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学科主题: 临床医学
题名:
Diabetes nutrition therapy and dietary intake among individuals with Type 1 diabetes in China
作者: Jaacks, L. M.1; Liu, W.2; Ji, L.2; Mendez, M. A.1; Du, S.1; Crandell, J.3; Rosamond, W.4; Mayer-Davis, E. J.1
刊名: DIABETIC MEDICINE
发表日期: 2015-03-01
DOI: 10.1111/dme.12634
卷: 32, 期:3, 页:399-406
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Endocrinology & Metabolism
研究领域[WOS]: Endocrinology & Metabolism
关键词[WOS]: GLYCEMIC CONTROL ; CHILDREN ; CARE ; COMPLICATIONS ; ADOLESCENTS ; MANAGEMENT ; EDUCATION ; PROGRAM ; ADULTS
英文摘要:

AimsTo describe the contribution of diabetes nutrition therapy to disease self-management among individuals with Type 1 diabetes in China and to estimate the association of diabetes nutrition therapy with dietary intake.

MethodsThe 3C Study was an epidemiological study of the coverage, cost and care of Type 1 diabetes in China. The data reported in the present study are from the 3C Nutrition Ancillary Study, a follow-up study conducted a meansd of 1.60.2years later. Diabetes nutrition therapy was assessed by an interviewer-administered questionnaire. Dietary intake was assessed using three 24-h recalls. The association of diabetes nutrition therapy with dietary intake was estimated using ancova.

ResultsParticipants (n=100; 54% male) had a mean sd age of 41.716.3years and a meansd diabetes duration of 11.8 +/- 9.7years. Fewer than half of the participants reported that they had ever′ met with a dietitian. While 64% of participants were taught carbohydrate counting, only 12% ever′ use this tool. Participants on insulin pumps and those testing 1 time/day reported greater dietary flexibility and higher fruit intakes compared with participants on other insulin regimens and testing less frequently. After adjustment for confounding by age and occupation, there were no consistent differences in dietary intake across subgroups of diabetes nutrition therapy.

ConclusionsIn this sample of individuals with Type 1 diabetes in China there is little dietitian involvement or carbohydrate counting. Increased frequency of nutrition education in conjunction with intensified self-monitoring of blood glucose is needed to improve care.

What′s new?

语种: 英语
所属项目编号: 5D43TW009077 ; ULTR000083
项目资助者: Sanofi Global Scholars Program ; Fogarty International Center of the National Institutes of Health ; National Center for Advancing Translational Sciences
WOS记录号: WOS:000349967200014
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59497
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Univ N Carolina, Dept Nutr, Chapel Hill, NC 27514 USA
2.Peking Univ, Peoples Hosp, Dept Endocrinol & Metab, Beijing 100871, Peoples R China
3.Univ N Carolina, Dept Biostat, Chapel Hill, NC USA
4.Univ N Carolina, Dept Epidemiol, Chapel Hill, NC USA

Recommended Citation:
Jaacks, L. M.,Liu, W.,Ji, L.,et al. Diabetes nutrition therapy and dietary intake among individuals with Type 1 diabetes in China[J]. DIABETIC MEDICINE,2015,32(3):399-406.
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