetes self-care: self-monitoring of blood glucose, use of medications and smoking. Moderate-to-severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management.RESULTSThe group with BMI ≥ 35 kg/m(2) was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m(2). The group with BMI ≥ 35 kg/m(2) was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m(2). There were no between-group differences in other aspects of diabetes self-care: self-monitoring of blood glucose, use of medications and smoking. Moderate-to-severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management.Severely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals.CONCLUSIONSSeverely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals. Aims: To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non-severely obese control subjects. Methods: The 1795 respondents to the Diabetes MILES-Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI = 35 kg/m2; median BMI = 41.6 kg/m2) and these were matched with 530 control subjects (BMI < 35 kg/m2; median BMI = 28.2 kg/m2). Diabetes self-care behaviours, attitudes and burden were measured with the Diabetes Self-Care Inventory-Revised. Within-group and between-group trends were examined. Results: The group with BMI = 35 kg/m2 was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m2. The group with BMI = 35 kg/m2 was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m2. There were no between-group differences in other aspects of diabetes self-care: self-monitoring of blood glucose, use of medications and smoking. Moderate-to-severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management. Conclusions: Severely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals. 30 references To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non-severely obese control subjects. The 1795 respondents to the Diabetes MILES--Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI ≥ 35 kg/m(2); median BMI = 41.6 kg/m(2)) and these were matched with 530 control subjects (BMI < 35 kg/m(2); median BMI = 28.2 kg/m(2)). Diabetes self-care behaviours, attitudes and burden were measured with the Diabetes Self-Care Inventory-Revised. Within-group and between-group trends were examined. The group with BMI ≥ 35 kg/m(2) was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m(2). The group with BMI ≥ 35 kg/m(2) was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m(2). There were no between-group differences in other aspects of diabetes self-care: self-monitoring of blood glucose, use of medications and smoking. Moderate-to-severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management. Severely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals. This analysis demonstrates, for the first time, that severely obese and non‐severely obese (BMI < 35 kg/m 2 ) individuals with Type 2 diabetes differ in their perceptions of diet, physical activity and weight management. Despite more actively trying to lose weight, severely obese individuals placed less importance in, and report greater burden with, diet and exercise recommendations. These differences appear weight‐specific and not seen in other diabetes self‐care behaviours, including blood glucose monitoring or medication use. Awareness of this additional burden and specific support for weight management is clearly needed to improve diabetes self‐care outcomes for severely obese individuals. Aims To investigate whether diabetes self‐care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non‐severely obese control subjects. Methods The 1795 respondents to the Diabetes MILES—Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI ≥ 35 kg/m2; median BMI = 41.6 kg/m2) and these were matched with 530 control subjects (BMI < 35 kg/m2; median BMI = 28.2 kg/m2). Diabetes self‐care behaviours, attitudes and burden were measured with the Diabetes Self‐Care Inventory—Revised. Within‐group