Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/44959
Type: Artigo de Periódico
Title: Adherence to medication, physical activity and diet among older people living with diabetes mellitus: correlation between cognitive function and health literacy
Authors: Thaísa Soares Crespo
João Marcus Oliveira Andrade
Deborah de Farias Lelis
Aline Crespo Ferreira
João Gabriel Silva Souza
Andréa Maria Eleutério de Barros Lima Martins
Sérgio Henrique Sousa Santos
Abstract: Background: Diabetes mellitus (DM) is a public health problem, which requires enhanced self-care in order to avoid complications. However, cognitive impairment can reduce these abilities and may affect health literacy (HL) of patients in terms to understand and apply information. Therefore, this study evaluated the correlation between cognitive condition and HL related to medication adherence, physical activity and nutritional status among people living with DM. Methods: a cross-sectional study was carried out among elderly people (≥ 60 years old) with DM. The cognitive condition was evaluated using the Mini-Mental State Examination (MMSE) and the HL using the following questionnaires: Literacy Assessment for Diabetes (LAD-60), Nutritional Literacy among People with Diabetes (NLD), Health Literacy on the Practice of Physical Activities among Diabetics (HLPPA - D), and Health Literacy regarding Drug Adherence among Diabetics (HLDA-D). Sociodemographic and biochemical profile was also evaluated. Spearman correlation was used (p < 0.05). Results: 187 individuals with DM were included. Regarding laboratory analyses, insulin dosage had a mean value of 12.3 microUI/mL (SD: ±15.7), mean blood glucose was 148.1 mg/dl (SD: ±59.7) and mean HbA1c was 7.54 % (SD: ±1.8). In the correlation analysis, higher age and lower income were weakly correlated with lower cognitive level. No correlation was identified for biochemical variables and cognitive condition. A positive and weak correlation between cognition and HL was observed in the studied population. Conclusions: in older people living with DM the cognitive condition is correlated to specific topics of HL (nutritional status, physical activity and medication adherence).
Subject: Diabetes em idosos
Exercícios físicos para idosos
Cognição em idosos
Saúde pública
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: ICA - INSTITUTO DE CIÊNCIAS AGRÁRIAS
Rights: Acesso Aberto
metadata.dc.identifier.doi: https://doi.org/10.1016/j.ibror.2020.07.003
URI: http://hdl.handle.net/1843/44959
Issue Date: Dec-2020
metadata.dc.url.externa: https://www.sciencedirect.com/science/article/pii/S2451830120300285?via%3Dihub
metadata.dc.relation.ispartof: IBRO Reports
Appears in Collections:Artigo de Periódico



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