Gender differences in the association between lifestyle behaviors and diabetes distress in a community sample of adults with type 2 diabetes.

TitleGender differences in the association between lifestyle behaviors and diabetes distress in a community sample of adults with type 2 diabetes.
Publication TypeJournal Article
Year of Publication2016
AuthorsLipscombe C, Smith KJ, Gariépy G, Schmitz N
JournalJ Diabetes
Volume8
Issue2
Pagination269-78
Date Published2016 Mar
ISSN1753-0407
Abstract

BACKGROUND: The present study examined the association between moderate and severe diabetes distress (DD) and lifestyle behaviors (physical activity, smoking, alcohol consumption) in a community sample of adults with type 2 diabetes mellitus (T2DM).METHODS: A total of 1971 adults with T2DM were recruited using mixed methods sampling. Participants were considered eligible if they had a doctor diagnosis of T2DM (≤10 years), were insulin naïve, aged 40-75 years, and were from Quebec, Canada. Participants provided information on DD, lifestyle behaviors, sociodemographic, and diabetes-related factors. Multinomial logistic regressions examined the association between moderate and severe DD and each lifestyle behavior, according to gender. Effect estimates can be interpreted as probability ratios (PR).RESULTS: In females, physical inactivity was associated with an increased likelihood of moderate distress (PR 2.2; 95% confidence interval [CI] 1.49-3.24) and severe distress (PR 1.80; 95% CI 1.00-3.24). In males, only severe distress was associated with physical inactivity (PR 1.92; 95% CI 1.00-3.66). Current smoking was associated with a greater probability of severe distress in males (PR 3.0; 95% CI 1.54-5.84) and females (PR 1.32; 95% CI 0.67-2.60); however this effect was stronger in males. No association was found between alcohol consumption and DD in females. In males, frequent alcohol consumption was associated with a reduced probability of moderate (PR 0.56; 95% CI 0.34-0.91) and severe distress (PR 0.47; 95% CI 0.21-1.06).CONCLUSIONS: The findings of this study suggest important gender differences in the association between DD and lifestyle behaviors.

DOI10.1111/1753-0407.12298
Alternate JournalJ Diabetes
PubMed ID25850582
Grant List / / Canadian Institutes of Health Research / Canada

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