Table of Contents
International Scholarly Research Notices
Volume 2017 (2017), Article ID 1273084, 9 pages
Research Article

Barriers to Diet and Exercise among Nepalese Type 2 Diabetic Patients

1Valley College of Technical Sciences, Kathmandu, Nepal
2Agrata Health and Education Development (AHEAD)-Nepal, Kathmandu, Nepal

Correspondence should be addressed to Saruna Ghimire

Received 2 June 2017; Revised 24 September 2017; Accepted 2 October 2017; Published 14 November 2017

Academic Editor: José María Huerta

Copyright © 2017 Saruna Ghimire. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study aims to identify the modifiable barriers encountered by type 2 diabetic patients in Nepal to achieving their recommended dietary and exercise advice. A cross-sectional study was conducted among 197 type 2 diabetic patients, attending a diabetic clinic. Binary logistic regression models were used to identify perceived barriers. About 41% and 46% of the participants were noncompliant to diet and exercise advice, respectively; only 35.5% the participants were compliant to both. Perceived social acceptability (OR = 0.14; 95% CI: 0.03–0.58) and reminder to action (OR = 2.77; 95% CI: 1.38–5.53) were associated with noncompliance to diet. Most of the barriers to diet were related to taste, feast and festivals, lack of knowledge, and availability of healthy options. Self-efficacy (OR = 0.09; 95% CI: 0.02–0.34) and social acceptability (OR = 0.12; 95% CI: 0.04–0.34) were significant predictors of noncompliance to exercise. The supportive role of children and spouse and the opposing role of friends and relatives were important for compliance to both. A misconception on diabetes severity, effectiveness of healthy lifestyle, and exercise timing was prevalent among the study participants. Addressing the modifiable barriers identified in this study is essential for successful diabetes management in Nepal.