Huffman Fatma G, Vaccaro Joan A, Nath Subrata, Zarini Gustavo G
Florida International University, USA.
J Health Hum Serv Adm. 2009 Winter;32(3):278-304.
We investigated the relationship among factors predicting inadequate glucose control among 182 Cuban-American adults (Females = 110, Males = 72) with type 2 diabetes mellitus (CAA).
Cross-sectional study of CAA from a randomized mailing list in two counties of South Florida.
Fasted blood parameters and anthropometric measures were collected during the study. BMI was calculated (kg/m2). Characteristics and diabetes care of CAA were self-reported Participants were screened by trained interviewers for heritage and diabetes status (inclusion criteria: self-reported having type 2 diabetes; age > or = 35 years, male and female; not pregnant or lactating; no thyroid disorders; no major psychiatric disorders). Participants signed informed consent form. Statistical analyses used SPSS and included descriptive statistic, multiple logistic and ordinal logistic regression models, where all CI 95%.
Eighty-eight percent of CAA had BMI of > or = 25 kg/m2. Only 54% reported having a diet prescribed/told to schedule meals. We found CAA told to schedule meals were 3.62 more likely to plan meals (1.81, 7.26), p < 0.001) and given a prescribed diet, controlling for age, corresponded with following a meal plan OR 4.43 (2.52, 7.79, p < 0.001). The overall relationship for HbA1c < 8.5 to following a meal plan was OR 9.34 (2.84, 30.7. p < 0.001).
The advantage of having a medical professional prescribe a diet seems to be an important environmental support factor in this sample's diabetes care, since obesity rates are well above the national average. Nearly half CAA are not given dietary guidance, yet our results indicate CAA may improve glycemic control by receiving dietary instructions.
我们调查了182名患有2型糖尿病的古巴裔美国成年人（女性 = 110名，男性 = 72名）中预测血糖控制不佳的因素之间的关系。
对来自南佛罗里达州两个县随机邮件列表中的古巴裔美国人进行横断面研究。
在研究期间收集空腹血液参数和人体测量指标。计算体重指数（kg/m²）。古巴裔美国人的特征和糖尿病护理情况通过自我报告获得。由经过培训的访谈员对参与者进行遗产和糖尿病状况筛查（纳入标准：自我报告患有2型糖尿病；年龄≥35岁，男女不限；非妊娠或哺乳期；无甲状腺疾病；无重大精神疾病）。参与者签署知情同意书。统计分析使用SPSS，包括描述性统计、多元逻辑回归和有序逻辑回归模型，所有置信区间为95%。
88%的古巴裔美国人的体重指数≥25 kg/m²。只有54%的人报告有规定的饮食或被告知安排用餐时间。我们发现被告知安排用餐时间的古巴裔美国人制定饮食计划的可能性高3.62倍（1.81，7.26），p < 0.001），并且在控制年龄后，给予规定饮食与遵循饮食计划相关，比值比为4.43（2.52，7.79，p < 0.001）。糖化血红蛋白<8.5与遵循饮食计划之间的总体关系的比值比为9.34（2.84，30.7，p < 0.001）。
在这个样本的糖尿病护理中，让医学专业人员规定饮食的优势似乎是一个重要的环境支持因素，因为肥胖率远高于全国平均水平。近一半的古巴裔美国人没有得到饮食指导，但我们的结果表明，古巴裔美国人通过接受饮食指导可能改善血糖控制。
