The Korean Journal of Food And Nutrition (한국식품영양학회지)

The Korean Society of Food and Nutrition (한국식품영양학회)
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Dietary Quality and Self-Management Status according to the Glycemic Control in the Elderly with Type 2 Diabetes

노인 당뇨환자에서 혈당조절에 따른 식사의 질과 당뇨자가관리상태

  • Park, Soo-Jin (Dept. of Oriental Medical Food and Nutrition, Semyung University) ;
  • Woo, Mi-Hye (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Choue, Ryo-Won (Research Institute of Clinical Nutrition, Kyung Hee University)
  • 박수진 (세명대학교 한방식품영양학부) ;
  • 우미혜 (경희대학교 동서의학대학원 의학영양학과) ;
  • 조여원 (경희대학교 임상영양연구소)
  • Published : 2008.12.31
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Abstract

Evidence for the effects of different health behaviors, including diet, in elderly diabetes is currently limited. The aim of this study was to compare the quality of diet and health behaviors in Korean elderly T2DM patients, using a glycemic control. T2DM elders(>65 yr, n=48) were recruited and categorized by the concentration of glycated-hemoglobin HbA1c; subjects with HbA1c<7% were the good control(GC) group, and subjects with $HbA1c{\geq}8%$ constituted the poor control(PC) group. General characteristics, self-management behavior questionnaires, and 3-d diet records were all collected and assessed. No significant differences in general characteristics between GC and PC were detected, with the exception of a higher level of education in GC(p<0.05). A twofold longer duration of diabetes was observed in PC as compared to GC(p<0.01). The GC group did exercise for a longer time(p<0.001), and had an earlier beginning of diabetes self-management education (DSME) by healthcare practitioners using a team teach as compared with the PC group(p<0.05). The total dietary quality index(p<0.001) and individual index for carbohydrate(p<0.001) or vegetables and fruit(p<0.05) were better in GC than in PC. Therefore, the earlier DSME including intensive exercise and balanced diet selection should be expected to improve glycemic control in diabetic Korean elders.

Keywords

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