Evidence map›Paper›PMID 32448139›Full record

ArticleBMC public health2020

Positive health beliefs are associated with improvement of glycated hemoglobin and lipid profiles in Mexican patients with type 2 diabetes mellitus: a cross-sectional study.

Abril Violeta Muñoz-Torres, Patricia Medina-Bravo, Brenda Elizabeth Valerio-Pérez, Grecia Mendoza-Salmeron, Jorge Escobedo-de la Peña, Lubia Velázquez-López

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Abril Violeta Muñoz-TorresDepartment of Public Health, School of Medicine, National Autonomous University (Universidad Nacional Autónoma de Mexico, UNAM), Mexico City, Mexico.
Patricia Medina-BravoDepartment of Endocrinology, "Federico Gómez" Children's Hospital of Mexico, Ministry of Health (SSA), Mexico City, Mexico.
Brenda Elizabeth Valerio-PérezDepartment of Nutrition and Health, Iberoamerican University (Universidad Iberoamericana), Mexico City, Mexico.
Grecia Mendoza-SalmeronClinical Epidemiology Research Unit, "Carlos Mac Gregor Sánchez Navarro" Hospital, Mexican Social Security Institute (Instituto Mexicano del Seguro Social, IMSS), Mexico City, Mexico.
Jorge Escobedo-de la PeñaClinical Epidemiology Research Unit, "Carlos Mac Gregor Sánchez Navarro" Hospital, Mexican Social Security Institute (Instituto Mexicano del Seguro Social, IMSS), Mexico City, Mexico.
Lubia Velázquez-LópezClinical Epidemiology Research Unit, "Carlos Mac Gregor Sánchez Navarro" Hospital, Mexican Social Security Institute (Instituto Mexicano del Seguro Social, IMSS), Mexico City, Mexico. lubia2002@yahoo.com.mx.ORCID https://orcid.org/0000-0002-1189-3399

Funding

Kellogg's Institute of Nutrition and Health APIN-2015
6 · The paper itself

Abstract

backgroundHealth beliefs are relevant to consider in patients with type 2 diabetes since disease control depends mainly on the patient's behaviour. The aim of this study was to assess the association between health beliefs and glycated hemoglobin levels in Mexican patients with type 2 diabetes.

methodsAn analytical cross-sectional study was conducted, and 336 patients were included. Fasting blood levels of glycated hemoglobin, glucose, cholesterol; triglycerides, high-density lipoprotein cholesterol (HDL-c), and low-density lipoprotein cholesterol (LDL-c) were measured. Body fat percentage, weight, height; waist circumference, and systolic and diastolic blood pressures were also obtained. A previously validated self-administered questionnaire was used to assess the health beliefs with regards to non-pharmacological treatment. Health beliefs were classified as positive, neutral, and negative.

resultsThe average age of patients was 54.7 ± 8.5 years, with a higher proportion of females (69%). The questionnaire had a good internal consistency with a Cronbach's alpha score of 0.83. More than 90% of patients attributed a health benefit to diet and exercise, 30 to 40% experienced barriers, and more than 80% had a perception of complications associated to uncontrolled diabetes. Patients with positive health beliefs had lower HbA1c levels (8.2 ± 1.7%) compared to those with neutral (9.0 ± 2.3%), or negative (8.8 ± 1.8%; p = 0.042). The LDL-c levels were lower (p = 0.03), and HDL-c levels were higher (0.002) in patients with positive heath beliefs.

conclusionsPositive health beliefs are associated with better metabolic control indicators in patients with type 2 diabetes.

Indexed as

Blood GlucoseBlood PressureBody Mass IndexCholesterolCholesterol, HDLCholesterol, LDLCross-Sectional StudiesDiabetes Mellitus, Type 2DietFemaleGlycated HemoglobinHealth Knowledge, Attitudes, PracticeHealth SurveysHumansLipoproteins, LDLMaleBlood GlucoseCholesterolCholesterol, HDLCholesterol, LDLGlycated HemoglobinLipoproteins, LDLTriglyceridesDietHealth beliefsMetabolic controlPhysical activityType 2 diabetes

Identifiers

PMID32448139
PMCPMC7245761

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.