ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health and Nutrition
Knowledge, Attitude, and Practice of Cardiovascular Disease Prevention among Patients with Type 2 Diabetes and/or Overweight or Obesity
Provisionally accepted
- Department of Endocrinology, The 2nd Affiliated Hospital of Kunming Medical University, Kunming, China
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Introduction: Cardiovascular diseases (CVDs), encompassing various disorders of the heart and blood vessels, remain a major challenge to global health. From 1990 to 2019, the number of people suffering from CVDs worldwide surged from 270 million to 523 million. This study aimed to investigate the levels of knowledge, attitude, and practice (KAP) toward cardiovascular disease prevention among patients with type 2 diabetes and/or overweight or obesity. Methods: This cross-sectional study was conducted between January and July, 2024, at the Second Affiliated Hospital of Kunming Medical University, among voluntary patients with T2D and/or overweight or obesity, using a validated, self-designed questionnaire. A total of 932 (93.11%) valid questionnaire responses were analyzed. Among the participants, 52.79% were male, with a mean age of 49.76 ± 17.24 years. Results: The mean scores of KAP were 15.34 ± 6.10 (possible range: 0-26), 39.66 ± 3.69 (possible range: 11-55), and 41.38 ± 7.57 (possible range: 12-60), respectively. Path analysis indicated that knowledge had both direct (β (95% CI) = 0.308 (0.234~0.384), P = 0.005) and indirect (β (95% CI) = 0.081 (0.053~0.118), P = 0.006) effects on practice. Conclusion: Patients with type 2 diabetes and/or overweight or obesity exhibited a positive attitude but demonstrated moderate levels of knowledge and practice, indicating that while awareness exists, further strategies are needed to enhance effective cardiovascular disease prevention behaviors.
Keywords: knowledge, Attitude, Health Behavior, Cardiovascular diseases/prevention & Control, Diabetes Mellitus, type 2, Obesity, Cross-Sectional StudiesKnowledge
Received: 12 Nov 2025; Accepted: 12 Nov 2025.
Copyright: © 2025 Zhou, Zou, Li, Tian, Miao, Ke and Zhao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ling Zhao, zhaoling@kmmu.edu.cn
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