title: Body mass, behaviours and social/health situation in diabetes patients at the level of primary medical healthcare: a Polish national study.
abstract: BACKGROUND
  Multiple health and economic consequences related to obesity cause it to be regarded as a problem of social significance; body mass control has become a crucial element in the process of diabetes treatment.
  
  
  OBJECTIVE
  This paper shows factors differentiating body mass values in diabetes patients.
  
  
  METHODS
  The research for this study was carried out among 1,986 patients with diabetes, originating from 61 randomly chosen units of the national primary health care system.
  
  
  RESULTS
  Normal body mass was found only in 12.8% of patients. Normal body mass was found in patients characterised by a better (moderate) level of knowledge about the disease (p < 0.005) and with full knowledge of health indicators significant in diabetes treatment (p < 0.05). Patients with normal body mass function in families were characterised by a more complete capacity to care and support the patient in the home environment (p < 0.0001), a more favourable socio-living situation(p < 0.05), with less requirement for professional care (p < 0.0001). Persons with normal body mass more frequently showed blood pressure (p < 0.0001), triglyceride concentrations (p < 0.0001) and total cholesterol concentrations (p < 0.0001) close to normal. Obesity was most frequently recognised in patients who declared no physical activity or excessive physical activity(regardless of the recommendation to dose physical effort and activity) (p < 0.01).
  
  
  CONCLUSIONS
  The obtained results show that the levels of health consciousness, healthy behaviours, and family and socio-living situations differentiate the body mass values defined by body mass index in diabetic patients.
authors.affiliation: Department of Nursing, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland. wesola2000@2com.pl
authors.forename: Anna
authors.initials: A
authors.lastname: Abramczyk
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D011044:Poland / Q000453:epidemiology; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011788:Quality of Life; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult