Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지
DOI QR코드

DOI QR Code

Nutrition Knowledge, Dietary Attitude, and Dietary Behavior among Children and Adolescents with Type 1 Diabetes

제 1형 당뇨병 소아청소년의 영양지식, 식태도, 식행동에 대한 실태조사

  • Noh, Na-Yeon (Department of Food and Nutrition, Inha University) ;
  • Nam, So-Young (Department of Food and Nutrition, Inha University) ;
  • Kang, Hee-Suk (Department of Pediatrics, Inha University Hospital) ;
  • Lee, Ji-Eun (Department of Pediatrics, School of Medicine, Inha University) ;
  • Lee, Soo-Kyung (Department of Food and Nutrition, Inha University)
  • 노나연 (인하대학교 식품영양학과) ;
  • 남소영 (인하대학교 식품영양학과) ;
  • 강희숙 (인하대병원 소아청소년과) ;
  • 이지은 (인하대학교 의과대학 소아과학교실) ;
  • 이수경 (인하대학교 식품영양학과)
  • Received : 2013.01.03
  • Accepted : 2013.04.01
  • Published : 2013.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Type 1 diabetes is on the rise worldwide. Although nutrition education for patients with diabetes has become a routine practice, specifics and impacts of such educations need to be more researched. This study examined the status of nutrition knowledge, dietary attitude, and dietary behavior among children and adolescents with type 1 diabetes (9-19 year-old) and explored factors influencing dietary behaviors related to diabetes by applying the Theory of Planned Behavior. Face-to-face interviews, using a pre-tested structured questionnaire, were conducted with 32 participants (11 boys and 21 girls) with type 1 diabetes followed by a diabetes clinic in a university hospital. This study found that the level of nutrition knowledge related to diabetes was generally low at 4 points out of a possible 10, however, the dietary attitude related to diabetes was found to be generally good at 26 points out of a possible 30. Participants were motivated to follow medical staff recommendations the most; however, their family was also important. Perceived behavioral control was low especially for eating-out and portion control. The dietary behavior related to blood glucose control showed low at 13 points out of a possible 20. Regression analysis showed that perceived behavioral control (p < 0.001) was significantly related to the dietary behavior related to blood glucose control. This rare study with children and adolescents with type 1 diabetes showed that nutrition education should include a component to improve perceived behavioral control through high-risk situation management.

