دورية أكاديمية
أعرض في EDS

Relationship between adherence to diet, glycemic control and cardiovascular risk factors in patients with type 1 diabetes: a nationwide survey in Brazil.

التفاصيل البيبلوغرافية
العنوان: Relationship between adherence to diet, glycemic control and cardiovascular risk factors in patients with type 1 diabetes: a nationwide survey in Brazil.
المؤلفون: Davison KA; Bauru's Diabetics Association, Department of Internal Medicine, Bauru, São Paulo, Brazil. kariane.davison@gmail.com., Negrato CA, Cobas R, Matheus A, Tannus L, Palma CS, Japiassu L, Carneiro JR, Rodacki M, Zajdenverg L, Araújo NB, Cordeiro MM, Luescher JL, Berardo RS, Nery M, Cani C, do Carmo A Marques M, Calliari LE, Noronha RM, Manna TD, Savoldelli R, Penha FG, Foss MC, Foss-Freitas MC, de Fatima Guedes M, Dib SA, Dualib P, Silva SC, Sepúlveda J, Sampaio E, Rea RR, Faria AC, Tschiedel B, Lavigne S, Cardozo GA, Pires AC, Robles FC, Azevedo M, Canani LH, Zucatti AT, Coral MH, Pereira DA, Araujo LA, Pedrosa HC, Tolentino M, Prado FA, Rassi N, Araujo LB, Fonseca RM, Guedes AD, Mattos OS, Faria M, Azulay R, Forti AC, Façanha CF, Montenegro R Jr, Montenegro AP, Melo NH, Rezende KF, Ramos A, Felicio JS, Santos FM, Jezini DL, Gomes MB
مؤلفون مشاركون: Brazilian Type 1 Diabetes Study Group (BrazDiab1SG)
المصدر: Nutrition journal [Nutr J] 2014 Mar 07; Vol. 13, pp. 19. Date of Electronic Publication: 2014 Mar 07.
نوع المنشور: Journal Article; Multicenter Study; Observational Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101152213 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-2891 (Electronic) Linking ISSN: 14752891 NLM ISO Abbreviation: Nutr J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, 2002-
مواضيع طبية MeSH: Patient Compliance*, Diabetes Mellitus, Type 1/*drug therapy, Adolescent ; Blood Glucose/metabolism ; Brazil ; Cardiovascular Diseases/etiology ; Child ; Cross-Sectional Studies ; Female ; Glycated Hemoglobin/metabolism ; Humans ; Life Style ; Male ; Retrospective Studies ; Young Adult
مستخلص: Background: To determine the relationship between adherence to the diet reported by patients with type 1 diabetes under routine clinical care in Brazil, and demographic, socioeconomic status, glycemic control and cardiovascular risk factors.
Methods: This was a cross-sectional, multicenter study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. The data was obtained from 3,180 patients, aged 22 ± 11.8 years (56.3% females, 57.4% Caucasians and 43.6% non-Caucasians). The mean time since diabetes diagnosis was 11.7 ± 8.1 years.
Results: Overall, 1,722 (54.2%) of the patients reported to be adherent to the diet without difference in gender, duration of diabetes and socioeconomic status. Patients who reported adherence to the diet had lower BMI, HbA1c, triglycerides, LDL-cholesterol, non HDL-cholesterol and diastolic blood pressure and had more HbA1c at goal, performed more frequently self-monitoring of blood glucose (p < 0.001), and reported less difficulties to follow specific schedules of diet plans (p < 0.001). Less patients who reported to be adherent were obese or overweight (p = 0.005). The quantity of food and time schedule of the meals were the most frequent complaints. Logistic regression analysis showed that ethnicity, (Caucasians, (OR 1.26 [1.09-1.47]), number of medical clinical visits in the last year (OR 1.10 [1.06-1.15]), carbohydrate counting, (OR 2.22 [1.49-3.30]) and diets recommended by diabetes societies', (OR 1.57 [1.02-2.41]) were related to greater patients' adherence (p < 0.05) and age, [adolescents (OR 0.60 [0.50-0.72]), high BMI (OR 0.58 [0.94-0.98]) and smoking (OR 0.58 [0.41-0.84]) with poor patients' adherence (p < 0.01).
Conclusions: Our results suggest that it is necessary to rethink medical nutrition therapy in order to help patients to overcome barriers that impair an optimized adherence to the diet.
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فهرسة مساهمة: Investigator: MB Gomes; R Cobas; SA Dib; CA Negrato; R Cobas; A Matheus; L Tannus; CC Palma; L Japiassu; MB Gomes; J Regis; I Carneiro; M Rodacki; L Zajdenverg; NB de Araújo; Mde M Cordeiro; JL Luescher; RS Berardo; M Nery; C Cani; Mdo C Arruda-Marques; LE Calliari; RM de Noronha; TD Manna; R Savoldelli; FG Penha; MC Foss; MC Foss-Freitas; AC Pires; FC Robles; CA Negrato; Mde F Guedes; SA Dib; P Dualib; SC da Silva; J Sepúlveda; E Sampaio; RR Rea; AC Faria; B Tschiedel; S Lavigne; GA Cardozo; M Azevedo; LH Canani; AT Zucatti; MH Coral; DA Pereira; LA de Araujo; HC Pedrosa; M Tolentino; FA Prado; N Rassi; LB de Araujo; RM Fonseca; AD Guedes; OS de Mattos; M Faria; R Azulay; A Costa e Forti; CF Façanha; R Montenegro; AP Montenegro; NH Melo; KF Rezende; A Ramos; JS Felício; FM Santos; DL Jezini
المشرفين على المادة: 0 (Blood Glucose)
0 (Glycated Hemoglobin A)
0 (hemoglobin A1c protein, human)
تواريخ الأحداث: Date Created: 20140311 Date Completed: 20150112 Latest Revision: 20221207
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC3995939
DOI: 10.1186/1475-2891-13-19
PMID: 24607084
قاعدة البيانات: MEDLINE
الوصف
تدمد:1475-2891
DOI:10.1186/1475-2891-13-19