A Comparative Study of Diet in Good and Poor Glycemic Control Groups in Elderly Patients with Type 2 Diabetes Mellitus / 당뇨병
Korean Diabetes Journal
; : 303-311, 2010.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-23771
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND:
Identification of dietary patterns is important for glycemic management in elderly patients with type 2 diabetes mellitus (T2DM).METHODS:
Elderly T2DM patients (> 65 years of age, n = 48) were categorized based on their concentration of glycated hemoglobin (HbA1c). Subjects with HbA1c levels below 7% were placed in the good control (GC) group and those with HbA1c levels equal to or above 8% were placed in the poor control (PC) group. Anthropometric data, blood parameters, and dietary intake records were compared between the groups. Statistical analysis included Student's t-test, chi-square test, and Pearson correlation coefficient test.RESULTS:
Anthropometric data, including body mass index (24.7 +/- 2.9 kg/m2), did not differ between the GC and PC groups. Significant abnormalities in blood glucose levels (P < 0.01), lean body mass (P < 0.01), and plasma protein and albumin levels (P < 0.05, P < 0.01) were found in the PC group. In contrast to the GC group, the PC group depended on carbohydrate (P = 0.014) rather than protein (P = 0.013) or fat (P = 0.005) as a major source of energy, and had a lower index of nutritional quality for nutrients such as protein (P = 0.001), and all vitamins and minerals (P < 0.001, 0.01, or 0.05 for individual nutrients), except vitamin C, in their usual diet. Negative correlations between HbA1C levels and protein (r = -0.338, P < 0.05) or fat (r = -0.385, P < 0.01) intakes were also found.CONCLUSIONS:
Healthcare professionals should encourage elderly diabetic patients to consume a balanced diet to maintain good glycemic control.
Texto completo:
Disponible
Contexto en salud:
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
Problema de salud:
Objetivo 9: Enfermedades no transmisibles y salud mental
/
Meta 3.4: Reducir las muertes prematuras por enfermedades no transmisibles
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Plasma
/
Ácido Ascórbico
/
Vitaminas
/
Glucemia
/
Hemoglobinas
/
Índice de Masa Corporal
/
Micronutrientes
/
Atención a la Salud
/
Diabetes Mellitus Tipo 2
/
Dieta
Aspecto:
Determinantes sociales de la salud
Límite:
Anciano
/
Humanos
Idioma:
Inglés
Revista:
Korean Diabetes Journal
Año:
2010
Tipo del documento:
Artículo