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2020-02-26Zeitschriftenartikel DOI: 10.25646/6932
Participation in structured diabetes mellitus self-management education program and association with lifestyle behavior: results from a population-based study
dc.contributor.authorCarmienke, Solveig
dc.contributor.authorBaumert, Jens
dc.contributor.authorGabrys, Lars
dc.contributor.authorHeise, Marcus
dc.contributor.authorFrese, Thomas
dc.contributor.authorHeidemann, Christin
dc.contributor.authorFink, Astrid
dc.date.accessioned2020-05-28T13:26:47Z
dc.date.available2020-05-28T13:26:47Z
dc.date.issued2020-02-26none
dc.identifier.other10.1136/ bmjdrc-2019-001066
dc.identifier.urihttp://edoc.rki.de/176904/6818
dc.description.abstractObjective Whether participation in structured diabetes self-management education programs (DSME) for participants with diabetes mellitus is associated with a healthy lifestyle in routine care apart from randomized-controlled studies remains unclear and is this studies’ research question. Research design and methods We identified 1300 persons with diabetes mellitus drawn from the cross-sectional population-based analysis German Health Update 2014/2015 (GEDA 2014/2015), which integrated the modules of the European Health Interview Survey (EHIS) wave 2. Of those, 816 were ever-DSME participants and 484 never-participants. We conducted multivariable weighted logistic regression analyses for lifestyle differences comparing ever-DSME and never-DSME participants. Lifestyle was defined by physical activity (PA), current smoking, fruit/vegetable consumption and body mass index (BMI). Age, sex, socioeconomic status, living together, limitation due to health problems for at least for 6 months, self-efficacy and attention to one’s health were included as confounders in the regression models. Results Ever-DSME participants engaged significantly more often in cycling at least 1 day per week (OR 1.62, 95% CI: 1.15–2.30) and performed significantly more often aerobic endurance training of 150 min per week (including walking: OR 1.42, 95% CI: 1.03–1.94, without walking: OR 1.48, 95% CI: 1.08–2.03) compared with never-DSME participants. Ever-DSME participants were significantly more often ex-smoker compared with never-DSME participants (OR 1.39, 95% CI: 1.03–1.88). DSME attendance was not significantly associated with current smoking, BMI and fruit or vegetable consumption. Conclusion DSME participation is associated with a moderately healthier lifestyle particularly for PA even in routine healthcare. Study results emphasize the importance of a broadly dissemination of DSME access for nationwide diabetes healthcare. Future studies should adjust for DSME participation when investigating lifestyle in persons with diabetes.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleParticipation in structured diabetes mellitus self-management education program and association with lifestyle behavior: results from a population-based studynone
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6818-5
dc.identifier.doihttp://dx.doi.org/10.25646/6932
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMJ Open Diabetes Research and Carenone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://drc.bmj.com/content/8/1/e001066none
local.edoc.container-publisher-nameBMJnone
local.edoc.container-volume8none
local.edoc.container-issue1none
local.edoc.container-year2020none
local.edoc.container-firstpage1none
local.edoc.container-lastpage10none
local.edoc.rki-departmentEpidemiologie und Gesundheitsmonitoringnone
dc.description.versionPeer Reviewednone

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