EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS

Bita Motamedian; Gülşah Yenidünya Yalın

Makale detayları

EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS

Yazarlar:

Bita Motamedian | Gülşah Yenidünya Yalın

Yayıncı:

Istanbul University

Ana Başlıklar:

Clinical Sciences

Dergi:

Journal of Advanced Research in Health Sciences Vol.7 Issue 1, pp.17-23

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001319132

pISSN:

2651-4060

Anahtar kelimeler:

Özet:

 Objective: To evaluate the effect of medical nutrition knowledge on glycemic control in patients with Diabetes mellitus DM. Material and Methods: Type 1 and Type 2 DM patients n: 105 who had received medical nutrition therapy MNT education at least once were recruited. Nutritional knowledge scores NKS were obtained from the NKS evaluation form and patients were classified into Group 1 NKS 60, n:24 and Group 2 NKS60, n:81. Patients socio-demographic characteristics, biochemical parameters, nutritional habits, anthropometric measurements, and 24-hour food consumption data were recruited. Results: Mean age in Group 1 and Group 2 was 50.512.1 and 45.515.5, respectively. Mean NKS scores were higher in patients with type 1 DM p0.02. There was no significant relation between NKS and HbA1c p0.3. NKS was significantly associated with higher educational degrees, higher HDL, and lower frequency of neuropathy p0.03; 0.01; 0.01, respectively. NKS was negatively correlated with age, triglyceride, and neuropathy frequency p0.001, r-0.35, p0.004, r-0.36; p0.01, r-0.24, respectively; positively correlated with HDL, educational degree, health literacy and presence of leisure time activities p0.001, r0.38; p0.001, r0.53; p0.01, r0.26 and p0.001, r0.31, respectively. Logistic regression analysis revealed the relationship between NKS and educational degree p0.01, OR:0.17, CI:0.04-0.68. Conclusion: Adequacy of nutritional knowledge may not be sufficient in achieving better glycemic regulation in DM and patients should be motivated to reflect their nutritional knowledge in their daily living activities.

 Objective: To evaluate the effect of medical nutrition knowledge on glycemic control in patients with Diabetes mellitus DM. Material and Methods: Type 1 and Type 2 DM patients n: 105 who had received medical nutrition therapy MNT education at least once were recruited. Nutritional knowledge scores NKS were obtained from the NKS evaluation form and patients were classified into Group 1 NKS 60, n:24 and Group 2 NKS60, n:81. Patients socio-demographic characteristics, biochemical parameters, nutritional habits, anthropometric measurements, and 24-hour food consumption data were recruited. Results: Mean age in Group 1 and Group 2 was 50.512.1 and 45.515.5, respectively. Mean NKS scores were higher in patients with type 1 DM p0.02. There was no significant relation between NKS and HbA1c p0.3. NKS was significantly associated with higher educational degrees, higher HDL, and lower frequency of neuropathy p0.03; 0.01; 0.01, respectively. NKS was negatively correlated with age, triglyceride, and neuropathy frequency p0.001, r-0.35, p0.004, r-0.36; p0.01, r-0.24, respectively; positively correlated with HDL, educational degree, health literacy and presence of leisure time activities p0.001, r0.38; p0.001, r0.53; p0.01, r0.26 and p0.001, r0.31, respectively. Logistic regression analysis revealed the relationship between NKS and educational degree p0.01, OR:0.17, CI:0.04-0.68. Conclusion: Adequacy of nutritional knowledge may not be sufficient in achieving better glycemic regulation in DM and patients should be motivated to reflect their nutritional knowledge in their daily living activities.

 Objective: To evaluate the effect of medical nutrition knowledge on glycemic control in patients with Diabetes mellitus DM. Material and Methods: Type 1 and Type 2 DM patients n: 105 who had received medical nutrition therapy MNT education at least once were recruited. Nutritional knowledge scores NKS were obtained from the NKS evaluation form and patients were classified into Group 1 NKS 60, n:24 and Group 2 NKS60, n:81. Patients socio-demographic characteristics, biochemical parameters, nutritional habits, anthropometric measurements, and 24-hour food consumption data were recruited. Results: Mean age in Group 1 and Group 2 was 50.512.1 and 45.515.5, respectively. Mean NKS scores were higher in patients with type 1 DM p0.02. There was no significant relation between NKS and HbA1c p0.3. NKS was significantly associated with higher educational degrees, higher HDL, and lower frequency of neuropathy p0.03; 0.01; 0.01, respectively. NKS was negatively correlated with age, triglyceride, and neuropathy frequency p0.001, r-0.35, p0.004, r-0.36; p0.01, r-0.24, respectively; positively correlated with HDL, educational degree, health literacy and presence of leisure time activities p0.001, r0.38; p0.001, r0.53; p0.01, r0.26 and p0.001, r0.31, respectively. Logistic regression analysis revealed the relationship between NKS and educational degree p0.01, OR:0.17, CI:0.04-0.68. Conclusion: Adequacy of nutritional knowledge may not be sufficient in achieving better glycemic regulation in DM and patients should be motivated to reflect their nutritional knowledge in their daily living activities.

