Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, USA.
Department of Health and Exercise Science, Wake Forest University, PO Box 7868, Winston-Salem, NC, 27106, USA.
J Behav Med. 2018 Dec;41(6):798-805. doi: 10.1007/s10865-018-9938-3. Epub 2018 May 25.
Examine cross-sectional relationships between dispositional mindfulness and diabetes self-care behaviors (i.e., medication adherence, diet and exercise behavior, and self-monitoring of blood glucose; SMBG), hemoglobin A1c (HbA1c, %), and body mass index (BMI; continuously and obese vs. not). Adults with type 2 diabetes (N = 148, M = 55.7 ± 10.1) who were recruited to participate in a web-based diabetes medication adherence intervention completed all assessments at enrollment. In unadjusted analyses, mindfulness was associated with better dietary habits and worse HbA1c (p < .05). After controlling for a priori covariates (demographics, years since diabetes diagnosis, and insulin status), mindfulness remained associated with better dietary behavior (p < .01) but not HbA1c. Mindfulness was not associated with medication adherence, exercise behavior, SMBG, or body mass index. We found evidence that dispositional mindfulness plays an important role in dietary behaviors, supporting the use of mindful eating techniques in diabetes self-management interventions. Fostering mindfulness may be one of several behavioral tools needed to support key self-care behaviors and improve HbA1c.
考察特质正念与糖尿病自我护理行为（即药物依从性、饮食和运动行为以及血糖自我监测；SMBG）、糖化血红蛋白（HbA1c，%）和体重指数（BMI；连续和肥胖与非肥胖）之间的横断面关系。招募了 148 名 2 型糖尿病成年人（M=55.7±10.1）参加基于网络的糖尿病药物依从性干预，他们在入组时完成了所有评估。在未调整分析中，正念与更好的饮食习惯和更差的 HbA1c 相关（p<.05）。在控制了先验协变量（人口统计学、糖尿病诊断后年限和胰岛素状态）后，正念与更好的饮食行为相关（p<.01），但与 HbA1c 无关。正念与药物依从性、运动行为、SMBG 或体重指数无关。我们有证据表明，特质正念在饮食行为中起着重要作用，支持在糖尿病自我管理干预中使用正念饮食技术。培养正念可能是支持关键自我护理行为和改善 HbA1c 所需的几种行为工具之一。
