Low Reported Adherence to the 2019 American Diabetes Association Nutrition Recommendations among Patients with Type 2 Diabetes Mellitus, Indicating the Need for Improved Nutrition Education and Diet Care
| Autor: | Triada Exiara, Stefanos T Papageorgiou, Savvas Katsaridis, Christos Tzimos, Dimitrios G. Goulis, Maria G. Grammatikopoulou, Theodora Papamitsou, Anastasia Markaki, Konstantinos Gkiouras |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
endocrine system diseases medicine.medical_treatment Nutrition Education Nutrition Policy 0302 clinical medicine Lifestyle medicine Insulin 030212 general & internal medicine Medical nutrition therapy Health Education Societies Medical health equity Nutrition and Dietetics glucose-lowering drugs Greece diabetes education Middle Aged Health equity Female lcsh:Nutrition. Foods and food supply medicine.medical_specialty HbA1c nutrition guidelines Nutritional Status lcsh:TX341-641 030209 endocrinology & metabolism Article dietary supplements 03 medical and health sciences Carbohydrate counting Patient Education as Topic medicine Humans Hypoglycemic Agents Aged American diabetes association diabetes guidelines lifestyle medicine business.industry carbohydrate counting Body Weight Type 2 Diabetes Mellitus nutritional and metabolic diseases Cross-Sectional Studies Diabetes Mellitus Type 2 Family medicine Linear Models Patient Compliance business Food Science medical nutrition therapy |
| Zdroj: | Nutrients Volume 12 Issue 11 Nutrients, Vol 12, Iss 3516, p 3516 (2020) |
| ISSN: | 2072-6643 |
| DOI: | 10.3390/nu12113516 |
| Popis: | Patient adherence to guidelines is important for improved outcomes and prognosis. Nevertheless, many patients with type 2 diabetes mellitus (T2DM) do not comply with the recommendations regarding medication, physical activity, diet or self-care. The present cross-sectional study aimed to assess the level of adherence to the dietary recommendations issued by the American Diabetes Association (ADA) among patients with T2DM in Komotini, Greece. A total of 162 adults with T2DM (64.7 ± 10.6 years old), of which 41.4% were men, were recruited from the Sismanoglio Hospital and participated in the study. The level of adherence to individual recommendations issued by the ADA was assessed using yes/no questions. The overall adherence rate to the guidelines was low (41.2%). According to the multivariable analysis, age and medication therapy were identified as contributors to the compliance rate. No differences were noted in the total compliance rate between patients of different religious denominations (Muslims/Christians). Patients on oral antidiabetic agents (OAA) were more adherent compared with those on insulin therapy. A mere 3.7% of the participants had received nutrition education by a registered dietitian, 9.9% were following an individualized diet plan to improve glycemia, and 3.1% had set specific energy goals to reduce body weight. These findings are indicative of the need for the delivery of improved nutrition education. |
| Databáze: | OpenAIRE |
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