Lipids and psychosocial status in aboriginal persons with and at risk for Type 2 diabetes: implications for tertiary prevention

M. Daniel, K. G. Rowley, C. P. Herbert, K. O'Dea, L. W. Green

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

This study assessed psychosocial correlates of dyslipidemia, towards enabling improved tertiary prevention of macrovascular complications of diabetes mellitus (DM). We tested the hypothesis that psychosocial measures are related to high-density lipoprotein cholesterol (HDL-C) and triglyceride concentrations in a rural aboriginal population in British Columbia, Canada. Persons sampled were on-reserve registered Indians (n=198) with and at risk for Type 2 DM. Relationships between HDL-C and psychosocial variables were associated with glycemic status. For persons with diabetes and impaired glucose tolerance (n=44), quality of life and mastery were positively related (P<0.001), and depression inversely related (P<0.001), to HDL-C. An apparent lack of effect of behavior suggests the influence of emotional pathways involving autonomic-neuroendocrine axes. We recommend assessing mental health, and promoting mastery and diabetes quality of life through empowerment oriented diabetes management strategies, in negotiating culturally acceptable treatment of diabetic dyslipidemia for aboriginal people.

Original languageEnglish
Pages (from-to)85-95
Number of pages11
JournalPatient Education and Counseling
Volume43
Issue number1
DOIs
Publication statusPublished - Apr 2001
Externally publishedYes

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Tertiary Prevention
Dyslipidemias
Type 2 Diabetes Mellitus
HDL Cholesterol
Quality of Life
Lipids
Autonomic Pathways
British Columbia
Glucose Intolerance
Negotiating
Rural Population
Diabetes Complications
Canada
Mental Health
Depression
Therapeutics

Cite this

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title = "Lipids and psychosocial status in aboriginal persons with and at risk for Type 2 diabetes: implications for tertiary prevention",
abstract = "This study assessed psychosocial correlates of dyslipidemia, towards enabling improved tertiary prevention of macrovascular complications of diabetes mellitus (DM). We tested the hypothesis that psychosocial measures are related to high-density lipoprotein cholesterol (HDL-C) and triglyceride concentrations in a rural aboriginal population in British Columbia, Canada. Persons sampled were on-reserve registered Indians (n=198) with and at risk for Type 2 DM. Relationships between HDL-C and psychosocial variables were associated with glycemic status. For persons with diabetes and impaired glucose tolerance (n=44), quality of life and mastery were positively related (P<0.001), and depression inversely related (P<0.001), to HDL-C. An apparent lack of effect of behavior suggests the influence of emotional pathways involving autonomic-neuroendocrine axes. We recommend assessing mental health, and promoting mastery and diabetes quality of life through empowerment oriented diabetes management strategies, in negotiating culturally acceptable treatment of diabetic dyslipidemia for aboriginal people.",
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Lipids and psychosocial status in aboriginal persons with and at risk for Type 2 diabetes: implications for tertiary prevention. / Daniel, M.; Rowley, K. G.; Herbert, C. P.; O'Dea, K.; Green, L. W.

In: Patient Education and Counseling, Vol. 43, No. 1, 04.2001, p. 85-95.

Research output: Contribution to journalArticle

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T1 - Lipids and psychosocial status in aboriginal persons with and at risk for Type 2 diabetes: implications for tertiary prevention

AU - Daniel, M.

AU - Rowley, K. G.

AU - Herbert, C. P.

AU - O'Dea, K.

AU - Green, L. W.

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KW - North American

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