#16 Determinants of readiness for adopting healthy lifestyle behaviours among Indigenous adolescents with type 2 diabetes: A cross sectional study
Anita Durksen, U of M / CHRIM; Jon McGavock, U of M / CHRIM; Brandy Wicklow, U of M / CHRIM; Sayma Malik, U of M / CHRIM; Elizabeth Sellers, U of M / CHRIM; Tom Blydt-Hansen, University of British Columbia; Dan Chateau, U of M / MCHP; Allison Dart, U of M / CHRIM
The aim of this study was to determine if readiness for adopting healthy lifestyle behaviours was associated with mental health and co-morbid conditions in youth with type 2 diabetes (T2D). We hypothesized that adolescents who were ready to make positive changes in areas of physical activity and diet would have better mental health and lower levels of stress and distress.
A cross sectional comparison of various measures of mental health (distress, stress, resilience) and comorbid conditions (glycated hemoglobin, adiposity, hypertension) was conducted within a cohort of youth with T2D stratified according to their readiness to adopt healthy lifestyle behaviours.
Within the entire cohort (n=141) only 14% were considered ready to adopt all healthy lifestyle behaviours. Readiness to adopt all lifestyle behaviours was associated with higher positive mental health (47 vs 39 units; p < 0.05) and sense of mastery (40 vs 37 units, p < 0.05), lower perceived stress (27 vs 29 units, p < 0.05) and distress (8 vs 10 units, p < 0.05) as well as better glycemic control (HbA1c: 8.4 ± 2.6 vs 9.7 ± 2.8%; p < 0.05) compared to youth not ready to adopt all lifestyle behaviours.
Readiness for adopting healthy lifestyle behaviours is low among adolescents with type 2 diabetes. Being ready to adopt healthy lifestyle behaviours was associated with better mental health and glycemic control. This has significant implications for the approach to care of adolescents with type 2 diabetes.