Sustaining Effect of Intensive Nutritional Intervention Combined with Health Education on Dietary Behavior and Plasma Glucose in Type 2 Diabetes Mellitus Patients.
Sustaining Effect of Intensive Nutritional Intervention Combined with Health Education on Dietary Behavior and Plasma Glucose in Type 2 Diabetes Mellitus Patients.
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作者：
Fan R;Xu M;Wang J;Zhang Z;Chen Q;Li Y;Gu J;Cai X;Guo Q;Bao L;Li Y
糖尿病在中国老年人中非常常见。尽管营养干预可以提供均衡饮食，但对家庭饮食行为和长期血糖控制的持续影响尚不清楚。因此，我们在一个月的体验式营养干预结合健康教育后进行了一项长期调查。根据《中国居民膳食指南》，一年后我们发现食物种类符合推荐值，脂肪、蛋白质、碳水化合物提供的能量比例更加合理。新形成的饮食模式是“健康”、“单调”、“素食”、“日式”、“低能量”和“传统”饮食。女性参与者以及喜欢“日本饮食”的参与者的 2h-PG 下降至 12 mmol/L 以上。选择“日本”和“健康”饮食的参与者的 FPG 明显下降，而 A 组参与者的 FPG 略有下降。 “日本”和“健康”饮食也获得了最高的DDP评分，因此可以认为适合中国的T2DM治疗。新形成的膳食模式“日式”和“健康”饮食的结果证实了营养干预与健康教育相结合对于改善饮食行为和血糖控制的深远功效，尽管健康教育发挥着更重要的作用。本研究对于进一步探索全面的糖尿病护理是令人鼓舞的。
Diabetes mellitus is very common in elderly Chinese individuals. Although nutritional intervention can provide a balanced diet, the sustaining effect on at-home dietary behavior and long-term plasma glucose control is not clear. Consequently, we conducted a long-term survey following one month of experiential nutritional intervention combined with health education. Based on the Dietary Guidelines for a Chinese Resident, we found that the food items met the recommended values, the percentages of energy provided from fat, protein, and carbohydrate were more reasonable after one year. The newly formed dietary patterns were “Healthy”, “Monotonous”, “Vegetarian”, “Japanese”, “Low energy”, and “Traditional” diets. The 2h-PG of female participants as well as those favoring the “Japanese diet” decreased above 12 mmol/L. Participants who selected “Japanese” and “Healthy” diets showed an obvious reduction in FPG while the FPG of participants from Group A declined slightly. “Japanese” and “Healthy” diets also obtained the highest DDP scores, and thus can be considered suitable for T2DM treatment in China. The results of the newly formed dietary patterns, “Japanese” and “Healthy” diets, confirmed the profound efficacy of nutritional intervention combined with health education for improving dietary behavior and glycemic control although health education played a more important role. The present study is encouraging with regard to further exploration of comprehensive diabetes care.
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影响因子：
4.7
作者：
Jenkins, AL;Jenkins, DJA;Vuksan, V
通讯作者：
Vuksan, V
影响因子：
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DOI：
10.1016/j.numecd.2010.06.006
发表时间：
2012-03-01
影响因子：
3.9
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通讯作者：
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2.5
作者：
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Kim, Younoh