Rodríguez MR, López CJM, Munguía MC, Hernández SJL, Martínez BM

Language: Spanish
References: 26
Page: 211-220
PDF size: 84.59 Kb.

ABSTRACT

Introduction: The Fantastic questionnaire was designed to help primary-care physicians measure their patients’ life-styles. Objective: Our objective was to evaluate validity and consistency of the Spanish-language version of the Fantastic questionnaire in Mexican patients with type 2 diabetes. Material and Methods: A cross-sectional study was done at a family medicine unit. The questionnaire was applied on two different days, with a 21-day test-retest interval to 260 subjects of both genders with type 2 diabetes. Fasting levels of total cholesterol, triglycerides, hemoglobin A1c (Hb A1c), plasma glucose of 3 months, and blood pressure were measured, and body mass index (BMI) and waist/hip index (WHI) were calculated. Differences in these parameters by strata of total scores and correlations among instrument scores and these parameters were sought. Results: 249 patients completed the study. Test-retest correlation had r = 0.84, p = 0.01. Cronbach alpha were 0.08 to 0.80 for domains and 0.80 in total. Negative correlations were observed between some metabolic parameters and domains as follows: nutrition with triglycerides (r = -0.13, p = 0.05) and BMI (r = -0.57, p = 0.01); family and friends with WHI (r = -0.13, p = 0.05); tobacco and toxins with triglycerides (r = -0.15, p = 0.05), and total score with BMI (r = -0.20, p = 0.01). There were no correlations with plasma glucose or Hb A1c, and there were no differences in metabolic control by strata of total score. Conclusions: Instrument reproducibility is good; some of its domains had weak internal consistency and there was little correlation between content and metabolic variables in subjects with type 2 diabetes.

REFERENCES

1. 1. King H, Aubert RE, Herman WH. Global burden of diabetes, 1995-2025: Prevalence, numerical esti-mates, and projections. Diabetes Care 1998;21: 1414-1431.

2. 2. Encuesta Nacional de Enfermedades Crónicas. México: Dirección General de Epidemiología, SSA; 1993.

3. 3. Otero CF, Fierro HH, Lugo OA. La diabetes mellitus en el Instituto Mexicano del Seguro Social. Med Int Mex 1995;11:8-14.

4. 4. Instituto Mexicano del Seguro Social. Programa institucional para la prevención y control de la diabetes mellitus. Guía de operación para el sistema de vigilancia epidemiológica. México: IMSS; 1999.

5. 5. Bourn DM, Mann JI, McSkimming BJ, Waldron MA, Wishart JD. Impaired glucose tolerance and NIDDM: Does a life-style intervention program have an effect? Diabetes Care 1994;17(11):1311-1319.

6. 6. Ravussin ER, Valencia ME, Esparza J, Bennet PH, Schulz LO. Effects of a traditional life-style on obesity in Pima Indians. Diabetes Care 1994;17(9); 1067-1074.

7. 7. Barnard RJ, Jung T, Inkeles SB. Diet and exercise in the treatment of NIDDM. Diabetes Care 1994;17 (12):1469-1472.

8. 8. Monterrosa AE, Stern MP, Haffner SM, Hazuda HP. Sex difference in life-style factor predictive of dia-betes in Mexican-Americans. Diabetes Care 1995;18 (4):448-456.

9. 9. Usitupa MI. Early life-style intervention in patients with non-insulin-dependent diabetes mellitus and impaired glucose tolerance. Ann Med 1996;28:445-449.

10. Mann JI. The role of nutritional modifications in the prevention of macrovascular complications of diabetes. Diabetes 1997;46(Suppl 2):S125-S130.

11. Chaturvedi N, Stevens L, Fuller JH. Which features of smoking determine mortality risk in former cigarette smokers with diabetes? Diabetes Care 1997;20(8):1266-1272.

12. Franz MJ. Life-style modifications for diabetes management. Endocrinol Metab Clin North Am 1997;26(3):499-510 .

13. Markovic TP, Jenkins AB, Campbell LV, Furler SM, Kraegen EW, Chisholm DJ. The determinants of glycemic responses to diet restriction and weight loss in obesity an NIDDM. Diabetes Care 1998;21 (5):687-694.

14. American Diabetes Association. Diabetes mellitus and exercise. Diabetes Care 1998;21(Suppl 1):S40-S44.

15. Mayer-Davis EJ, Dagostino RD, Karter AJ, Haffner SM, Rewerse MJ, Saad M, et al. Intensity and amount of physical activity in relation to insulin sensitivity. JAMA 1998;279(9):669-674.

16. Haire-Joshu D, Glasgow RE, Tibbs TL. Smoking and diabetes. Diabetes Care 1999;22(11):1887-1898.

17. Sorensen TI. The changing life-style in the world. Diabetes Care 2000;23(Suppl 2):B1-B4.

18. Wilson DM, Ciliska D. Life-style assessment: Development and use of the Fantastic checklist. Can Fam Physician 1984;30:1527-1532.

19. Wilson DM, Ciliska D. Life-style assessment: Helping patients change health behaviors. Can Fam Physician 1984;30:1665-1670.

20. Wilson DM, Ciliska D. Lifestyle assessment: Testing the Fantastic instrument. Can Fam Physician 1984;30:1863-1866.

21. Kamien M, Power R. Lifestyle and health habits of fourth year medical students a University of Western Australia. Aus Fam Physician 1996;Supl I:26-29.

22. Sharratt JK, Sharratt MT, Smith DM, Howell MJ, Davenport L. Fantastic lifestyle survey of University of Waterloo Employes. Can Fam Physician 1984;30:1869-1872.

23. Kason Y, Ylanko V. Fantastic life-style assessment: Part 5. Measuring lifestyle in family practice. Can Fam Physician 1984;30:2379-2383.

24. López-Carmona JM, Rodríguez-Moctezuma R, Munguía-Miranda C, Hernández-Santiago JL, Casas-de-la-Torre E. Validez y fiabilidad del instrumento Fantastic para medir el estilo de vida en pa-cientes mexicanos con hipertensión arterial. Atencion Primaria 2000;26(8):542-549.

25. Cummings SR, Strull W, NevittMC, Hulley SB. Planificación de las mediciones: cuestionarios. En: Hulley SB, Cummings SR, editores. Diseño de la investigación clínica. Un enfoque epidemiológico. Barcelona, España: Ediciones Doyma; 1993. p. 47-58.

26. Streiner DL, Norman GR. Health measurement scales. A practical guide to their development and use. Second edition. New York: Oxford University Press; 1995.