The effect of cardiovascular risk factors in diabetic patients based on literacy level, knowledge and behavior related diabetic disease
Hormozgan Medical Journal: January 01, 2011, 14 (4); e88611
September 05, 2010
Article Type: Research Article
September 05, 2009
September 05, 2010
A S, Sobhani
S A. The effect of cardiovascular risk factors in diabetic patients based on literacy level, knowledge and behavior related diabetic disease,
Hormozgan Med J.
Introduction: Cardiovascular disease is the major diabetic phenomenon leading to early
death. The incidence of cardiovascular disease is reduced by controling blood pressure
(BP), lipid modification and blood glucose level. The aim of this study was to evaluate the
effect of cardiovascular risk factors in diabetic patients based on literacy level, knowledge
and diabetic-related behavior.
Methods: A cross-sectional study was carried out in diabet clinic in Bandar Abbas, Iran.
256 diabetic patients were enrolled during July, June and August 2007. Patients were
classified into 2 groups: Literate and, Low-literate. Cardiovascular risk factors including
HbA1c, LDL-cholesterol, Triglyceride (TG), Total Cholesterol (TC) and HDLCholesterol
were measured by enzymatic methods. With 2 standard questionnaires we
evaluated knowledge, attitude and behavior related diabetes in these patients. In addition
we measured blood pressure and BMI by standard methods. Data analysis was carried out
with one way ANOVA, t-test and correlation analysis.
Results: 52% of patients were illiterate and 73% of patients had BMI more than 25. The
mean BMI and TG in females were significantly greater than men (P<0.05). The those in
mean LDL in illiterate patients were higher than in low-literate patients. Knowledge and
diabetic-related altitude in illiterate patients was significantly lower than the other group.
Conclusion: There was no significant difference between blood glucose levels in both
groups. The effect of cardiovascular risk factors among illiterates was higher. Hence we
suggest that implementing a punctual educational intervention for each group could be
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