Adherence to medication, physical activity and diet among older people living with diabetes mellitus: correlation between cognitive function and health literacy

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dc.creatorThaísa Soares Crespo
dc.creatorJoão Marcus Oliveira Andrade
dc.creatorDeborah de Farias Lelis
dc.creatorAline Crespo Ferreira
dc.creatorJoão Gabriel Silva Souza
dc.creatorAndréa Maria Eleutério de Barros Lima Martins
dc.creatorSérgio Henrique Sousa Santos
dc.date.accessioned2022-09-06T15:27:12Z
dc.date.accessioned2025-09-09T00:54:26Z
dc.date.available2022-09-06T15:27:12Z
dc.date.issued2020-12
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.identifier.doihttps://doi.org/10.1016/j.ibror.2020.07.003
dc.identifier.issn2451-8301
dc.identifier.urihttps://hdl.handle.net/1843/44959
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofIBRO Reports
dc.rightsAcesso Aberto
dc.subjectDiabetes em idosos
dc.subjectExercícios físicos para idosos
dc.subjectCognição em idosos
dc.subjectSaúde pública
dc.titleAdherence to medication, physical activity and diet among older people living with diabetes mellitus: correlation between cognitive function and health literacy
dc.typeArtigo de periódico
local.citation.epage137
local.citation.spage132
local.citation.volume9
local.description.resumoBackground: 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).
local.publisher.countryBrasil
local.publisher.departmentICA - INSTITUTO DE CIÊNCIAS AGRÁRIAS
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S2451830120300285?via%3Dihub

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