Jonathan McGavock1,2,3, Anita Durksen2, Brandy Wicklow1,2,3, Sayma Malik4, Elizabeth Ac Sellers1,2,3, Tom Blydt-Hansen5, Dan Chateau6, Allison Dart1,2,3. 1. Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. 2. Children's Hospital Research Institute of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada. 3. Diabetes Research Envisioned and Accomplished in Manitoba (DREAM) Research Theme, University of Manitoba, Winnipeg, Manitoba, Canada. 4. Department of Clinical Psychology, University of Manitoba, Winnipeg, Manitoba, Canada. 5. Section of Nephrology, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada. 6. Manitoba Centre for Health Policy, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Abstract
OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
Authors: Jill L Kaar; Sarah J Schmiege; Kimberly Drews; Janine Higgins; Natalie Walders-Abramson; Elvira Isganaitis; Steven M Willi; Marsha D Marcus; Philip S Zeitler; Megan M Kelsey Journal: Pediatr Diabetes Date: 2020-01-06 Impact factor: 4.866
Authors: Jana L Slaght; Brandy Alexandra Wicklow; Allison B Dart; Elizabeth A C Sellers; Melissa Gabbs; Marylin Carino; Jonathan M McGavock Journal: BMJ Open Diabetes Res Care Date: 2021-05