Effect of perceived adherence to lifestyle changes on quality of life, body mass index, and blood glucose status for T2DM patients @SASMEC

• Main Authors: Azmi, Elzehra Balqis, Mohamed Nor, Noraishah, Wan Ali, Wan Ahmad Syahril Rozli
• Format: Article
• Language: English
• Published: IIUM Press 2024
• Subjects: RA643 Communicable Diseases and Public Health
• Online Access: http://irep.iium.edu.my/117381/7/117381_Effect%20of%20Perceived%20Adherence%20to%20Lifestyle%20Changes.pdf; http://irep.iium.edu.my/117381/; https://journals.iium.edu.my/ijahs/index.php/IJAHS/article/view/944/835; https://doi.org/10.31436/ijahs.v8i5

Background: Adopting a healthier lifestyle with effective self-management can improve diabetes outcomes. For diabetic patients, perceived adherence is crucial in helping them sustain the recommended lifestyle changes. Thus, the current study was conducted to determine the association of perceived adherence level to lifestyle changes with the Quality of Life (QoL), body mass index (BMI), and blood glucose level of T2DM patients. Methods: Thirty-seven T2DM patients were recruited from the Medical Clinic at SASMEC@IIUM. All participants were interviewed and completed survey questions regarding the perceived adherence to lifestyle changes and quality of life. Results: Results found that most of the participants were obese 20 (54.1%), few were underweight 2 (5.4%), normal weight 8 (21.6%) and overweight 7 (18.9%). Most participants, 23 (62.2%) had presumed perceived adherence, and 14 (37.8%) had unpredictable perceived adherence, with no participants categorised as perceived non-adherence. There is no significant difference between perceived lifestyle changes and body mass index. The average total quality of life score was 40.4, indicating a good quality of life. There was a significant difference between perceived adherence to lifestyle change and quality of life. For most participants, 21 (60%) fasting blood glucose levels were equal to or more than 7.0 mmol/L, while 14 (40%) participants had normal fasting blood glucose values (<7.0mmol/L). The result found no significant difference between perceived adherence to lifestyle change and blood glucose status. Conclusion: This study highlights the substantial impact of perceived adherence to lifestyle changes on the quality of life (QoL) among diabetes patients, emphasising the importance of promoting adherence to improve overall well-being. However, no association was found between perceived adherence, BMI, or blood glucose levels. These findings indicate that the influence on metabolic outcomes such as BMI and blood glucose is more complex and likely influenced by other factors.