Effect of Health educational intervention in the form of counseling on changes in anthropometric and biochemical parameters of type 2 diabetes mellitus

Dijana Stantić-Romić, Hajnalka Požar, Sanja Šumonja
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Abstract

Introduction: Diabetes is a significant public health problem. In Serbia, 12% of the population suffers dominantly from type 2 diabetes, the development of which is associated with an inadequate diet and lack of physical activity. The treatment of patients involves the application of diet therapy in combination with medical treatment. The aim of this paper is to evaluate the differences in anthropometric and biochemical parameters in patients with type 2 diabetes after the counseling work. Respondents and methods: The research was conducted as a retrospective evaluation study through the analysis of medical records of users of the Nutrition Counseling Service of the Public Health Institute of Subotica. The sample included 34 patients with type 2 diabetes, mostly women (71%). Results: The average body weight of the patients was 87.6 kg, waist circumference 105 cm, the average glycemima was 7.14 mmol/l, and the blood pressure level was 140/84 mmHg. After counseling, at the first control measurement 2-4 months after the first examination, the patients lost an average of 3 kg, the waist circumference decreased by an average of 2 cm, and the percentage of fat in the body decreased by 1.6%. There was a decrease in glycemia by 0.6 mmol/l and systolic blood pressure by 5 mmHg. Although the second control examination was attended by a much smaller number of patients, based on the results, it was observed that the average values of the observed parameters were significantly lower compared to the initial values (body mass decreased by 1 kg, waist circumference by 4 cm, glycemia level by an additional 1 mmol/l). Conclusion: Based on the results of the research, it can be concluded that after the counseling work, there was a significant improvement in the nutritional status and glycemia in patients with type 2 diabetes.
咨询形式的健康教育干预对2型糖尿病人体测量及生化指标变化的影响
糖尿病是一个重大的公共卫生问题。在塞尔维亚,12%的人口主要患有2型糖尿病,其发展与饮食不足和缺乏体育活动有关。患者的治疗包括应用饮食疗法结合药物治疗。本文的目的是评价2型糖尿病患者在咨询工作后的人体测量和生化参数的差异。调查对象与方法:本研究通过对苏博蒂察公共卫生研究所营养咨询服务使用者的病历进行回顾性评价研究。样本包括34名2型糖尿病患者,其中大多数是女性(71%)。结果:患者平均体重87.6 kg,腰围105 cm,平均血糖7.14 mmol/l,血压140/84 mmHg。经咨询,在第一次检查后2-4个月进行第一次对照测量时,患者平均体重减轻3公斤,腰围平均下降2厘米,体脂率下降1.6%。血糖降低0.6 mmol/l,收缩压降低5 mmHg。虽然参加第二次对照检查的患者人数要少得多,但根据结果,观察到的参数平均值与初始值相比显著降低(体重减少1 kg,腰围减少4 cm,血糖水平增加1 mmol/l)。结论:根据研究结果,可以得出咨询工作后,2型糖尿病患者的营养状况和血糖有了明显改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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