Assessment of lifestyle modifications among Sudanese individuals with diabetes: The situation so far and the need to do more
نویسندگان
1 Faculty of Medicine, Sudan International University, Khartoum, Sudan
2 Dean of graduate college, University of Medical Sciences and Technology, Sudan
3 Department of Medicine, Faculty of Medicine, Nile Valley University, Atbara, Sudan
4 Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eagelstone, Milton Keynes, Buckinghamshire, UK
5
6 Department of Clinical Pharmacy, Faculty of Pharmacy, Omdurman Islamic University, Sudan
7 Department of Research and Training, Alsharg Ahlia College, Kassala, Sudan
8 Armed Forces Centre for Psychiatric Care, Taif, Saudi Arabia
9 Imperial College London Diabetes Centre, Al Ain, United Arab Emirates
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چکیده
BACKGROUND: Inadequate lifestyle practices among individuals with diabetes may influencethe progression of diabetes and its complications. The aim of this study was to assess the lifestylepractices among individuals with diabetes in Sudan.METHODOLOGY: This was a descriptive, cross‑sectional, health facility‑based study conducted in3 diabetes centers treating individuals with diabetes. The data were collected using a standardizedpretested metabolic questionnaire about lifestyle and were analyzed by performing descriptive andinferential statistics through SPSS program version 23.RESULTS: A total of 528 patients with diabetes answered the questionnaire. There were 52.1% offemale participants and 72.9% of urban residents. 23.9% were obese, regular exercise was reportedby 27.7%, and no exercise by 17%. There was a statistically significant association betweenlifestyle practices and gender (P < 0.001), age (P < 0.001), educational level (P = 0.002), maritalstatus (P < 0.001), duration of diabetes (P < 0.001), hypertension (P < 0.001), high‑densitylipoprotein (P < 0.001), low‑density lipoprotein (P < 0.001), and HbA1c level (P < 0.001). Logisticregression analysis showed male gender and education were significantly associated with lifestylechanges. Men were more likely to engage in favorable lifestyle practices than women (P < 0.001),while those with no formal education were less likely to engage in healthy lifestyle (P < 0.001).CONCLUSIONS: Health authorities in Sudan will need to put more efforts into education for promotingself‑awareness and good lifestyle practices in the population with diabetes.