A study on relationship between HbA1c, WHR, WTR and compliance in elderly diabetes mellitus patients

노인 당뇨병 환자의 당화혈색소, 허리/엉덩이둘레, 허리/허벅지둘레 및 치료지시이행과의 관계

  • Received : 2015.03.31
  • Accepted : 2015.06.01
  • Published : 2015.06.30

Abstract

Purpose: The purpose of this study was to identify relationships between HbA1c (Glycosylated Hemoglobin), WHR (Waist hip ratio), WTR (Waist thigh ratio) and compliance in elderly diabetes mellitus patients aged 65 years or over. Method: We conducted a survey and measured HbA1c, WHR, WTR in a total of 180 elderly patients with diabetes from 5 May 2014 to 30 May 2014. The data were analyzed by t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS program. Results: There were no significant differences in diabetes-related characteristics for HbA1c, WHR and WTR. However, patients with a family history had low compliance scores (p=.004). Furthermore, patients who visited the hospital regularly had higher compliance scores than patients who visited hospital when they were sick (p<.001). Patients with diabetic complications had low treatment compliance scores (p=.001). In addition, WHR and WTR (r=0.47, p<.001). and WHR and compliance (r=0.15, p=.045) showed positive correlation. Conclusion: For elderly diabetes mellitus patients, diabetes-related characteristics and compliance were highly related, so it is necessary to improve compliance for managing diabetes mellitus.