and between‐group trends were examined. Results The group with BMI ≥ 35 kg/m2 was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m2. The group with BMI ≥ 35 kg/m2 was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m2. There were no between‐group differences in other aspects of diabetes self‐care: self‐monitoring of blood glucose, use of medications and smoking. Moderate‐to‐severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management. Conclusions Severely obese people with diabetes demonstrated self‐care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self‐care behaviours are supported equally by severely obese and non‐severely obese individuals. What's new? This analysis demonstrates, for the first time, that severely obese and non‐severely obese (BMI < 35 kg/m2) individuals with Type 2 diabetes differ in their perceptions of diet, physical activity and weight management. Despite more actively trying to lose weight, severely obese individuals placed less importance in, and report greater burden with, diet and exercise recommendations. These differences appear weight‐specific and not seen in other diabetes self‐care behaviours, including blood glucose monitoring or medication use. Awareness of this additional burden and specific support for weight management is clearly needed to improve diabetes self‐care outcomes for severely obese individuals. |
| Author | Pouwer, F. Mosely, K. G. Speight, J. Rice, T. L. Dixon, J. B. Browne, J. L. Jones, K. M. |
| Author_xml | – sequence: 1 givenname: J. B. surname: Dixon fullname: Dixon, J. B. email: john.dixon@bakeridi.edu.au organization: Clinical Obesity Research, Baker IDI Heart and Diabetes Institute, Melbourne, Vic., Australia – sequence: 2 givenname: J. L. surname: Browne fullname: Browne, J. L. organization: The Australian Centre for Behavioural Research in Diabetes, Diabetes Australia-Vic., Melbourne, Vic., Australia – sequence: 3 givenname: K. G. surname: Mosely fullname: Mosely, K. G. organization: School of Psychology, Australian Catholic University, NSW, Strathfield, Australia – sequence: 4 givenname: T. L. surname: Rice fullname: Rice, T. L. organization: Clinical Obesity Research, Baker IDI Heart and Diabetes Institute, Vic., Melbourne, Australia – sequence: 5 givenname: K. M. surname: Jones fullname: Jones, K. M. organization: School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Vic., Melbourne, Australia – sequence: 6 givenname: F. surname: Pouwer fullname: Pouwer, F. organization: Department of Medical Psychology and Neuropsychology, Centre of Research on Psychology in Somatic diseases (CoRPS), Tilburg University, Tilburg, The Netherlands – sequence: 7 givenname: J. surname: Speight fullname: Speight, J. organization: The Australian Centre for Behavioural Research in Diabetes, Diabetes Australia-Vic., Melbourne, Vic., Australia |
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| References | Speight J, Browne JL, Holmes-Truscott E, Hendrieckx C, Pouwer F. Diabetes MILES-Australia (Management and Impact for Long-Term Empowerment Success): methods and sample characteristics of a national survey of the psychological aspects of living with type 1 or type 2 diabetes in Australian adults. BMC Public Health 2012; 12: 120. Elder CR, Gullion CM, Funk KL, Debar LL, Lindberg NM, Stevens VJ. Impact of sleep, screen time, depression and stress on weight change in the intensive weight loss phase of the LIFE study. Int J Obes (Lond) 2012; 36: 86-92. Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 2010; 67: 220-229. Dixon JB, Browne JL, Lambert GW, Jones KM, Reddy P, Pouwer F et al. Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: results from diabetes MILES-Australia. Diabetes Res Clin Pract 2013; 101: 131-140. Puhl RM, Andreyeva T, Brownell KD. Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America. Int J Obes (Lond) 2008; 32: 992-1000. Sturm R. Increases in morbid obesity in the USA: 2000-2005. Public Health 2007; 121: 492-496. Fontaine KR, Robertson HT, Holst C, Desmond R, Stunkard AJ, Sorensen TI et al. Is socioeconomic status of the rearing environment causally related to obesity in the offspring? PLoS One 2011; 6: e27692. Fabricatore AN, Wadden TA, Higginbotham AJ, Faulconbridge LF, Nguyen AM, Heymsfield SB et al. Intentional weight loss and changes in symptoms of depression: a systematic review and meta-analysis. Int J Obes (Lond) 2011; 35: 1363-1376. UKPDS38. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group. Br Med J 1998; 317: 703-713(published erratum appears in Br Med J 1999; 318: 29). Gonzalez JS, Safren SA, Delahanty LM, Cagliero E, Wexler DJ, Meigs JB et al. Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes. Diabet Med 2008; 25: 1102-1107. Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care 2000; 23: 943-950. Curioni CC, Lourenco PM. Long-term weight loss after diet and exercise: a systematic review. Int J Obes (Lond) 2005; 29: 1168-1174. Labad J, Price JF, Strachan MW, Fowkes FG, Ding J, Deary IJ et al. Symptoms of depression but not anxiety are associated with central obesity and cardiovascular disease in people with type 2 diabetes: the Edinburgh Type 2 Diabetes Study. Diabetologia 2010; 53: 467-471. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001; 16: 606-613. Hayden MJ, Dixon JB, Piterman L, O'Brien P E. Physician attitudes, beliefs and barriers toward the management and treatment of adult obesity: a literature review. Aust J Prim Health 2008; 14: 9-18. McNabb WL. Adherence in diabetes: can we define it and can we measure it? Diabetes Care 1997; 20: 215-218. van der Ven NC, Lubach CH, Hogenelst MH, van Iperen A, Tromp-Wever AM, Vriend A et al. Cognitive behavioural group training (CBGT) for patients with type 1 diabetes in persistent poor glycaemic control: who do we reach? Patient Educ Couns 2005; 56: 313-322. Guariguata L. By the numbers: new estimates from the IDF Diabetes Atlas Update for 2012. Diabetes Res Clin Pract 2012; 98: 524-525. American Diabetes Association. Standards of medical care in diabetes-2013. Diabetes Care 2013; 36: S11-66. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1998; 1: 2-4. Chereches RM, Litan CM, Zlati AM, Bloom JR. Does co-morbid depression impact diabetes related costs? Evidence from a cross-sectional survey in a low-income country J Ment Health Policy Econ 2012; 15: 127-138. Atlantis E, Barnes EHBall K. Weight status and perception barriers to healthy physical activity and diet behavior. Int J Obes (Lond) 2008; 32: 343-352. Stratton IM, Adler AI, Neil HA, Matthews DR, Manley SE, Cull CA et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. Br Med J 2000; 321: 405-412. Kushner RF, Choi SW. Prevalence of unhealthy lifestyle patterns among overweight and obese adults. Obesity (Silver Spring) 2010; 18: 1160-1167. Kramer H, Cao G, Dugas L, Luke A, Cooper R, Durazo-Arvizu R. Increasing BMI and waist circumference and prevalence of obesity among adults with Type 2 diabetes: the National Health and Nutrition Examination Surveys. J Diabetes Complications 2010; 24: 368-374. Latner JD, Stunkard AJ, Wilson GT, Jackson ML, Zelitch DS, Labouvie E. Effective long-term treatment of obesity: a continuing care model. Int J Obes Relat Metab Disord 2000; 24: 893-898. Lin EH, Katon W, Von Korff M, Rutter C, Simon GE, Oliver M et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes Care 2004; 27: 2154-2160. Byrne S, Cooper Z, Fairburn C: Weight maintenance and relapse in obesity: a qualitative study. Int J Obes Relat Metab Disord 2003; 27: 955-962. Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M et al. Management of hyperglycemia in type 2 diabetes: a patient-centered approach: position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2012; 35: 1364-1379. Sumithran P, Proietto J. The defence of body weight: a physiological basis for weight regain after weight loss. Clin Sci (Lond) 2013; 124: 231-241. 