印度1型糖尿病儿童营养护理的当前指标：我们是否需要一项国家营养指南？
Current Indicators of Nutritional Care in Children with Type 1 Diabetes in India: Do we Need a National Nutritional Guideline?
作者信息
Kalra Sanjay, Das Ashok Kumar, Raghupathy P, Chowdhury Subhankar, Saboo Banshi D, Dinakaran P, Chugh Shuchy
机构信息
Consultant Endocrinologist, Bharti Hospital and B.R.I.D.E., Karnal, Haryana, India.
Department of Medicine and Endocrinology, Pondicherry Institute of Medical Sciences, Dhanvantri Nagar, Gorimedu, Puducherry, India.
出版信息
Indian J Endocrinol Metab. 2017 Sep-Oct;21(5):670-678. doi: 10.4103/ijem.IJEM_183_17.
BACKGROUND
Nutrition is an important pillar of management in children with type 1 diabetes. Indian food is heavily influenced by region, religion, traditions, seasons, and cultural choices. This survey was done to assess current practices and the need for India specific nutritional guidelines for children with type 1 diabetes.
MATERIALS AND METHODS
Two 12-item questionnaires were administered to forty health-care professionals across India. The first questionnaire evaluated current clinical practice indicators for nutrition in these children and second assessed practices for counseling a child on dietary habits.
RESULTS
There is great heterogeneity across the country with regard to dietary advice offered to children with type 1 diabetes. 97.5% of the respondents feel there is a need for an Indian dietary guideline for children with type 1 diabetes.
CONCLUSION
There is need of India specific nutritional guidelines that should be made considering key variants such as age, region, cultural preference, economic burden and psychosocial beliefs, to offer guidance to diabetes care professionals.
背景
营养是1型糖尿病患儿管理的重要支柱。印度食物受地区、宗教、传统、季节和文化选择的影响很大。本次调查旨在评估当前的做法以及对制定印度1型糖尿病患儿特定营养指南的需求。
材料与方法
向印度各地的40名医疗保健专业人员发放了两份包含12个条目的问卷。第一份问卷评估了这些患儿当前营养方面的临床实践指标，第二份问卷评估了就饮食习惯对患儿进行咨询的做法。
结果
在为1型糖尿病患儿提供的饮食建议方面，全国存在很大的异质性。97.5%的受访者认为需要为1型糖尿病患儿制定印度饮食指南。
结论
需要制定印度特定的营养指南，应考虑年龄、地区、文化偏好、经济负担和心理社会观念等关键变量，为糖尿病护理专业人员提供指导。
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