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- Title
Determinants of Readiness for Adopting Healthy Lifestyle Behaviors Among Indigenous Adolescents with Type 2 Diabetes in Manitoba, Canada: A Cross-Sectional Study.
- Authors
McGavock, Jonathan; Durksen, Anita; Wicklow, Brandy; Malik, Sayma; Sellers, Elizabeth A. C.; Blydt‐Hansen, Tom; Chateau, Dan; Dart, Allison; Sellers, Elizabeth Ac; Blydt-Hansen, Tom
- Abstract
<bold>Objective: </bold>The aim of this study was to determine whether the readiness for adopting healthy lifestyle behaviors was associated with mental health and comorbid conditions in youth with T2D.<bold>Methods: </bold>A cross-sectional comparison of various measures of mental health (distress, stress, resilience) and comorbid conditions (glycated hemoglobin, adiposity, hypertension) was conducted within a cohort of indigenous youth with T2D living in Canada, stratified according to their readiness to adopt healthy lifestyle behaviors based on Prochaska's transtheoretical model.<bold>Results: </bold>Within the entire cohort (n = 162), only 14% were considered ready to adopt all healthy lifestyle behaviors. The readiness to adopt all lifestyle behaviors was associated with higher positive mental health (47 vs. 39 units; P < 0.05) and sense of mastery (40 vs. 37 units; P < 0.05), lower perceived stress (27 vs. 29 units; P < 0.05) and distress (8 vs. 10 units; P < 0.05), and better glycemic control (HbA1c: 8.4 ± 2.6% vs. 9.7 ± 2.8%; P < 0.05) compared with youth who were not ready to adopt all lifestyle behaviors.<bold>Conclusions: </bold>The readiness for adopting healthy lifestyle behaviors is low among adolescents with T2D. Being ready to adopt healthy lifestyle behaviors is associated with better mental health and glycemic control.
- Subjects
CANADA; MANITOBA; TYPE 2 diabetes; MENTAL health; COMORBIDITY; GLYCOSYLATED hemoglobin; OBESITY; GLYCEMIC control; TYPE 2 diabetes treatment; COMPARATIVE studies; HEALTH behavior; RESEARCH methodology; MEDICAL cooperation; RESEARCH; TEENAGERS' conduct of life; EVALUATION research; CROSS-sectional method
- Publication
Obesity (19307381), 2018, Vol 26, Issue 5, p910
- ISSN
1930-7381
- Publication type
journal article
- DOI
10.1002/oby.22148