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糖尿病营养教育对2型糖尿病患者饮食行为及生活方式的影响

Effect of diabetes nutrition education on the dietary feeding practices and lifestyle of type 2 diabetic patients.

作者信息

Mutagwanya Robert, Nyago Christine Magala, Nakwagala Frederick Nelson

机构信息

School of Food Technology, Nutrition and Bio-engineering, Makerere University, Kampala, Uganda.

Endocrine unit of Mulago hospital, College of Health Sciences, Makerere University, Kampala, Uganda.

出版信息

Eur J Clin Nutr. 2022 Feb;76(2):270-276. doi: 10.1038/s41430-021-00940-3. Epub 2021 Jun 24.

Abstract

BACKGROUND

Type 2 diabetes mellitus (T2DM) is one of the most common global diseases of public concern. In developing countries like Uganda, dietary habits and sedentary lifestyle are the major factors for rapidly rising incidence of DM. Therefore, awareness about diabetes dietary practices and life style are paramount in the control of the disease.

METHODOLOGY

One hundred type 2 diabetic patients were randomly selected and divided into two groups of intervention and control (50 patients in each group) to participate in the study. The intervention consisted of two educational sessions each for 30 min with various learning segments. A conversation map for type 2 diabetes, 24-h dietary recall and glycemic load tables were used. Data were collected using a pre-tested questionnaire before intervention and on monthly basis for a period of four months of intervention. Data were entered and analyzed using SPSS software version 21.

RESULTS

There was a significant (p < 0.001) increase in water, vegetables, fruits, and number of meals intake per day coupled with quitting alcohol, soda, and beer among the intervention group. On the other hand, it was revealed that meat and milk consumption significantly reduced by 81.6 and 82.4% respectively among the intervention group. At the end of study period, milk, meat, vegetable, beer, soda, cigarettes intake, and duration of physical activity increased among the control group.

CONCLUSIONS

Nutrition education improves dietary feeding practices and lifestyle among type 2 diabetes patients within four months of intervention.

摘要

背景

2型糖尿病(T2DM)是全球最常见且备受公众关注的疾病之一。在乌干达等发展中国家,饮食习惯和久坐不动的生活方式是糖尿病发病率迅速上升的主要因素。因此,了解糖尿病饮食做法和生活方式对于控制该疾病至关重要。

方法

随机选取100名2型糖尿病患者,分为干预组和对照组(每组50名患者)参与研究。干预包括两次各30分钟的教育课程,包含不同学习环节。使用了2型糖尿病对话图、24小时饮食回顾和血糖负荷表。在干预前使用预先测试的问卷收集数据,并在为期四个月的干预期间每月收集一次。数据录入并使用SPSS 21.0软件进行分析。

结果

干预组每天的水、蔬菜、水果摄入量以及进餐次数显著增加(p < 0.001),同时戒酒、汽水和啤酒。另一方面,干预组的肉类和牛奶消费量分别显著减少了81.6%和82.4%。在研究期末,对照组的牛奶、肉类、蔬菜、啤酒、汽水、香烟摄入量以及体育活动时长增加。

结论

营养教育在干预的四个月内改善了2型糖尿病患者的饮食喂养习惯和生活方式。

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