ArticleJournal of diabetes research2025
Bridging the Compliance Gap: An Assessment of Dietary and Physical Activity Adherence Among Type 2 Diabetes Patients in Kericho County, Kenya.
Article in Journal of diabetes research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Adherence to lifestyle modification recommendations plays a significant role in the management of diabetes mellitus, which commonly affects elderly groups. Low or nonadherence to dietary and physical activity recommendations is a major problem that retrogresses efforts invested in diabetes care and management. This subject is underexplored in Kenya, with no existing study conducted in Kericho County. The study is aimed at bridging the existing compliance gap through assessment of dietary and physical activity adherence among Type 2 diabetes patients aged 40+ years in Kericho County, Kenya. A hospital-based cross-sectional study involving 207 type 2 diabetes patients at Kericho County Referral Hospital using a pretested and structured interviewer-administered questionnaire was conducted. Validated and customized perceived dietary adherence questionnaire (PDAQ) and global physical activity questionnaire (GPAQ) were utilized. Data on sociodemographic and behavioral characteristics, and diet and exercise were collected from selected respondents through systematic random sampling technique. Collected data were analyzed using SPSS Version 26. Bivariate and multivariate logistic regression was performed to identify factors influencing adherence, with significance set at < 0.05. Results showed that 51.7% and 35.3% of the respondents were adherent to recommended dietary and physical activity, respectively. Being aged ≥ 70 years (AOR = 2.13, 95% CI: 1.01-4.87,
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