Adherence to diabetes self-care behaviors among patients with diabetes mellitus in Pakistan: a systematic review and meta-analysis.
Diabetes Res Clin PractJul 14, 2026 (epub)
Clinical ResearchEndocrinology
Amirali Azizpour, Reza Ghanei Gheshlagh, Sasan Shafiei et al.
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In 30 seconds
This systematic review and meta-analysis examined adherence to diabetes self-care behaviors among patients in Pakistan, synthesizing data from 65 studies. The overall self-care adherence was found to be 47% with a mean standardized score of 53.6%. Medication adherence was notably higher at 74%, while physical activity adherence was only 37%.
Key findings
- Overall self-care adherence was 47% (95% CI: 29%-66%) with a mean score of 53.6% (95% CI: 47.8%-59.4%).
- Medication adherence prevalence was 74% (95% CI: 63%-83%) with a score of 72.7%.
- Physical activity adherence was the lowest at 37% (95% CI: 29%-46%) with a score of 45.5%.
- Publication year significantly influenced physical activity adherence prevalence (p = 0.02).
Why it matters
Understanding adherence levels to diabetes self-care behaviors is crucial for developing effective management strategies. The findings highlight significant gaps, particularly in lifestyle modifications, which are essential for optimal diabetes control.