Relationships between dispositional mindfulness, health behaviors, and hemoglobin A1c among adults with type 2 diabetes
Open accessAbstract
Examine cross-sectional relationships between dispositional mindfulness and diabetes self-care behaviors (i.e., medication adherence, diet and exercise behavior, and self-monitoring of blood glucose; SMBG), hemoglobin A1c (HbA1c, %), and body mass index (BMI; continuously and obese vs. not). Adults with type 2 diabetes (N = 148, M age = 55.7 ± 10.1) who were recruited to participate in a web-based diabetes medication adherence intervention completed all assessments at enrollment. In unadjusted analyses, mindfulness was associated with better dietary habits and worse HbA1c (p < .05). After controlling for a priori covariates (demographics, years since diabetes diagnosis, and insulin status), mindfulness remained associated with better dietary behavior (p < .01) but not HbA1c. Mindfulness was not associated with medication adherence, exercise behavior, SMBG, or body mass index. We found evidence that dispositional mindfulness plays an important role in dietary behaviors, supporting the use of mindful eating techniques in diabetes self-management interventions. Fostering mindfulness may be one of several behavioral tools needed to support key self-care behaviors and improve HbA1c.
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Stress reduction by mindfulness-based stress reduction has considerable therapeutic value in reducing emotional distress (depression and anxiety) in a variety of chronic diseases.
“Therefore, it might be concluded that stress reduction by MBSR has a considerable therapeutic value in reducing emotional distress (depression and anxiety) in a variety of chronic diseases.[12]”
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References 39 · Cited by 35
- Authors
- Fanning, J., Osborn, C. Y., Lagotte, A. E., & Mayberry, L. S.
- Affiliations
- Wake Forest University Health Sciences (US)
- Vanderbilt University Medical Center (US)
- Corresponding author
- Fanning, J.
- Venue
- Journal of Behavioral Medicine
- Published
- 2018-05-25
- Volume
- 41
- Issue
- 6
- Pages
- 798-805
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- PMC
- PMC5990011
- OpenAlex
- W2803855977
- Cited by
- 35
- References
- 39
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 8 · 2023: 9 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 2 · 2018: 1
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (P30 DK092986, K01 DK087894, K01 DK106306)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- trait mindfulness, type 2 diabetes, HbA1c, diabetes self-care, medication adherence, dietary behavior, exercise behavior, self-monitoring of blood glucose, body mass index, obesity, mindful eating, diabetes self-management interventions
- MeSH terms
- Adult, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Diet, Diabetic, Feeding Behavior, Female, Glycated Hemoglobin, Humans, Insulin, Male, Middle Aged, Obesity, Surveys and Questionnaires, Health Behavior, Body Mass Index, Drug Monitoring, Outcome Assessment, Health Care, Mindfulness
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