You are not logged in.
Openly accessible

Severe obesity and diabetes self-care attitudes, behaviours and burden: implications for weight management from a matched case-controlled study.

Dixon, J. B., Browne, J. L., Mosely, K. G., Rice, T. L., Jones, K. M., Pouwer, F. and Speight, J. 2014, Severe obesity and diabetes self-care attitudes, behaviours and burden: implications for weight management from a matched case-controlled study., Diabetic medicine, vol. 31, no. 2, pp. 232-240, doi: 10.1111/dme.12306.

Attached Files
Name Description MIMEType Size Downloads
browne-severeobesity-post-2013.pdf Accepted version application/pdf 310.56KB 3

Title Severe obesity and diabetes self-care attitudes, behaviours and burden: implications for weight management from a matched case-controlled study.
Alternative title Severe obesity and diabetes self-care attitudes, behaviours and burden: implications for weight management from a matched case-controlled study. Results from Diabetes MILES – Australia.
Author(s) Dixon, J. B.
Browne, J. L.ORCID iD for Browne, J. L. orcid.org/0000-0001-7294-8114
Mosely, K. G.
Rice, T. L.
Jones, K. M.
Pouwer, F.
Speight, J.ORCID iD for Speight, J. orcid.org/0000-0002-1204-6896
Journal name Diabetic medicine
Volume number 31
Issue number 2
Start page 232
End page 240
Total pages 9
Publisher Wiley-Blackwell publishing
Place of publication Chichester, Eng.
Publication date 2014-02
ISSN 0742-3071
1464-5491
Keyword(s) type 2 diabetes
obesity
self-care
self-management
Summary Aims
To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non-severely obese control subjects.

Methods
The 1795 respondents to the Diabetes MILES—Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI ≥ 35 kg/m2; median BMI = 41.6 kg/m2) and these were matched with 530 control subjects (BMI < 35 kg/m2; median BMI = 28.2 kg/m2). Diabetes self-care behaviours, attitudes and burden were measured with the Diabetes Self-Care Inventory—Revised. Within-group and between-group trends were examined.

Results
The group with BMI ≥ 35 kg/m2 was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m2. The group with BMI ≥ 35 kg/m2 was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m2. There were no between-group differences in other aspects of diabetes self-care: self-monitoring of blood glucose, use of medications and smoking. Moderate-to-severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management.

Conclusions
Severely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals.
Language eng
DOI 10.1111/dme.12306
Field of Research 170106 Health, Clinical and Counselling Psychology
111712 Health Promotion
110306 Endocrinology
Socio Economic Objective 920104 Diabetes
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2013, The Authors
Free to Read? Yes
Free to Read Start Date 2015-03-01
Persistent URL http://hdl.handle.net/10536/DRO/DU:30058941

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 5 times in TR Web of Science
Scopus Citation Count Cited 6 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 205 Abstract Views, 7 File Downloads  -  Detailed Statistics
Created: Tue, 10 Dec 2013, 16:44:33 EST by Jessica Browne

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.