2010; 53 1997; 20 2000; 23 2010; 18 2004; 27 2000; 24 2007; 121 1998; 317 2008; 14 2013; 101 2013; 124 2008; 32 2011; 35 2012; 15 2012; 36 2012; 35 2012; 12 2011; 6 2005; 29 2012; 98 2010; 67 2013; 36 2010; 24 2008; 25 2003; 27 2001; 16 1998; 1 2000; 321 2005; 56 e_1_2_6_10_1 e_1_2_6_30_1 e_1_2_6_19_1 e_1_2_6_13_1 e_1_2_6_14_1 e_1_2_6_11_1 e_1_2_6_12_1 e_1_2_6_17_1 e_1_2_6_18_1 UKPDS38 (e_1_2_6_6_1) 1998; 317 e_1_2_6_15_1 e_1_2_6_16_1 e_1_2_6_21_1 e_1_2_6_20_1 Chereches RM (e_1_2_6_31_1) 2012; 15 e_1_2_6_9_1 e_1_2_6_8_1 e_1_2_6_4_1 e_1_2_6_7_1 Wagner EH (e_1_2_6_5_1) 1998; 1 e_1_2_6_25_1 e_1_2_6_24_1 e_1_2_6_3_1 e_1_2_6_23_1 e_1_2_6_2_1 e_1_2_6_22_1 e_1_2_6_29_1 e_1_2_6_28_1 e_1_2_6_27_1 e_1_2_6_26_1 |
| References_xml | – reference: Atlantis E, Barnes EHBall K. Weight status and perception barriers to healthy physical activity and diet behavior. Int J Obes (Lond) 2008; 32: 343-352. – reference: Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care 2000; 23: 943-950. – reference: Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M et al. Management of hyperglycemia in type 2 diabetes: a patient-centered approach: position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2012; 35: 1364-1379. – reference: Sumithran P, Proietto J. The defence of body weight: a physiological basis for weight regain after weight loss. Clin Sci (Lond) 2013; 124: 231-241. – reference: Lin EH, Katon W, Von Korff M, Rutter C, Simon GE, Oliver M et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes Care 2004; 27: 2154-2160. – reference: Fontaine KR, Robertson HT, Holst C, Desmond R, Stunkard AJ, Sorensen TI et al. Is socioeconomic status of the rearing environment causally related to obesity in the offspring? PLoS One 2011; 6: e27692. – reference: Curioni CC, Lourenco PM. Long-term weight loss after diet and exercise: a systematic review. Int J Obes (Lond) 2005; 29: 1168-1174. – reference: Labad J, Price JF, Strachan MW, Fowkes FG, Ding J, Deary IJ et al. Symptoms of depression but not anxiety are associated with central obesity and cardiovascular disease in people with type 2 diabetes: the Edinburgh Type 2 Diabetes Study. Diabetologia 2010; 53: 467-471. – reference: Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001; 16: 606-613. – reference: Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1998; 1: 2-4. – reference: McNabb WL. Adherence in diabetes: can we define it and can we measure it? Diabetes Care 1997; 20: 215-218. – reference: Dixon JB, Browne JL, Lambert GW, Jones KM, Reddy P, Pouwer F et al. Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: results from diabetes MILES-Australia. Diabetes Res Clin Pract 2013; 101: 131-140. – reference: Chereches RM, Litan CM, Zlati AM, Bloom JR. Does co-morbid depression impact diabetes related costs? Evidence from a cross-sectional survey in a low-income country J Ment Health Policy Econ 2012; 15: 127-138. – reference: Hayden MJ, Dixon JB, Piterman L, O'Brien P E. Physician attitudes, beliefs and barriers toward the management and treatment of adult obesity: a literature review. Aust J Prim Health 2008; 14: 9-18. – reference: Kramer H, Cao G, Dugas L, Luke A, Cooper R, Durazo-Arvizu R. Increasing BMI and waist circumference and prevalence of obesity among adults with Type 2 diabetes: the National Health and Nutrition Examination Surveys. J Diabetes Complications 2010; 24: 368-374. – reference: Latner JD, Stunkard AJ, Wilson GT, Jackson ML, Zelitch DS, Labouvie E. Effective long-term treatment of obesity: a continuing care model. Int J Obes Relat Metab Disord 2000; 24: 893-898. – reference: UKPDS38. