ArticleBMC research notes2014
Factors associated with nonadherence to diet and physical activity among Nepalese type 2 diabetes patients; a cross sectional study.
Article in BMC research notes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled it.
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Who cites it
66 citing papers in PubMed, 2 syntheses or guidelines pooled it, 150 citations in OpenAlex.
- Pooled it
- Self-care behaviours among people with type 2 diabetes mellitus in South Asia: A systematic review and meta-analysis.Journal of global health · 2022Pooled it
- The impact of health coaching on glycemic control among uncontrolled type 2 diabetes mellitus patients: a randomized controlled trial.Acta diabetologica · 2025Trial
- Individual patient-centered target-driven intervention to improve clinical outcomes of diabetes, health literacy, and self-care practices in Nepal: A randomized controlled trial.Frontiers in endocrinology · 2023Trial
- A randomized trial of comparing video telecare education vs. in-person education on dietary regimen compliance in patients with type 2 diabetes mellitus: a support for clinical telehealth Providers.BMC endocrine disorders · 2022Trial
- Trial
- Physical Activity and Glycemic Control Status in Chinese Patients with Type 2 Diabetes: A Secondary Analysis of a Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- The influence of mobile phone-based health reminders on patient adherence to medications and healthy lifestyle recommendations for effective management of diabetes type 2: a randomized control trial in Dhaka, Bangladesh.BMC health services research · 2020Trial
- Dietary Nonadherence and Its Determinants Among Diabetes Mellitus Patients in Comprehensive Specialized Hospitals, Amhara Region, Ethiopia: A Cross-Sectional Study.Health science reports · 2025Article
- Level of adherence to physical activity recommendations among adults with type 2 diabetes in Qatar and associated factors: a cross-sectional study.BMC public health · 2025Article
- Dietary practice and associated factors among patients with type 2 diabetes mellitus in the horn of Africa: a systematic review and meta-analysis.BMC nutrition · 2025Article
- Factors Associated with Antidiabetic Medications and Dietary Recommendation Adherence Among Patients with Type 2 Diabetes.Global journal on quality and safety in healthcare · 2025Article
- Physical Activity Barriers, Facilitators, and Preferences in Rural Adults with Obesity.Current cardiovascular risk reports · 2025Article
- Dietary practices and associated factors among adult diabetic patients at academic tertiary-level hospitals in central Ethiopia: convergent mixed study.Clinical diabetes and endocrinology · 2024Article
- Dietary compliance and its determinants among type 2 diabetes patients in Tamale Metropolis, Ghana.Journal of health, population, and nutrition · 2024Article
- Status of diabetes mellitus in different regions of KSA and update on its management.Frontiers in clinical diabetes and healthcare · 2024Article
- Dietary adherence among persons with type 2 diabetes: A concurrent mixed methods study.PloS one · 2024Article
- Psychosocial Facilitators and Barriers to Type 2 Diabetes Management in Adults: A Meta-Synthesis.Current diabetes reviews · 2024Review
- Factors influencing type 2 diabetes self-management practices in rural Bangladesh: a qualitative investigation.Frontiers in public health · 2024Article
- Adherence to recommended diet among patients with diabetes mellitus type 2 on follow-up at Adama Hospital Medical College, Ethiopia.Frontiers in medicine · 2024Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNonadherence to diet and physical activity is a major problem in the management of diabetes mellitus and its complications. This study was undertaken to measure the factors associated with nonadherence to diet and physical activity advice among Nepalese type 2 diabetic patients.
methodsAn analytical cross-sectional study was conducted among type 2 diabetic patients (age, M ± SD, 54.4 ± 11.5 yrs) and interviewed using three days recall method for dietary history and Compendium of Physical Activity for physical activity. Data were analysed by univariate and multivariate statistics.
resultsOut of 385 patients, 87.5% were nonadherent and 12.5% poorly adherent to dietary advice. 42.1% were nonadherent, 36.6% partially adherent while 21.3% good adherent to physical activity. Adherence to dietary advice was higher in males than females (M ± SD, 33 ± 16.7 vs 27 ± 15.5, p = 0.001), those staying nearer to hospital than farther (M ± SD, 32 ± 18.6 vs 28 ± 13.5, p = 0.013), those advice by physician than others (p = 0.001) and from nuclear family than joint and extended (p = 0.001). With increasing age, dietary advice adherence decreased (p = 0.06) and was positively correlated with the knowledge about diabetes mellitus (r = 0.115, p = 0.024). Physical activity adherence was higher in those with positive family history of diabetes than others (M ± SD, 74 ± 24.2 vs 65 ± 23.6, p = 0.001), upper middle socioeconomic class respondents than lower ones (p = 0.047) and from extended family than nuclear or joint ones (p = 0.041). Divorced were more nonadherent to physical activity than married and widowed patients (p = 0.021).
conclusionsDeterminants of nonadherence to dietary advice: Female gender, increasing age, joint or extended family members, farther distance from hospital, poor knowledge about diabetes mellitus and advice by others than physicians. Determinants for nonadherence to physical activity: negative family history of DM, divorced status, lower socioeconomic class.
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