Diabetes and Cardiovascular Disease Risk Perception and Risk Indicators : a 5-Year Follow-up

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Vornanen , M , Konttinen , H , Peltonen , M & Haukkala , A 2021 , ' Diabetes and Cardiovascular Disease Risk Perception and Risk Indicators : a 5-Year Follow-up ' , International Journal of Behavioral Medicine , vol. 28 , pp. 337–348 . https://doi.org/10.1007/s12529-020-09924-2

Title: Diabetes and Cardiovascular Disease Risk Perception and Risk Indicators : a 5-Year Follow-up
Author: Vornanen, Marleena; Konttinen, Hanna; Peltonen, Markku; Haukkala, Ari
Contributor: University of Helsinki, Open University
University of Helsinki, Sociology
University of Helsinki, Helsinki Collegium for Advanced Studies
Date: 2021
Language: eng
Number of pages: 12
Belongs to series: International Journal of Behavioral Medicine
ISSN: 1532-7558
URI: http://hdl.handle.net/10138/330831
Abstract: Background Perceived disease risk may reflect actual risk indicators and/or motivation to change lifestyle. Yet, few longitudinal studies have assessed how perceived risk relates to risk indicators among different disease risk groups. We examined in a 5-year follow-up, whether perceived risks of diabetes and cardiovascular disease predicted physical activity, body mass index (BMI kg/m(2)), and blood glucose level, or the reverse. We examined further whether perceived risk, self-efficacy, and outcome beliefs together predicted changes in these risk indicators. Method Participants were high diabetes risk participants (N = 432) and low/moderate-risk participants (N = 477) from the national FINRISK 2002 study who were followed up in 2007. Both study phases included questionnaires and health examinations with individual feedback letters. Data were analyzed using gender- and age-adjusted structural equation models. Results In cross-lagged autoregressive models, perceived risks were not found to predict 5-year changes in physical activity, BMI, or 2-h glucose. In contrast, higher BMI and 2-h glucose predicted 5-year increases in perceived risks (beta-values 0.07-0.15,P-values <0.001-0.138). These associations were similar among high- and low/moderate-risk samples. In further structural equation models, higher self-efficacy predicted increased physical activity among both samples (beta-values 0.10-0.16,P-values 0.005-0.034). Higher outcome beliefs predicted lower BMI among the low/moderate-risk sample (beta-values - 0.04 to - 0.05,P-values 0.008-0.011). Conclusion Perceived risk of chronic disease rather follows risk indicators than predicts long-term lifestyle changes. To promote sustained lifestyle changes, future intervention studies need to examine the best ways to combine risk feedback with efficient behavior change techniques.
Subject: 5144 Social psychology
sydän- ja verisuonitaudit
Type 2 diabetes
Cardiovascular disease
Risk perception
Lifestyle factors

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