ArticleCroatian medical journal2015
The association of lifestyle and stress with poor glycemic control in patients with diabetes mellitus type 2: a Croatian nationwide primary care cross-sectional study.
Article in Croatian medical journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 24 citations in OpenAlex.
- Prevention of depression through nutritional strategies in high-risk persons: rationale and design of the MooDFOOD prevention trial.BMC psychiatry · 2016Trial
- Levels of stress and depression among patients with type 1 and type 2 diabetes mellitus in primary care in Kosovo: A cross-sectional study.Belitung nursing journal · 2026Article
- Poor glycemic control and associated factors among patients with type 2 diabetes mellitus: a cross-sectional study.Scientific reports · 2023Article
- Classification of Type 2 Diabetes Incidence Risk and the Health Behavior of the 30-50-Year-Old Korean Adults: Latent Class Analysis.International journal of environmental research and public health · 2022Article
- Prevalence and factors associated with alcohol consumption among persons with diabetes in Kampala, Uganda: a cross sectional study.BMC public health · 2021Article
- "Perceived stress" and its associated factors among diabetic patients receiving care from a rural tertiary health care center in South India.Journal of education and health promotion · 2021Article
- Characteristics of people with high visit-to-visit glycaemic variability in Type 2 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2018Observational
- Identifying Patterns of Lifestyle Behaviors among People with Type 2 Diabetes in Tianjin, China: A Latent Class Analysis.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017Article
- Higher body mass index and lower intake of dairy products predict poor glycaemic control among Type 2 Diabetes patients in Malaysia.PloS one · 2017Article
- Mediterranean diet in the southern Croatia - does it still exist?Croatian medical journal · 2016Article
- Prevalence of hypertension and determinants of poor blood pressure control in patients with Type 2 diabetes mellitus attending a Tertiary Clinic in Lagos, Nigeria.Annals of African medicineArticle
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess lifestyle habits and self-reported stress levels among type 2 diabetes mellitus (T2DM) patients and their association with hemoglobin A1c (HbA1c) in general practitioners' (GP) offices in Croatia.
methods449 GPs from all Croatian regions from 2008 to 2010 consecutively recruited up to 20-25 participants diagnosed with T2DM at least 3 years prior to the study, aged ≥40 years, and scheduled for diabetes control check-ups. The recruitment period lasted six months. Lifestyle habits and self-reported stress were assessed using the questionnaire from the Croatian Adult Health Survey.
resultsThe study included 10285 patients with T2DM with mean (±standard deviation) age of 65.7±10.05 years (48.1% men). Mean HbA1c level was 7.57±1.58%. 79% of participants reported insufficient physical activity, 24% reported inappropriate dietary patterns, 56% reported current alcohol consumption, 19% were current smokers, and 85% reported at least medium level of stress. Multivariate analysis showed that having received advice to stop drinking alcohol, inadequate physical activity, consumption of milk and dairy products, adding extra salt, and high level of stress were significantly associated with increased HbA1c (P < 0.05).
conclusionPoor glycemic control was more frequent in patients who had several "unhealthy" lifestyle habits. These results suggest that diabetes patients in Croatia require more specific recommendations on diet, smoking cessation, exercise, and stress control.
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