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group. Br Med J 1998; 317: 703-713(published erratum appears in Br Med J 1999; 318: 29). – reference: Speight J, Browne JL, Holmes-Truscott E, Hendrieckx C, Pouwer F. Diabetes MILES-Australia (Management and Impact for Long-Term Empowerment Success): methods and sample characteristics of a national survey of the psychological aspects of living with type 1 or type 2 diabetes in Australian adults. BMC Public Health 2012; 12: 120. – reference: Elder CR, Gullion CM, Funk KL, Debar LL, Lindberg NM, Stevens VJ. Impact of sleep, screen time, depression and stress on weight change in the intensive weight loss phase of the LIFE study. Int J Obes (Lond) 2012; 36: 86-92. – reference: Sturm R. Increases in morbid obesity in the USA: 2000-2005. Public Health 2007; 121: 492-496. – reference: van der Ven NC, Lubach CH, Hogenelst MH, van Iperen A, Tromp-Wever AM, Vriend A et al. Cognitive behavioural group training (CBGT) for patients with type 1 diabetes in persistent poor glycaemic control: who do we reach? Patient Educ Couns 2005; 56: 313-322. – reference: American Diabetes Association. Standards of medical care in diabetes-2013. Diabetes Care 2013; 36: S11-66. – reference: Kushner RF, Choi SW. Prevalence of unhealthy lifestyle patterns among overweight and obese adults. Obesity (Silver Spring) 2010; 18: 1160-1167. – reference: Gonzalez JS, Safren SA, Delahanty LM, Cagliero E, Wexler DJ, Meigs JB et al. Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes. Diabet Med 2008; 25: 1102-1107. – reference: Stratton IM, Adler AI, Neil HA, Matthews DR, Manley SE, Cull CA et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. Br Med J 2000; 321: 405-412. – reference: Guariguata L. By the numbers: new estimates from the IDF Diabetes Atlas Update for 2012. Diabetes Res Clin Pract 2012; 98: 524-525. – reference: Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 2010; 67: 220-229. – reference: Byrne S, Cooper Z, Fairburn C: Weight maintenance and relapse in obesity: a qualitative study. Int J Obes Relat Metab Disord 2003; 27: 955-962. – reference: Puhl RM, Andreyeva T, Brownell KD. Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America. Int J Obes (Lond) 2008; 32: 992-1000. – reference: Fabricatore AN, Wadden TA, Higginbotham AJ, Faulconbridge LF, Nguyen AM, Heymsfield SB et al. Intentional weight loss and changes in symptoms of depression: a systematic review and meta-analysis. Int J Obes (Lond) 2011; 35: 1363-1376. – volume: 15 start-page: 127 year: 2012 end-page: 138 article-title: Does co‐morbid depression impact diabetes related costs? Evidence from a cross‐sectional survey in a low‐income country publication-title: J Ment Health Policy Econ – volume: 67 start-page: 220 year: 2010 end-page: 229 article-title: Overweight, obesity, and depression: a systematic review and meta‐analysis of longitudinal studies publication-title: Arch Gen Psychiatry – volume: 53 start-page: 467 year: 2010 end-page: 471 article-title: Symptoms of depression but not anxiety are associated with central obesity and cardiovascular disease in people with type 2 diabetes: the Edinburgh Type 2 Diabetes Study publication-title: Diabetologia – volume: 98 start-page: 524 year: 2012 end-page: 525 article-title: By the numbers: new estimates from the IDF Diabetes Atlas Update for 2012 publication-title: Diabetes Res Clin Pract – volume: 14 start-page: 9 year: 2008 end-page: 18 article-title: Physician attitudes, beliefs and barriers toward the management and treatment of adult obesity: a literature review publication-title: Aust J Prim Health – volume: 35 start-page: 1363 year: 2011 end-page: 1376 article-title: Intentional weight loss and changes in symptoms of depression: a systematic review and meta‐analysis publication-title: Int J Obes (Lond) – volume: 1 start-page: 2 year: 1998 end-page: 4 article-title: Chronic disease management: what will it take to improve care for chronic illness? publication-title: Eff Clin Pract – volume: 36 start-page: 86 year: 2012 end-page: 92 article-title: Impact of sleep, screen time, depression and stress