Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
Department of Epidemiology, Columbia Mailman School of Public Health, New York, NY, USA.
Ethn Health. 2022 Aug;27(6):1395-1409. doi: 10.1080/13557858.2021.1880549. Epub 2021 Feb 10.
Latinos are at a high risk of developing type 2 diabetes (T2D). Prediabetes is a major risk factor for T2D; however, progression to T2D can be slowed with engagement in healthy behaviors. Stress can hinder engagement with health behaviors. Qualitative methods were used to understand how Latinos with prediabetes attempted to modify their diet and physical activity behaviors to slow T2D progression and how stress affected their engagement in these behaviors.
Semi-structured interviews were conducted with 20 Latinos with prediabetes in North Carolina. Participants were asked questions about types of stress they experienced and how stress affected their health. We generated codes on stress and stress responses and used content analysis to organize codes between and within participants.
Behaviors changed after prediabetes diagnosis. Few participants reported changing their physical activity, however, all participants attempted to change their eating patterns by changing food types consumed and reducing portion sizes. The stress participants experienced impacted their ability to self-regulate their diet. They reported overeating or appetite suppression during stressful periods. Stress also affected cognitive responses by compromising healthy decision-making and instigating negative emotional reactions. Overall, stress complicated participants' ability to properly engage in recommended behaviors by negatively impacting participants' behavioral self-regulation and cognitive processes.
Stress affects behavioral and cognitive progresses that adversely alters primarily dietary behaviors. Tailored plans acknowledging the impact of stress and providing coping and supportive help for dealing with stress may enhance engagement in healthy behaviors for Latinos with prediabetes.
拉丁裔人群患 2 型糖尿病（T2D）的风险很高。糖尿病前期是 T2D 的主要危险因素；然而，通过采取健康行为，可以减缓向 T2D 的进展。压力可能会阻碍人们采取健康行为。本研究采用定性方法，旨在了解糖尿病前期的拉丁裔人群如何试图改变他们的饮食和体育活动行为，以减缓 T2D 的进展，以及压力如何影响他们参与这些行为。
在北卡罗来纳州，对 20 名患有糖尿病前期的拉丁裔患者进行了半结构化访谈。参与者被问及他们经历的压力类型以及压力如何影响他们的健康。我们对压力和压力反应进行了编码，并使用内容分析在参与者之间和内部组织代码。
糖尿病前期诊断后，行为发生了变化。很少有参与者报告改变了他们的体育活动，然而，所有参与者都试图通过改变所食用的食物类型和减少食物份量来改变他们的饮食模式。参与者经历的压力影响了他们自我调节饮食的能力。他们报告在压力期间暴饮暴食或抑制食欲。压力还通过损害健康的决策制定和引发负面情绪反应，影响认知反应。总的来说，压力通过对参与者的行为自我调节和认知过程产生负面影响，使参与者难以正确参与推荐的行为。
压力会影响行为和认知的进展，从而主要改变饮食行为。针对压力影响制定计划，并提供应对和支持性帮助来处理压力，可能会增强糖尿病前期拉丁裔人群对健康行为的参与。
