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Self-care behaviours among people with type 2 diabetes mellitus in South Asia OA CL.pdf (1.61 MB)

Self-care behaviours among people with type 2 diabetes mellitus in South Asia: A systematic review and meta-analysis

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posted on 2024-01-08, 04:43 authored by Grish PaudelGrish Paudel, Corneel VandelanotteCorneel Vandelanotte, Padam DahalPadam Dahal, T Biswas, UN Yadav, T Sugishita, Lal RawalLal Rawal
Background The burden of Type 2 diabetes mellitus (T2DM) in South Asian countries is increasing rapidly. Self-care behaviour plays a vital role in managing T2DM and preventing complications. Research on self-care behaviours among people with T2DM has been widely conducted in South Asian countries, but there are no systematic reviews that assess self-care behaviour among people with T2DM in South Asia. This study systematically assessed the studies reporting self-care behaviours among people with T2DM in South-Asia. Methods Adhering to the PRISMA guidelines, we searched six bibliographic databases (Scopus, PubMed, CINAHL, Embase, Web of Science, and PsychInfo) to identify the relevant articles published between January 2000 through March 2022. Eligibility criteria included all observational and cross-sectional studies reporting on the prevalence of self-care behaviours (ie, diet, physical activity, medication adherence, blood glucose monitoring, and foot care) conducted in South Asian countries among people with T2DM. Results The database search returned 1567 articles. After deduplication (n = 758) and review of full-text articles (n = 192), 92 studies met inclusion criteria and were included. Forward and backward reference checks were performed on included studies, which resulted in an additional 18 articles. The pooled prevalence of adherence to blood glucose monitoring was 65% (95% CI = 49-80); 64% for medication adherence (95% CI = 53-74); 53% for physical activity (95% CI = 39-66); 48% for diet (95% CI = 38-58); 42% for foot care (95% CI = 30-54). About a quarter of people with T2DM consumed alcohol (25.2%, IQR = 13.8%-38.1%) and were using tobacco products (18.6%, IQR = 10.6%-23.8%). Conclusions Our findings suggest that the prevalence of self-care behaviours among people with T2DM in South Asia is low. This shows an urgent need to thoroughly investigate the barriers to the practising of self-care and design and implement interventions to improve diabetes self-care behaviour among people with T2DM in South Asia.

History

Volume

12

Start Page

1

End Page

28

Number of Pages

28

eISSN

2047-2986

ISSN

2047-2978

Publisher

International Society of Global Health

Publisher License

CC BY

Additional Rights

cc-by

Language

eng

Peer Reviewed

  • Yes

Open Access

  • Yes

External Author Affiliations

Tokyo Women’s Medical University; Australian National University; University of New South Wales

Author Research Institute

  • Appleton Institute

Era Eligible

  • Yes

Medium

Electronic

Journal

Journal of Global Health

Article Number

04056

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