Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
권호 표지

Effects of Nutrition Counseling on Diabetes Management in Type 2 Diabetes Mellitus Patients

영양상담이 제2형 당뇨병 환자의 혈당과 식사요법에 대한 지식과 실천에 미치는 영향

  • Lee, Seung-Lim (Korean Living Science Research Institute, Dept. of Food & Nutrition, Hanyang University)
  • 이승림 (한양대학교 한국생활과학연구소, 식품영양학과)
  • Received : 2009.02.27
  • Accepted : 2009.04.08
  • Published : 2009.05.02
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the effects of nutrition counseling on diabetes management by determining changes in anthropometry and blood components as well as knowledge and practice of diet therapy and nutrient intake in 34 (male 11, female 23) type 2 diabetes patients. The knowledge and the practice of diet therapy, drinking, smoking and exercise were analyzed by questionnaires. Dietary nutrient intake were obtained from the patients by the 1 day 24-hr recall. Blood glucose level and blood pressure were measured before and 3 months after the treatment. The results are summarized as follows: Average weight (p<0.05) and body mass index (p<0.05) were significantly lower post-counseling. Fasting blood glucose levels (p<0.01) and postprandial-2hour blood glucose levels (p<0.01) were also significantly lower post-counseling. In lifestyle changes for self-management the patients showed significantly higher exercise habits post-counseling (p<0.01). Regarding their level of diet knowledge, they showed significantly higher levels post-counseling in six items such as importance of diet therapy for diabetes (p<0.001), principles of diet therapy (p<0.001), nutrient composition of foods (p<0.01), carbohydrate composition of foods (p<0.001), the prescribed calories (p<0.001) understanding food item and exchange units of cereals, grains (p<0.001) and fruits, juices (p<0.001). Regarding their diet practices, the patients showed significantly higher levels of practice post-counseling in keeping within permitted meal size (p<0.001), using food exchange lists (p<0.001), keeping exact meal times (p<0.01), and controling sweet foods (p<0.001). Protein (p<0.05), animal lipid (p<0.05), and vitamin C (p<0.05) intakes were significantly higher post-counseling.

Keywords

References

  1. Chio JE, Seo JS (2005): Interrelationship between diabetic control and related factors of dietary compliance in diabetic patients. J Korean Diet Assoc 11(2):137-146
  2. Cho KO (2009): A comparative study examining metabolic profile and diet quality in college women according to their mother's diabetes mellitus. J Korean Diet Assoc 15(1):1-9
  3. Dotevall A, Jojansson S, Wilhelmsen L, Rosengren A (2004): Increased levels of triglycerides, BMI and blood pressure and low physical activity increase the risk of diabetes in Swedish women. A Prospective 18-year follow-up of the BEDA study. Diabet Med 21(6):615-622 https://doi.org/10.1111/j.1464-5491.2004.01189.x
  4. Evans RI, Hall Y (1978): Social-psychologic perspective in motivating change in eating behavior. J Am Diet Assoc 72(4):378-383
  5. Franz MJ, Bantle JP, Beebe CA, Brunzell JD, Chiasson JL, Garg A, Holzmeister LA, Hoogwerf B, Mayer-Davis E, Mooradian AD, Purnell JQ, Wheeler M; American Diabetes Association (2004): Nutrition principles and recommendations in diabetes. Diabetes Care 27(Suppl 1):S36-46 https://doi.org/10.2337/diacare.27.2007.S36
  6. Hilli BB (1988): Using behavior modification in nutrition counseling. J Am Diet Assoc 88(12):1530-1536
  7. IDF. Diabetes Prevalence. Available from: http://www.idf.org/home/index.cfm-node=264. Accessed April. 2007
  8. Koo JO, Kim KW, Kim Cl, Park DY, Park HR, Yoon JS (2008): Nutrition Education & Practice. Power-Book. Seoul. pp.189-216
  9. Korea National Statistical Office. Annual report on the cause of death statistics. Available from: http://www.nso.go.kr/board_notice/BoardAction.do-method=view&board_id=78&seq=567&num=567&parent_num=0. Accessed September. 2008
  10. Korean Diabetes Association (2006): Manual of Diabetes Mellitus Education (2nd). Korean Diabetes Association. Seoul. pp.191-224
  11. Korean Nutrition Society (2005): CAN-Pro 3.0 (Computer Aided Nutritional Analysis Program). Korean Nutrition Society. Seoul.
  12. Lee HJ, Yoon JS (2005): Analysis of dietary behavior of Type 2 diabetic patients visiting public health center. J Korean Diet Assoc 11(2):223-232
  13. Lee NH, Park YM, Joung HS (2007): A study on diet education of participants in diabetic education at public health center. J Korean Diet Assoc 13(1):84-93
  14. Lee SL, Kim YL, Lee SJ, Cho YK, Choi YK, Chun CH, Chang YK (2004): Effects of diabetes education on diabetic management in non-insulin-dependent diabetics mellitus patients. J Korean Diet Assoc 10(3):300-308
  15. Lim HS, Chyun JH, Kim YS, Lam MS (2001): Effect of nutrition education on diabetic management in diabetic patients. Korean J Nutr 34(1):69-78
  16. Ministry of Health and Welfare (2006): The Third Korea National Health and Nutrition Examination Survey (KNHANES III). Seoul. pp.34-62
  17. Moon SJ, Sohn CY, Kim JH, Kim HS, Lim HS, Lee HC, Huh KB (1994): Measurement of nutrition counseling effects for diabetes mellitus patients. Korean J Nutr 27(10):1070-1077
  18. Park YM, Shon CM, Jang HC (2006): Correlation of carbohydrate intake with obesity in type 2 diabetes mellitus patients. J Korean Diet Assoc 12(3):254-263
  19. The Korean Nutrition Society (2005): Dietary reference intakes for Koreans. The Korean Nutrition Society. Seoul. pp.23-28
  20. Woo YJ, Lee HS, Kim WY (2006): Individual diabetes nutrition education can help management for type II diabetes. Korean J Nutrition 39(7):641-648
  21. Wood ER (1989): Evaluation of a hospital-based education program for patients with diabetes. J Am Diet Assoc 89(3):354-358