 Amaç: Diabetes mellitus DM tanılı hastalarda tıbbi beslenme tedavisi ile ilgili bilgi düzeyinin glisemik kontrol üzerine etkilerinin araştırılması. Gereç ve Yöntemler: Diyabet Polikliniğinde takip edilen en az bir kez tıbbi beslenme tedavisi TBT eğitimi almış olan DM tanılı hastalar n:105 dahil edilmiştir. Hastalar; beslenme bilgisi değerlendirme formundan BBDF elde edilen beslenme bilgisi skorlarının BBS 60ın altında ya da 60 üzerinde olmasına göre sırasıyla Grup 1 n:24 ve Grup 2 n:81 olarak sınıflandırıldıktan sonra; sosyodemografik özellikleri, biyokimyasal bulguları, beslenme alışkanlıkları, antropometrik ölçümleri, TBT bilgisi ve 24 saatlik besin tüketim kayıtları değerlendirilmiştir. Bulgular: Grup 1 ve Grup 2de yaş ortalaması sırasıyla 50,512,1 ve 45,515,5 izlendi. Tip 1 DM tanılı hastalarda BBS ortalamaları daha yüksek tespit edildi p0,02. BBS ile HbA1c ortalamaları arasında anlamlı bir ilişki izlenmedi p0,3. BBS düzeyi yüksek olan hastalarda eğitim düzeyi ve ortalama HDL düzeylerinin daha yüksek, nöropati sıklığının ise daha düşük olduğu görüldü p değerleri sırasıyla; 0,03, 0,01, 0,01. BBS ile ortalama yaş ve trigliserid düzeyleri ve nöropati sıklığı p0,001, r-0,35; p0,004, r -0,36; p0,01, r -0,24; sırasıyla; ortalama HDL düzeyleri, eğitim düzeyi, sağlık okur yazarlığı ve hobilerle ilgilenme arasında ise pozitif korelasyon p0,001, r0,38; p0,001, r0,53; p0,01, r0,26 ve p0,001, r0,31; sırasıyla izlendi. Lojistik regresyon analizinde BBS ile eğitim düzeyi arasında ilişki görüldü p0,01, OR:0,17, CI:0,04-0,68. Sonuç: Diyabetli hastalarda glisemik regülasyon iyileştirilmesinde tek başına tıbbi beslenme bilgisinin iyi olması yeterli olmaya bileceğinden hastaların beslenme ile ilgili bilgilerini günlük yaşam aktivitelerine yansıtabilme leri açısından motive edilmesi hedeflenmelidir.

Makale detayları

EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS

Yazarlar:

Bita Motamedian | Gülşah Yenidünya Yalın

Yayıncı:

Istanbul University

Ana Başlıklar:

Clinical Sciences

Dergi:

Journal of Advanced Research in Health Sciences Vol.7 Issue 1, pp.17-23

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001319132

pISSN:

2651-4060

Diabetes mellitus

HbA1c

medical nutrition therapy

nutrition knowledge levelDiabetes mellitus

HbA1c

tıbbi beslenme tedavisi

beslenme bilgi düzeyi

Sayı

Makale detayları

Yazarlar: Bita Motamedian | Gülşah Yenidünya Yalın

Yayıncı: Istanbul University

Ana Başlıklar: Clinical Sciences

Dergi: Journal of Advanced Research in Health Sciences Vol.7 Issue 1, pp.17-23

Belge Tipi: Makale

Yayın Tarihi: 2/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001319132

pISSN: 2651-4060

Sayı

Yazarlar:

Bita Motamedian | Gülşah Yenidünya Yalın

Yayıncı:

Istanbul University

Ana Başlıklar:

Clinical Sciences

Dergi:

Journal of Advanced Research in Health Sciences Vol.7 Issue 1, pp.17-23

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001319132

pISSN:

2651-4060