Evidence map›Paper›PMID 41399078›Full record

ArticleBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences2025

[Analyzing the influential factors of dietary patterns and blood glucose control in type 2 diabetes patients based on the model of health action process approach model].

Hewei Min, Yibo Wu, Yuhui Shi, Mingzi Li, Xinying Sun

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Article in Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Hewei MinDepartment of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
Yibo WuDepartment of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
Yuhui ShiDepartment of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
Mingzi LiPeking University School of Nursing, Beijing 100191, China.
Xinying SunDepartment of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.

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6 · The paper itself

Abstract

objectiveTo explore the factors influencing dietary patterns and blood glucose control in patients with type 2 diabetes based on the health action process approach (HAPA) model.

methodsPatients with type 2 diabetes were selected in 11 community health centers affiliated to Dongcheng Hospital of Dongying City, Shandong Province. The glycosylated hemoglobin (HbA1c) level was detected by venous blood collection, and general data questionnaire, food frequency questionnaire, the Summary of Diabetes Self-Care Activities measure and HAPA scale were used to collect information. The dietary patterns of the patients were divided into different types by factor analysis. The effects of various dimensions of HAPA model on dietary patterns and blood glucose control of the type 2 diabetes patients were analyzed by structural equation model.

resultsA total of 819 patients with type 2 diabetes were enrolled in the study, and the overall HbA1c level was 7.1%±1.1%. The overall diet management scores of the study subjects were 5.0 (1.0, 7.0), and the specific daily diets were divided into medium/low glycemic index (GI) dietary pattern, meat dietary pattern, fruit dietary pattern, high GI and starch dietary patterns, and egg and milk dietary pattern. Structural equation model results showed that positive outcome expectancies (

conclusionThere were differences in dietary patterns among the participants with type 2 diabetes, and the weekly diet management behavior was not good enough of the patients with type 2 diabetes, because HAPA model could explain the dietary patterns and blood glucose control level of type 2 diabetes patients. In the future, targeted dietary interventions can be developed based on the HAPA model to improve the overall diet management level of patients and promote patients to develop a healthy diet pattern with low GI, thus controlling blood sugar level and improving quality of life.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 2DietFeeding BehaviorGlycemic ControlAdultAgedChinaFemaleGlycated HemoglobinGlycemic IndexHumansMaleMiddle AgedSurveys and QuestionnairesBlood GlucoseGlycated HemoglobinDietary patternHealth action process approach modelType 2 diabetes

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PMID41399078
PMCPMC12711399

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