Keywords

References

  1. Adler, A. I., Stratton, I. M., Neil, H. A., Yudkin, J. S., Matthews, D. R., Cull, C. A., Wright, A. D., Tumer, R. C., Hoiman, R. R., & director the UK Prospective Diabetes Study Group (2000). Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes(UKPDS 36): prospective observational study. British Medical Journal, 321, 412-419. https://doi.org/10.1136/bmj.321.7258.412
  2. An, S. J. (2012). The relationship between obesity and regulation of glucose control. Unpublished master's thesis, Yonsei University, Seoul.
  3. Cassano, P. A., Rosner, B., Vokonas, P. S., & Weiss, S. T. (1992). Obesity and body fat distribution in relation to the incidence of non-indulin-dependent diabetes mellitus. A prospective cohort study of men in the normative aging study. American Journal of Epidemiology, 136(12), 1474-1486. https://doi.org/10.1093/oxfordjournals.aje.a116468
  4. Chan, Y. M., & Molassiotis, A. (1999). The relationship between diabetes knowledge and compliance among chinese with non-insulin dependent diabetes mellitus in Hong Kong. Journal of Advanced Nursing, 30(2), 431-438. https://doi.org/10.1046/j.1365-2648.1999.01098.x
  5. Chuang, Y. C., Hsu, K. H., Hwang, C. J., Hu, P .M., Lin, T. M., & Chiou, W, K. (2006). Waist-to-thigh ratio can also be a better indicator associated with type 2 diabetes than traditional anthropometrical measurements in Taiwan population. Annals of Epidemiology, 16(5), 321-331. https://doi.org/10.1016/j.annepidem.2005.04.014
  6. Chung, B. C., Park, S. H., Lee, J. Y., Lee, S. W., Chung, S. C., Kim, J. G., Ha, S. W., & Kim, B. W. (2003). Relationship between obesity indices and risk factors of atherosclerosis in type 2 diabetes. Journal of Korean Society for the Study of Obesity, 12(2), 93-107.
  7. Fasshauer, M., & Paschke, R. (2003). Regulation of adipocytokines and insulin resistance. Diabetologia, 46, 1594-1603. https://doi.org/10.1007/s00125-003-1228-z
  8. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavior, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  9. Ferrannini, E., Barrett, E. J., Bevilacqua, S., & DeFronzo, R. A. (1983). Effects of fatty acids on glucose production and utilization in man. The Journal of Clinical Investigation, 72(5), 1737-1747. https://doi.org/10.1172/JCI111133
  10. Heitmann, B. L., & Frederiksen, P. (2009). Thigh circumference and risk of heart disease and premature death: prospective cohort study. British Medical Journal, 339, 1-8
  11. Hwang, A. R., Yoo, J. S., Lee, H. C., Hwang, S. G., & Kim, C. J. (2000). The effects of exercise therapy applied in an efficacy expectation promoting program on self-efficacy, cardiopulmonary function and metabolism in type 2 diabetes mellitus patients. The Journal of Korean Biological Nursing Science, 2(1), 65-75.
  12. Jung, K. J. (2012). The study on the relationship between thigh circumference and prevalence of diabetes. Unpublished master's thesis, Yonsei University, Seoul.
  13. Kim, H. S. (2003). A study of blood glucose testing, medication, diet, and exercise adherence in Korean patients with type 2 diabetes. Journal of Korean Academy of Fundamentals of Nursing, 10(2), 181-186.
  14. Kim, H. S., & Song, M. S. (2003). Triglycerides and C-peptide are increased in BMI over than $23kg/m^2$ diabetic patients. The Journal of Korean Biological Nursing Science, 5(1), 5-12.
  15. Kim, S. Y. (2011). The relationship between waist to thigh ration and insulin resistance in Korean women. Unpublished master's thesis, Ewha Womans University, Seoul.
  16. Lu, B., Zhou, J., Waring, M. E., Parker, D. R., & Eaton, C. B. (2010). Abdominal obesity and peripheral vascular disease in men and women: A comparison of waist-to-thigh ratio and waist circumference as measures of abdominal obesity. Atherosclerosis, 208(1), 253-257. https://doi.org/10.1016/j.atherosclerosis.2009.06.027
  17. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention. (2013). 2012 National Health and Nutrition Survey Republic of Korea. Retrieved December 24, 2013, from http://knhanes.cdc.go.kr
  18. Park, K. S., Moon, J. S., & Park, S. N. (2009). Self-care, family support and depression in elderly patients with diabetes mellitus. Journal of Korean Academy of Fundamentals of Nursing, 16(3), 345-352.
  19. Shaten, B. J., Smith, G. D., Kuller, L. H., & Leaton, J. D. (1993). Risk factors for the development of type II diabetes among men enrolled in the usual care group of multiple risk factors intervention trial. Diabetes Care, 16(1), 1331-1339. https://doi.org/10.2337/diacare.16.10.1331
  20. Snijder, M. B., Visser, M., Dekker, J. M., Goodpaster, B. H., Harris, T. B., Kritchevsky, S. B., De Rekeneire, N., Kanaya, A. M., Newman, A. B., Tylavsky, F. A., & Seidell, J. C. (2005). Low subcutaneous thigh fat is a risk factor for unfavourable glucose and lipid levels, independently of high abdominal fat. The Health ABC Study. Diabetologia, 48(2), 301-308. https://doi.org/10.1007/s00125-004-1637-7
  21. Song, M. S. (2002). The degree of glycemic control and chronic complications development by compliance of health care regimen for type 2 diabetes mellitus patients. Unpublished master's thesis, Catholic University, Seoul.
  22. Song, M. S., Yoo, Y. S., & Kim, H. S. (2002). A study on the glucose level control and chronic complication rate in diabetic compliance groups with health regimen. Journal of Korea Community Health Nursing Academic Society, 15(2), 334-341.
  23. Statistics Korea. (2014). 2014 Statistics on the aged. Retrieved September 29, 2014, from http://kostat.go.kr/portal/korea/kor_nw/2/6/5/index.board?bmode=read&aSeq=330349
  24. Sung, K. W. (2011). Relationship of daily activity and biochemical variables in the elderly with diabetes mellitus. Journal of Korean Academy Nurse, 41(2), 182-190. https://doi.org/10.4040/jkan.2011.41.2.182
  25. World Health Organization (2000). The asia-pacific perspective: redefining obesity and it's treatment. Sydney: Health Communication Australia Pty Lts.