on weight change in the intensive weight loss phase of the LIFE study publication-title: Int J Obes (Lond) – volume: 25 start-page: 1102 year: 2008 end-page: 1107 article-title: Symptoms of depression prospectively predict poorer self‐care in patients with Type 2 diabetes publication-title: Diabet Med – volume: 101 start-page: 131 year: 2013 end-page: 140 article-title: Severely obese people with diabetes experience impaired emotional well‐being associated with socioeconomic disadvantage: results from diabetes MILES—Australia publication-title: Diabetes Res Clin Pract – volume: 124 start-page: 231 year: 2013 end-page: 241 article-title: The defence of body weight: a physiological basis for weight regain after weight loss publication-title: Clin Sci (Lond) – volume: 12 start-page: 120 year: 2012 article-title: Diabetes MILES—Australia (Management and Impact for Long‐Term Empowerment Success): methods and sample characteristics of a national survey of the psychological aspects of living with type 1 or type 2 diabetes in Australian adults publication-title: BMC Public Health – volume: 36 start-page: S11 year: 2013 end-page: 66 article-title: Standards of medical care in diabetes—2013 publication-title: Diabetes Care – volume: 24 start-page: 368 year: 2010 end-page: 374 article-title: Increasing BMI and waist circumference and prevalence of obesity among adults with Type 2 diabetes: the National Health and Nutrition Examination Surveys publication-title: J Diabetes Complications – volume: 32 start-page: 343 year: 2008 end-page: 352 article-title: Weight status and perception barriers to healthy physical activity and diet behavior publication-title: Int J Obes (Lond) – volume: 317 start-page: 703 year: 1998 end-page: 713 article-title: Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group publication-title: Br Med J – volume: 56 start-page: 313 year: 2005 end-page: 322 article-title: Cognitive behavioural group training (CBGT) for patients with type 1 diabetes in persistent poor glycaemic control: who do we reach? publication-title: Patient Educ Couns – volume: 121 start-page: 492 year: 2007 end-page: 496 article-title: Increases in morbid obesity in the USA: 2000–2005 publication-title: Public Health – volume: 23 start-page: 943 year: 2000 end-page: 950 article-title: The summary of diabetes self‐care activities measure: results from 7 studies and a revised scale publication-title: Diabetes Care – volume: 27 start-page: 955 year: 2003 end-page: 962 article-title: Weight maintenance and relapse in obesity: a qualitative study publication-title: Int J Obes Relat Metab Disord – volume: 20 start-page: 215 year: 1997 end-page: 218 article-title: Adherence in diabetes: can we define it and can we measure it? publication-title: Diabetes Care – volume: 6 start-page: e27692 year: 2011 article-title: Is socioeconomic status of the rearing environment causally related to obesity in the offspring? publication-title: PLoS One – volume: 321 start-page: 405 year: 2000 end-page: 412 article-title: Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study publication-title: Br Med J – volume: 35 start-page: 1364 year: 2012 end-page: 1379 article-title: Management of hyperglycemia in type 2 diabetes: a patient‐centered approach: position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) publication-title: Diabetes Care – volume: 29 start-page: 1168 year: 2005 end-page: 1174 article-title: Long‐term weight loss after diet and exercise: a systematic review publication-title: Int J Obes (Lond) – volume: 24 start-page: 893 year: 2000 end-page: 898 article-title: Effective long‐term treatment of obesity: a continuing care model publication-title: Int J Obes Relat Metab Disord – volume: 16 start-page: 606 year: 2001 end-page: 613 article-title: The PHQ‐9: validity of a brief depression severity measure publication-title: J Gen Intern Med – volume: 32 