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Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus

While the role of medical and nutrition factors on glycemic control among adults with type 2 diabetes mellitus (T2DM) has been well-established, the association between health literacy (H.L.) and glycemic control is inconsistent. This study aims to determine the association of H.L. and nutritional s...

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Main Authors: Hashim, Saman Agad, Mohd Yusof, Barakatun Nisak, Abu Saad, Hazizi, Ismail, Suriani, Hamdy, Osama, Mansour, Abbas Ali
Format: Article
Language:English
Published: Multidisciplinary Digital Publishing Institute 2020
Online Access:http://psasir.upm.edu.my/id/eprint/87970/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/87970/
https://www.mdpi.com/2072-6643/12/10/3152
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spelling my.upm.eprints.879702022-05-24T07:29:01Z http://psasir.upm.edu.my/id/eprint/87970/ Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus Hashim, Saman Agad Mohd Yusof, Barakatun Nisak Abu Saad, Hazizi Ismail, Suriani Hamdy, Osama Mansour, Abbas Ali While the role of medical and nutrition factors on glycemic control among adults with type 2 diabetes mellitus (T2DM) has been well-established, the association between health literacy (H.L.) and glycemic control is inconsistent. This study aims to determine the association of H.L. and nutritional status assessments with glycemic control in adults with type 2 diabetes mellitus. A total of 280 T2DM respondents (mean (SD) age = 49.7 (10.3) years, Glycated hemoglobin (HbA1c) = 9.9 (2.6) %, and Body Mass Index = 32.7 (15.1) kg/m2) were included in this study. A short-form Test of Functional Health Literacy in Adults (S-TOFHLA) assessed the H.L. levels. Nutritional status assessments included client history, glycemic control, anthropometric, and biochemical data. The mean (S.D.) H.L. score was 45.7 (24.6), with 56% of the respondents had inadequate H.L. Inadequate H.L. was more common among those females; housewives, low education, received oral antidiabetic therapy, and shorter diabetes duration. Respondents with inadequate H.L. were significantly older and had higher HbA1c than those with marginal and adequate H.L. Meanwhile, respondents with inadequate and marginal H.L. levels had significantly higher total cholesterol, LDL-cholesterol, and systolic blood pressure than the respondents with adequate H.L. Low H.L. scores, self-employment status, received dual antidiabetic therapy (insulin with oral agents), received insulin alone, and had higher fasting blood glucose explained about 21% of the total variation in HbA1c (adjusted R2 = 0.21; p < 0.001). Respondents with inadequate H.L. had poor glycemic control. The H.L. scores, together with nutritional status assessments, were the factors that predicted poor glycemic control among adults with T2DM. Multidisciplinary Digital Publishing Institute 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/87970/1/ABSTRACT.pdf Hashim, Saman Agad and Mohd Yusof, Barakatun Nisak and Abu Saad, Hazizi and Ismail, Suriani and Hamdy, Osama and Mansour, Abbas Ali (2020) Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus. Nutrients, 12 (10). pp. 1-14. ISSN 2072-6643 https://www.mdpi.com/2072-6643/12/10/3152 10.3390/nu12103152
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description While the role of medical and nutrition factors on glycemic control among adults with type 2 diabetes mellitus (T2DM) has been well-established, the association between health literacy (H.L.) and glycemic control is inconsistent. This study aims to determine the association of H.L. and nutritional status assessments with glycemic control in adults with type 2 diabetes mellitus. A total of 280 T2DM respondents (mean (SD) age = 49.7 (10.3) years, Glycated hemoglobin (HbA1c) = 9.9 (2.6) %, and Body Mass Index = 32.7 (15.1) kg/m2) were included in this study. A short-form Test of Functional Health Literacy in Adults (S-TOFHLA) assessed the H.L. levels. Nutritional status assessments included client history, glycemic control, anthropometric, and biochemical data. The mean (S.D.) H.L. score was 45.7 (24.6), with 56% of the respondents had inadequate H.L. Inadequate H.L. was more common among those females; housewives, low education, received oral antidiabetic therapy, and shorter diabetes duration. Respondents with inadequate H.L. were significantly older and had higher HbA1c than those with marginal and adequate H.L. Meanwhile, respondents with inadequate and marginal H.L. levels had significantly higher total cholesterol, LDL-cholesterol, and systolic blood pressure than the respondents with adequate H.L. Low H.L. scores, self-employment status, received dual antidiabetic therapy (insulin with oral agents), received insulin alone, and had higher fasting blood glucose explained about 21% of the total variation in HbA1c (adjusted R2 = 0.21; p < 0.001). Respondents with inadequate H.L. had poor glycemic control. The H.L. scores, together with nutritional status assessments, were the factors that predicted poor glycemic control among adults with T2DM.
format Article
author Hashim, Saman Agad
Mohd Yusof, Barakatun Nisak
Abu Saad, Hazizi
Ismail, Suriani
Hamdy, Osama
Mansour, Abbas Ali
spellingShingle Hashim, Saman Agad
Mohd Yusof, Barakatun Nisak
Abu Saad, Hazizi
Ismail, Suriani
Hamdy, Osama
Mansour, Abbas Ali
Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus
author_facet Hashim, Saman Agad
Mohd Yusof, Barakatun Nisak
Abu Saad, Hazizi
Ismail, Suriani
Hamdy, Osama
Mansour, Abbas Ali
author_sort Hashim, Saman Agad
title Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus
title_short Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus
title_full Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus
title_fullStr Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus
title_full_unstemmed Association of Health Literacy and Nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus
title_sort association of health literacy and nutritional status assessment with glycemic control in adults with yype 2 diabetes mellitus
publisher Multidisciplinary Digital Publishing Institute
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/87970/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/87970/
https://www.mdpi.com/2072-6643/12/10/3152
_version_ 1734301603338387456
score 13.211869

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