Keywords

References

  1. Ajzen I (1991): The theory of planned behavior. Organizational Behavior and Human Decision Processes 50: 179-211 https://doi.org/10.1016/0749-5978(91)90020-T
  2. American Diabetes Association (2012): Standards of medical care in diabetes. Diabetes Care 35(Suppl 1): S11-63 https://doi.org/10.2337/dc12-s011
  3. Choe SJ, Park HR, Park DY, Ahn HS (2000): A study on the sociopsychological factors influencing the dietary compliance of diabetics by using focus group interview. Korean J Community Nutr 5(1): 23-35
  4. Chun JH, Jung SB, Sohn HS (1999): Self-care and related factors in patients with diabetes. J Korean Diabetes Assoc 23(2): 193-206
  5. Chung SO, Song OK, Ko JM, Wi JH, Lee TH, Yum JH, Cho DK, Son JH, Nam HW, Yoo HJ, Lee YN, Kim SG, Moon HK, Kim ES (2000): The effects of teaching methods on the dietary compliance and hemoglobin a1c level in patients with diabetes mellitus. J Korean Diabetes Assoc 21: 560-573
  6. Holli BB, Calabrese RJ, Maillet JO (2003): Communication and education skills for dietetics professionals. Lippincott Williams & Wilkins, Philadelphia
  7. Kang HJ, Shin EM, Kim KW (2009): Evaluation of nutrition education for diabetes mellitus management of older adults. Korean J Community Nutr 14(6): 734-745
  8. Karvonen M, Tuomilehto J, Libman I, LaPorte R (1993): A review of the recent epidemiological data on the worldwide incidence of type 1 (insulin-dependent) diabetes mellitus. Diabetologia 36(10): 883-892 https://doi.org/10.1007/BF02374468
  9. Kim KW, Shin EM (2003): Using the theory of planned behavior to explain dairy food consumption among university female students. Korean J Community Nutr 8(1): 53-61
  10. Kim HS, Park CS (2003): Self-care and physical symptom by gender in Korean type 2 diabetic patients. Korean J Women Health Nurs 9(3): 270-276
  11. Kim HY, Kang MH (2008): Assessment of nutritional status. Shinkwang pub, Seoul, pp. 86-87
  12. Kim JH, Kim SM (2000): A study on effects of short-term nutritional education on diabetic pediatric patient. J East Asian Soc Dietary Life 10(1): 21-36
  13. Knip M (2012): Descriptive epidemiology of type 1 diabetes-is it still in? Diabetologia 55(5):1227-1230 https://doi.org/10.1007/s00125-012-2522-4
  14. Korea Center for Disease Control and Prevention & The Korean Pediatric Society (2007): 2007 Korean National Growth Charts
  15. Lee HW, Park HS (2010): The variables affecting diabetic patients' self-care behaviors: An application of theory of planned behavior. Korean J Adverti Public Relat 12(4): 327-362
  16. Lee JR (2011): Lifestyle modification and diabetes management. J Korean Diabetes Assoc 12(4):215-218 https://doi.org/10.4093/jkd.2011.12.4.215
  17. Lee YW, Hwang WS, Choe SJ, Lee DH, Kim DH, Lee EH, Hong EG, Noh HY, Chung YS, Lee KW, Kim HM (2003): The effect of intensive education on glycemic control in type 2 diabetic patients. J Korea Soc Endocrinol 18: 63-72
  18. National Health Insurance Corporation (2012): Available from http:// www.nhic.or.kr [cited 2012 June 26]
  19. NIDDK (2011): National Diabetes Statistics. Available from http:// diabetes.niddk.nih.gov [cited 2012 July 26]
  20. Oh JY, Kim SB (2010): Development and effect's analysis of nutrition education program for diabetes mellitus at community health center-focused on individual daily energy requirements and food exchange units-. Korean J Community Nutr 15(4): 485- 497
  21. Park DY (2001): The effect of social support on compliance to dietary regimen in noninsulin-dependent diabetes mellitus. Korean J Human Ecology 4(1): 108-120
  22. Park DY, Choe SJ, Park HR, Ahn HS (2000): A study on the sociopsychological factors influencing the dietary compliance of diabetics using questionnaire. Korean J Community Nutr 5(1): 36-49
  23. Park SY, Kim HR (1994): A study on dietary compliance and related variables in non insulin dependent diabetes mellitus patients. Korean J Nutr 27(4): 356-367
  24. Park YS, Lee JW, Seo JS, Lee BK, Lee HS (2006): Nutrition education and counseling. Kyomoonsa, Paju, pp. 2-4
  25. Seo HS, Lee SK, Nam SY (2011): Factors influencing fast food consumption behaviors of middle-school students in Seoul: An application of theory of planned behaviors. Nutr Res Pract 5(2): 169-178 https://doi.org/10.4162/nrp.2011.5.2.169
  26. Shim WS, Hong SB, Choi YS, Choi YJ, Ahn SH, Min KY, Kim EJ, Park IB, Nam MS, Kim YS (2006): Development of two parallel diabetes knowledge tests. J Korean Diabetes Assoc 30(6): 476-486 https://doi.org/10.4093/jkda.2006.30.6.476
  27. Shin CH (2008): Epidemiologic characteristics of type 1 diabetes in children aged 14 years or under in Korea, 1985-2000. Korean J Pediatr 51(6): 569-575 https://doi.org/10.3345/kjp.2008.51.6.569
  28. Silverstein J, Klingensmith G, Copeland K, Plotnick L, Kaufman F, Laffel L, Deeb L, Grey M, Barbara A, Holzmeister LA, and Clark N (2005): Care of children and adolescents with type 1 diabetes. Diabetes Care 28(1): 186-212 https://doi.org/10.2337/diacare.28.1.186
  29. Silink M (2002): Childhood diabetes: a global perspective. Horm Res 57(Suppl 1): 1-5
  30. Smart C, Aslander-van Vliet E, Waldron S (2009): Nutritional management in children and adolescents with diabetes. Pediatr Diabetes 10(S12): 100-117 https://doi.org/10.1111/j.1399-5448.2009.00572.x
  31. Spiegel G, Bortsov A, Bishop FK, Owen D, Klingensmith GJ, Mayer-Davis EJ, Maahs DM (2012): Randomized nutrition education intervention to improve carbohydrate counting in adolescents with type 1 diabetes study: Is more intensive education needed? J Acad Nutr Diet 112: 1736-1746 https://doi.org/10.1016/j.jand.2012.06.001
  32. The Korean Nutrition Society (2010): Dietary reference intakes for Koreans. The Korean Nutrition Society, Seoul

Cited by

  1. User participatory medical service design elements for endocrine disease management vol.33, pp.None, 2013, https://doi.org/10.17246/jkdk.2015..33.020
  2. 당뇨병 유병률의 지역 간 변이와 지역 특성과의 관계 분석 vol.26, pp.1, 2013, https://doi.org/10.4332/kjhpa.2016.26.1.30