确定印尼玛琅市2型糖尿病门诊患者接受营养咨询和烹饪协助后的营养变化

Rany Adelina, Awalia Nanda Arianto, Sabrina Julietta Arisanty, Rafika Aprillia, Wisnowan Hendy Saputra, Risa Mafaza, Khairuddin Khairuddin, Tapriadi Tapriadi, Rathi Paramastri
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引用次数: 0

摘要

摘要背景:营养和饮食是T2DM患者维持健康的关键因素。营养教育被认为效果较差,因为大多数患者没有实施营养教育。本研究尝试将2型糖尿病门诊患者的营养咨询与烹饪援助相结合,进行项目创新。本研究旨在了解T2DM的危险因素,并确定计划营养教育(NEP)对T2DM患者营养摄入变化的有效性。方法:在麻郎市Kedung Kandang初级卫生保健中心登记的T2DM门诊患者共70例。研究对象采用“配额抽样”技术招募。本研究设计为准实验研究,将对照组(n=32)与实验组(n=38)进行比较。该研究于2018年9月至11月进行。为2型糖尿病患者和家属提供了50分钟的密集个人咨询和烹饪协助。数据分析采用独立样本t检验、Wilcoxon Mann Whitney u检验和logistic回归。24小时后评估患者3个工作日和1个节假日/周末的4 d饮食记录。结果:从本研究中可以看出,治疗组的氨基酸赖氨酸摄入量明显高于对照组(p = 0.04)。干预组的纤维、MUFA和PUFA的摄入量更高,而钠的摄入量则更低。T2DM发病的危险因素为年龄(p = 0.036)、文化程度(p = 0.043)、腰围(p = 0.015)、碳水化合物摄入(p = 0.033)。结论:接受个人营养咨询和烹饪辅助治疗的2型糖尿病患者获得了更高的纤维、氨基酸赖氨酸和不饱和脂肪酸的摄入量。年龄、受教育程度、腰围和碳水化合物摄入量是影响2型糖尿病发病率的主要危险因素。关键词:营养咨询,烹饪辅助,营养摄入,2型糖尿病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DETERMINING THE NUTRIENTS CHANGES AFTER UNDERGOING NUTRITIONAL COUNSELING AND COOKING ASSISTANCE AMONG T2DM OUTPATIENTS IN MALANG CITY, INDONESIA
ABSTRACTBackground: Nutrition and diets are critical factors for T2DM patients to maintain health. Nutrition education are considered less effective because most patients have not implemented them. This research tries to develop program innovation by combining nutrition counseling and cooking assistance for T2DM outpatients. This study aimed to know the risk factors for T2DM  and determine the effectiveness of programmed nutrition education (NEP) on changes in nutrient intake in patients with T2DM. Methods: A total of 70 participants registered as T2DM outpatients at Kedung Kandang primary healthcare center in Malang city. Subjects were recruited using a 'quota sampling' technique. The design of this study is a quasi-experiment study using a comparison of the control (n=32)-treatment group (n=38). This research was conducted from September to November 2018. Fifty minutes of intensive individual counseling and cooking assistance were provided to T2DM patients and families. The data were analyzed using independent sample t-test, Wilcoxon Mann Whitney U-test, and logistic regression. The patients’ 4-d dietary records of 3 normal days and 1 holiday/weekend were assessed after 24 hours.Results: From this study it can be seen that intake of amino acid lysine was significantly higher in the  treatment group than the control group (p = 0.04). The intake of fiber, MUFA, and PUFA was greater in the intervention group, while sodium intake was lower in the intervention group. The risk factors of T2DM incidence were age (p = 0.036), education (p = 0.043), waist circumference (p = 0.015), and carbohydrate intake (p = 0.033). Conclusion: T2DM patients treated with individual nutrition counseling and cooking assistance gained a higher intake of fiber, amino acid lysine, and unsaturated fatty acids. The most influential risk factors of T2DM incidence are age, education, waist circumference, and carbohydrate intake. Keywords: nutrition counseling, cooking assistance, nutritional intake, T2DM.
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