Diabetes
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/21652
Browse
Browsing Diabetes by Author "Hartos, Jessica"
Now showing 1 - 2 of 2
- Results Per Page
- Sort Options
Item Does General Health Differ by Physical Activity Level in Middle Aged Diabetic Females?(2018-03-14) Moccia, Angela; Looten, Kalli; Hartos, Jessica; Turner, Christine; Bliha, MadelinePurpose: Diabetes is a widespread health issue in the general population, but limited information is available for the relationship between physical activity level and general health in diabetic patients, especially in specific age or gender subpopulations. The goal of this study was to determine whether general health differs by physical activity level in middle-aged diabetic females. Methods: This cross-sectional analysis used 2015 BRFSS data for middle-aged diabetic females ages 45-64 from Arkansas, Missouri, Ohio and West Virginia. Multiple logistic regression analysis assessed the relationship between physical activity level and general health while controlling for weight status, health conditions, alcohol use, tobacco use, education level, employment status, age, and ethnicity/race. Results: Across states, about half of the females ages 45-64 reported having good or better general health (38-52%) and less reported being highly active (16-23%). The results of adjusted analysis indicated good or better general health was significantly related to highly active physical activity level in Ohio (AOR= 3.09, 95%CI= 1.55, 6.15) and Missouri (AOR= 5.72, 95%CI= 1.99-16.80). Additionally, good or better general health was related to employment status in all four states (large effect sizes). In contrast, good or better general health was inversely related to health conditions in two of the four states (large effect sizes). Conclusions: A highly active physical activity level was found to be significantly related to general health in two out of four states. Since this data was from a population-based study, the results may generalize to middle-aged diabetic females presenting to a general practice clinic. Thus, primary care practitioners can expect to see a low to moderate prevalence of middle-aged diabetic females reporting a highly active physical activity level and good or better general health. Providers should consider assessing the activity level and general health of diabetic middle-aged female patients as well as consider their comorbid health conditions and provide education and resources to encourage physical activity as indicated.Item Does the Relationship Between Activity Limitations and Mental Health Differ by Gender in Diabetic Adults Age 45 Years and Older?(2018-03-14) Boyde, Bryttin; Durnil, Amber; Khanjae, Sonam; Hartos, Jessica; Eissa, ShadiaPurpose: In the United States, there is a moderate prevalence of disability and mental illness among adults, with diabetes as a contributing risk factor. Given the limited research among diabetics, the purpose of this study was to determine whether the relationship between activity limitations and mental health differs by gender in diabetic adults age 45 and older. Method: This cross-sectional analysis used data from the 2015 BRFSS for pre-diabetic and diabetic adults age 45 years and older from Arkansas, Tennessee, Oklahoma, and Alabama. Multiple logistic regression analysis was used to assess the relationship between mental health and activity limitations while controlling for depression, health conditions, weight status, age, ethnicity/race, marital status, education level, employment status, income level, and gender. Results: About two-thirds of pre-diabetic and diabetic adults age 45 years and older reported less than 30 days of good mental health (33-36%) and less than half reported two or more activity limitations (36-42%). After controlling for socioeconomic, demographic, and health related variables, males with two or more activity limitations were about 3-5 times less likely to report good mental health in all four states. Likewise, females with two or more activity limitations were about 2-4 times less likely to report good mental health in all states except Arkansas. Additionally, depression was found to be significantly and inversely related to mental health in four of four states in both males and females. Conclusion: Overall, mental health and activity limitations were found to be inversely related in pre-diabetic and diabetic adults age 45 and older. A major limitation of this study was the inability to assess the severity of disease states, and whether they were controlled with medication. General practitioners can expect to see a moderate prevalence of poor mental health and activity limitations in pre-diabetic and diabetic adults age 45 years and older, particularly in patients with a history of depression. Primary care providers should provide mental health screens and referrals in pre-diabetic and diabetic adult patients presenting with two or more activity limitations, especially in males. Additionally, providers should screen for activity limitations if pre-diabetic and diabetic adult patients present with poor mental health.