start-page: 992 year: 2008 end-page: 1000 article-title: Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America publication-title: Int J Obes (Lond) – volume: 18 start-page: 1160 year: 2010 end-page: 1167 article-title: Prevalence of unhealthy lifestyle patterns among overweight and obese adults publication-title: Obesity (Silver Spring) – volume: 27 start-page: 2154 year: 2004 end-page: 2160 article-title: Relationship of depression and diabetes self‐care, medication adherence, and preventive care publication-title: Diabetes Care – ident: e_1_2_6_10_1 doi: 10.1038/sj.ijo.0803015 – ident: e_1_2_6_15_1 doi: 10.2337/diacare.23.7.943 – ident: e_1_2_6_12_1 doi: 10.1038/sj.ijo.0801249 – ident: e_1_2_6_20_1 doi: 10.1038/oby.2009.376 – ident: e_1_2_6_23_1 doi: 10.1042/CS20120223 – ident: e_1_2_6_30_1 doi: 10.1016/j.diabres.2013.05.017 – ident: e_1_2_6_2_1 doi: 10.1016/j.diabres.2012.11.006 – volume: 1 start-page: 2 year: 1998 ident: e_1_2_6_5_1 article-title: Chronic disease management: what will it take to improve care for chronic illness? publication-title: Eff Clin Pract – ident: e_1_2_6_8_1 doi: 10.2337/dc13-S011 – ident: e_1_2_6_29_1 doi: 10.1038/ijo.2011.2 – ident: e_1_2_6_26_1 doi: 10.1111/j.1464-5491.2008.02535.x – ident: e_1_2_6_19_1 doi: 10.1046/j.1525-1497.2001.016009606.x – ident: e_1_2_6_21_1 doi: 10.1371/journal.pone.0027692 – ident: e_1_2_6_7_1 doi: 10.1136/bmj.321.7258.405 – volume: 317 start-page: 703 year: 1998 ident: e_1_2_6_6_1 article-title: Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group publication-title: Br Med J doi: 10.1136/bmj.317.7160.703 – ident: e_1_2_6_4_1 doi: 10.1016/j.jdiacomp.2009.10.001 – ident: e_1_2_6_9_1 doi: 10.2337/dc12-0413 – volume: 15 start-page: 127 year: 2012 ident: e_1_2_6_31_1 article-title: Does co‐morbid depression impact diabetes related costs? Evidence from a cross‐sectional survey in a low‐income country publication-title: J Ment Health Policy Econ – ident: e_1_2_6_18_1 doi: 10.1007/s00125-009-1628-9 – ident: e_1_2_6_3_1 doi: 10.1016/j.puhe.2007.01.006 – ident: e_1_2_6_28_1 doi: 10.1038/ijo.2011.60 – ident: e_1_2_6_24_1 doi: 10.1038/ijo.2008.22 – ident: e_1_2_6_16_1 doi: 10.1016/j.pec.2004.03.005 – ident: e_1_2_6_17_1 doi: 10.1186/1471-2458-12-120 – ident: e_1_2_6_22_1 doi: 10.1038/sj.ijo.0803707 – ident: e_1_2_6_14_1 doi: 10.2337/diacare.20.2.215 – ident: e_1_2_6_13_1 doi: 10.1071/PY08031 – ident: e_1_2_6_11_1 doi: 10.1038/sj.ijo.0802305 – ident: e_1_2_6_25_1 doi: 10.2337/diacare.27.9.2154 – ident: e_1_2_6_27_1 doi: 10.1001/archgenpsychiatry.2010.2 |
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To investigate whether diabetes self‐care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical... This analysis demonstrates, for the first time, that severely obese and non‐severely obese (BMI < 35 kg/m 2 ) individuals with Type 2 diabetes differ in their... To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity,... Aims To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical... Aims: To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical... |
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| SubjectTerms | Adult Aged Attitude to Health Attitudes Australia - epidemiology Behavior Biological and medical sciences Case-Control Studies Cost of Illness Diabetes Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Humans Male Medical sciences Middle Aged Obesity Obesity, Morbid - complications Obesity, Morbid - epidemiology Obesity, Morbid - psychology Obesity, Morbid - therapy Perception Self Care Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology Weight control Weight Reduction Programs - statistics & numerical data |
| Title | Severe obesity and diabetes self-care attitudes, behaviours and burden: implications for weight management from a matched case-controlled study. Results from Diabetes MILES-Australia |
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