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This hospital-based cross-sectional study assessed dietary and physical activity adherence among 207 adults with Type 2 diabetes aged 40+ years using interviewer-administered questionnaires with PDAQ and GPAQ. Data were analyzed with SPSS 26 using bivariate and multivariate logistic regression. Results showed 51.7% dietary adherence and 35.3% physical activity adherence, with factors varying by age, education, comorbidities, complications, marital status, and family support, highlighting the need for tailored education and support.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/bridging-the-compliance-gap-an-assessment-of-dietary-and-physical-activity-adherence-among-type-2-diabetes-patients-in-kericho-county-kenya/437965/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/bridging-the-compliance-gap-an-assessment-of-dietary-and-physical-activity-adherence-among-type-2-diabetes-patients-in-kericho-county-kenya/437965.png","ImageObject",300,407,{"name":92,"@type":93},"Blue Pony","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the study aim to determine about Type 2 diabetes patients in Kericho County, Kenya?","Question",{"text":112,"@type":113},"It assesses how well adults with Type 2 diabetes adhere to recommended dietary and physical activity guidance in Kericho County.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was adherence measured and analyzed in the study?",{"text":117,"@type":113},"Dietary adherence was measured using the perceived dietary adherence questionnaire (PDAQ) and physical activity using the global physical activity questionnaire (GPAQ). Data were analyzed in SPSS version 26 with bivariate and multivariate logistic regression.",{"name":119,"@type":110,"acceptedAnswer":120},"What proportion of respondents were adherent to dietary and physical activity recommendations?",{"text":121,"@type":113},"51.7% of respondents were adherent to recommended dietary measures, and 35.3% were adherent to recommended physical activity measures.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},437965,1790766076,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},962090760266,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Wiley  \nJournal of Diabetes Research  \nVolume 2025, Article ID 1357263, 10 pages [https://doi.org/10.1155/jdr/1357263](https://doi.org/10.1155/jdr/1357263)  \nResearch Article  \nBridging the Compliance Gap: An Assessment of Dietary and Physical Activity Adherence Among Type 2 Diabetes Patients in Kericho County, Kenya  \nFlorence Wandia  and Joel Wanzala   \nPublic Health Department, University of Kabianga, Kabianga, Kericho County, Kenya  \nCorrespondence should be addressed to Joel Wanzala; [abbysansiojoel@gmail.com](abbysansiojoel@gmail.com)  \nReceived 25 July 2025; Revised 18 November 2025; Accepted 3 December 2025  \nAcademic Editor: Padam Dahal  \nCopyright © 2025 Florence Wandia and Joel Wanzala. Journal of Diabetes Research published by John Wiley & Sons Ltd. This isan open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \nAdherence to lifestyle modification recommendations plays a significant role in the management of diabetes mellitus, which commonly affects elderly groups. Low or nonadherence to dietary and physical activity recommendations is a major problem that retrogresses efforts invested in diabetes care and management. This subject is underexplored in Kenya, with no existing study conducted in Kericho County. The study is aimed at bridging the existing compliance gap through assessment of dietary and physical activity adherence among Type 2 diabetes patients aged 40+ years in Kericho County, Kenya. A hospital-based cross-sectional study involving 207 type 2 diabetes patients at Kericho County Referral Hospital using a pretested and structured interviewer-administered questionnaire was conducted. Validated and customized perceived dietary adherence questionnaire (PDAQ) and global physical activity questionnaire (GPAQ) were utilized. Data on sociodemographic and behavioral characteristics, and diet and exercise were collected from selected respondents through systematic random sampling technique. Collected data were analyzed using SPSS Version 26 . Bivariate and multivariate logistic regression was performed to identify factors influencing adherence, with significance set at \u003C 0.05. Results showed that 51.7% and 35.3% of the respondents were adherent to recommended dietary and physical activity, respectively. Being aged ≥ 70 years (AOR = 2  13, 95% CI: 1.01– 4.87, p =0  02), postprimary education (AOR = 1  71, 95% CI: 1.39–5.28, p =0  02), absence of comorbidities (AOR = 1  68, 95% CI: 1.33–1.08, p =0  01), and absence of complications (AOR = 1  57, 95% CI: 1.32–1.96, p =0  03) had higher likelihood of adherence to dietary recommendations. Unmarried patients (AOR = 0  22, 95% CI: 0.07–0.68, p =0  008) and lack of family support (AOR = 0  51, 95% CI: 0.31–0.91, p =0  01) were significantly associated with lower adherence to dietary recommendations. Higher odds of physical activity adherence were associated with postprimary education (AOR = 1  75, 95% CI: 1.27–3.18, p =0  03) and diabetes duration of > 10 years (AOR = 1  52, 95% CI: 1.03–2.13, p =0  04), while lower among patients aged ≥ 70 years (AOR = 0  64, 95% CI: 0.29–0.87, p =0  02) and lacked family support (AOR = 0  54, 95% CI: 0.37–0.85, p =0  04) . These findings underscore urgent need for targeted and context-specific tailored health education, promotion of family support and involvement, and designing of individualized lifestyle modification plan that integrated functional disparities for sustainable adherence and improved diabetes outcomes.  \nKeywords: adherence; compliance; dietary recommendations; Kenya; lifestyle modification; physical activity recommendations; Type 2 diabetes  \n1. Background Information  \nDiabetes mellitus (DM) is a serious metabolic disorder and public health problem globally characterized by hyperglycemia associated with inadequate insulin production and/orineffectiveness of produced insulin [1] . According to","cbCaihbZ1VotppkL","https://ap.wps.com/l/cbCaihbZ1VotppkL","pdf",801996,"English","# Background Information\n## Prevalence and burden of diabetes\n## Role of lifestyle modifications and adherence","[{\"question\":\"What does the study aim to determine about Type 2 diabetes patients in Kericho County, Kenya?\",\"answer\":\"It assesses how well adults with Type 2 diabetes adhere to recommended dietary and physical activity guidance in Kericho County.\"},{\"question\":\"How was adherence measured and analyzed in the study?\",\"answer\":\"Dietary adherence was measured using the perceived dietary adherence questionnaire (PDAQ) and physical activity using the global physical activity questionnaire (GPAQ). Data were analyzed in SPSS version 26 with bivariate and multivariate logistic regression.\"},{\"question\":\"What proportion of respondents were adherent to dietary and physical activity recommendations?\",\"answer\":\"51.7% of respondents were adherent to recommended dietary measures, and 35.3% were adherent to recommended physical activity measures.\"}]","Bridging the Compliance Gap - An Assessment of Dietary and Physical Activity Adherence Among Type 2 Diabetes Patients in Kericho County, Kenya | PDF",1790683658,25]