論文

査読有り 国際誌
2020年6月8日

Skipping breakfast, late-night eating and current smoking are associated with medication adherence in Japanese patients with diabetes.

Primary care diabetes
  • Yuta Yaguchi
  • ,
  • Kazuya Fujihara
  • ,
  • Mayuko Harada Yamada
  • ,
  • Yasuhiro Matsubayashi
  • ,
  • Masaru Kitazawa
  • ,
  • Taeko Osawa
  • ,
  • Masahiko Yamamoto
  • ,
  • Masanori Kaneko
  • ,
  • Nauta Yamanaka
  • ,
  • Hiroyasu Seida
  • ,
  • Satoru Kodama
  • ,
  • Hirohito Sone

記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.pcd.2020.05.002

AIMS: Little is known about the relationship between medication adherence for oral hypoglycemic agents (OHAs) and glycemic control after adjusting healthy adherer effect in large scale study. Thus, adjusting for health-related behaviors, we investigated the clinical variables associated with medication adherence and the relationship between medication adherence and glycemic control using a large claims database. METHODS: Analyzed were 8805 patients with diabetes whose medication records for OHA were available for at least 1year. Medication adherence was evaluated by the proportion of days covered (PDC). Multivariate logistic regression model was used to identify clinical variables significantly associated with non-adherence. Multiple regression analysis evaluated the relationship between PDC and HbA1c after adjusting for health-related behaviors. RESULTS: Mean PDC was 80.1% and 32.8% of patients were non-adherence. Logistic analysis indicated that older age and taking concomitant medications were significantly associated with adherence while skipping breakfast (odds ratio 0.66 [95% CI 0.57-0.76]), late-night eating (0.86 [0.75-0.98]), and current smoking (0.89 [0.80-0.99]) were significantly associated with non-adherence. CONCLUSIONS: Skipping breakfast, late-night eating and current smoking were significantly associated with medication adherence, suggesting that clinicians pay attention to those health-related behaviors to achieve good medication adherence.

リンク情報
DOI
https://doi.org/10.1016/j.pcd.2020.05.002
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32527662

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