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The role of stress responses on engagement in dietary and physical activity behaviors among Latino adults living with prediabetes.
Wallace, Deshira D; Barrington, Clare; Albrecht, Sandra; Gottfredson, Nisha; Carter-Edwards, Lori; Lytle, Leslie A.
Afiliación
  • Wallace DD; Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
  • Barrington C; Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
  • Albrecht S; Department of Epidemiology, Columbia Mailman School of Public Health, New York, NY, USA.
  • Gottfredson N; Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
  • Carter-Edwards L; Department of Public Health Leadership, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
  • Lytle LA; Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
Ethn Health ; 27(6): 1395-1409, 2022 08.
Article en En | MEDLINE | ID: mdl-33565329
OBJECTIVES: 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. DESIGN: 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. RESULTS: 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. CONCLUSIONS: 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estado Prediabético / Diabetes Mellitus Tipo 2 Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Revista: Ethn Health Asunto de la revista: CIENCIAS SOCIAIS / SAUDE PUBLICA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estado Prediabético / Diabetes Mellitus Tipo 2 Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Revista: Ethn Health Asunto de la revista: CIENCIAS SOCIAIS / SAUDE PUBLICA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido