PMID- 33076406
OWN - NLM
STAT- MEDLINE
DCOM- 20210419
LR  - 20221207
IS  - 2072-6643 (Electronic)
IS  - 2072-6643 (Linking)
VI  - 12
IP  - 10
DP  - 2020 Oct 15
TI  - Association of Health Literacy and Nutritional Status Assessment with Glycemic 
      Control in Adults with Type 2 Diabetes Mellitus.
LID - 10.3390/nu12103152 [doi]
LID - 3152
AB  - 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/m(2)) 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 R(2) = 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.
FAU - Hashim, Saman Agad
AU  - Hashim SA
AD  - Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti 
      Putra Malaysia, Serdang 43400, Malaysia.
AD  - Sader Teaching Hospital, Basrah Health Directorate, Ministry of Health, Basrah 
      61001, Iraq.
FAU - Barakatun-Nisak, Mohd Yusof
AU  - Barakatun-Nisak MY
AUID- ORCID: 0000-0003-0403-5895
AD  - Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti 
      Putra Malaysia, Serdang 43400, Malaysia.
AD  - Institute for Social Sciences Studies, Universiti Putra Malaysia, Serdang 43400, 
      Malaysia.
FAU - Abu Saad, Hazizi
AU  - Abu Saad H
AD  - Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti 
      Putra Malaysia, Serdang 43400, Malaysia.
FAU - Ismail, Suriani
AU  - Ismail S
AD  - Department of Community Health, Faculty of Medicine and Health Sciences, 
      Universiti Putra Malaysia, Serdang 43400, Malaysia.
FAU - Hamdy, Osama
AU  - Hamdy O
AD  - Joslin Diabetes Centre, Harvard Medical School, Boston, MA 02215, USA.
FAU - Mansour, Abbas Ali
AU  - Mansour AA
AUID- ORCID: 0000-0001-8083-6024
AD  - Faiha Specialized Diabetes, Endocrine, and Metabolism Center (FDEMC), University 
      of Basrah, Basrah 61001, Iraq.
LA  - eng
PT  - Journal Article
DEP - 20201015
PL  - Switzerland
TA  - Nutrients
JT  - Nutrients
JID - 101521595
RN  - 0 (Biomarkers)
RN  - 0 (Cholesterol, HDL)
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (Hypoglycemic Agents)
RN  - 0 (hemoglobin A1c protein, human)
SB  - IM
MH  - Adult
MH  - Biomarkers/blood
MH  - Blood Pressure
MH  - Body Mass Index
MH  - Cholesterol, HDL/blood
MH  - Diabetes Mellitus, Type 2/diagnosis/physiopathology/*therapy
MH  - Educational Status
MH  - Female
MH  - Glycated Hemoglobin
MH  - *Glycemic Control
MH  - *Health Literacy
MH  - Humans
MH  - Hypoglycemic Agents/administration & dosage
MH  - Male
MH  - Middle Aged
MH  - *Nutrition Assessment
MH  - *Nutritional Status
MH  - Systole
MH  - Treatment Outcome
PMC - PMC7602618
OTO - NOTNLM
OT  - Iraq
OT  - S-TOFHLA
OT  - Type 2 Diabetes Mellitus
OT  - glycemic control
OT  - health literacy
COIS- We have no conflict of interest to disclose in this study.
EDAT- 2020/10/21 06:00
MHDA- 2021/04/20 06:00
PMCR- 2020/10/01
CRDT- 2020/10/20 01:03
PHST- 2020/09/09 00:00 [received]
PHST- 2020/10/05 00:00 [revised]
PHST- 2020/10/09 00:00 [accepted]
PHST- 2020/10/20 01:03 [entrez]
PHST- 2020/10/21 06:00 [pubmed]
PHST- 2021/04/20 06:00 [medline]
PHST- 2020/10/01 00:00 [pmc-release]
AID - nu12103152 [pii]
AID - nutrients-12-03152 [pii]
AID - 10.3390/nu12103152 [doi]
PST - epublish
SO  - Nutrients. 2020 Oct 15;12(10):3152. doi: 10.3390/nu12103152.