Browse > Article

Dietary Quality and Self-Management Status according to the Glycemic Control in the Elderly with Type 2 Diabetes  

Park, Soo-Jin (Dept. of Oriental Medical Food and Nutrition, Semyung University)
Woo, Mi-Hye (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University)
Choue, Ryo-Won (Research Institute of Clinical Nutrition, Kyung Hee University)
Publication Information
The Korean Journal of Food And Nutrition / v.21, no.4, 2008 , pp. 530-535 More about this Journal
Abstract
Evidence for the effects of different health behaviors, including diet, in elderly diabetes is currently limited. The aim of this study was to compare the quality of diet and health behaviors in Korean elderly T2DM patients, using a glycemic control. T2DM elders(>65 yr, n=48) were recruited and categorized by the concentration of glycated-hemoglobin HbA1c; subjects with HbA1c<7% were the good control(GC) group, and subjects with $HbA1c{\geq}8%$ constituted the poor control(PC) group. General characteristics, self-management behavior questionnaires, and 3-d diet records were all collected and assessed. No significant differences in general characteristics between GC and PC were detected, with the exception of a higher level of education in GC(p<0.05). A twofold longer duration of diabetes was observed in PC as compared to GC(p<0.01). The GC group did exercise for a longer time(p<0.001), and had an earlier beginning of diabetes self-management education (DSME) by healthcare practitioners using a team teach as compared with the PC group(p<0.05). The total dietary quality index(p<0.001) and individual index for carbohydrate(p<0.001) or vegetables and fruit(p<0.05) were better in GC than in PC. Therefore, the earlier DSME including intensive exercise and balanced diet selection should be expected to improve glycemic control in diabetic Korean elders.
Keywords
elderly; glycemic control; diet quality; diabetes self-management education;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Peterson, T, Young, B, Lee, P, Newton, P, Hollis, S and Dornan, T. Well being and treatment satisfaction in older people with diabetes. Diabetes Care. 21:930-935. 1998   DOI   ScienceOn
2 SAS/STAT User's guide. SAS Institute Inc. ver 8.02 edi. Cary NC. USA. 2001
3 Benjamin, EM. Case study: Glycemic control in the elderly: risks and benefits. Clinical Diabetes. 20:118-122. 2002   DOI   ScienceOn
4 The Korean nutrition society. Recommended dietary allowances for Korean, 7th rev. Seoul. Korea. 2000
5 Dam, RM, Rimm, EB, Willett, W, Stampfer, MJ and Hu, FB. Dietary patterns and risk for type 2 diabetes mellitus in US men. Ann. Intern. Med. 136:201-209. 2002   DOI   ScienceOn
6 Kim, HS. Fasting blood sugar and adherence to diabetes control recommendation: impact of education using short message service of cellular phone. The J. Kor. Biol. Nur. Sci. 5:13-19. 2003
7 Office for population census and statistics. National Population Projections, based London. OPCS. 1994(OPCS monitor PP29411). 1992
8 Baik, SH and Choe, KM. Diabetes mellitus in elderly Korean. J. Kor. Diabetes Assoc. 3:299-303. 2003
9 Son, HY. UKPDS: for the understanding and application, the 4th postgraduate seminar on DM for the primary care physicians, Korean Diabetes Association. Seoul. Korea. 2007
10 Lin, W and Lee, YW. Nutrition knowledge, attitudes, and dietary restriction behavior of the Taiwanese elderly. Asia. Pac. J. Clin. Nutr. 14:221-229. 2005
11 Lee, YO, Hwang, WS, Choi, SJ, Kim, DH, Lee, YH, Hong, YK, Roh, HR, Jung, YS, Lee, KW, and Kim, HM. The effect of intensive education on glycemic control in type 2 diabetes patients. J. Kor. Soc. Endocrinol. 18:63-72. 2003
12 Patterson, RE, Haines, PS and Popkin, BM. Diet quality index: capturing a multidimensional behavior. J. Am. Diet Assoc. 94:57-64. 1994   DOI   ScienceOn
13 Willey, KA and Singh, MA. Battling insulin resistance in elderly obese people with type 2 diabetes: Bring on the heavy weights. Diabetes Care. 26:1580-1588.2003   DOI   ScienceOn
14 American diabetes association. Standards of medical care in diabetes. Diabetes Care. 27: s15-s35. 2004   DOI
15 The third Korea national health and nutrition examination survey(KNHANES III). The ministry of health and welfare, Seoul. Korea. 2006
16 Sekikawa, A, Tominaga, M, Takahashi, K, Eguchi, H, Igarashi, M, Ohnuma, H, Sugiyama, K, Manaka, H, Sasaki, H and Fukuyama, H. Prevalence of diabetes and impaired glucose tolerance in Funagata area, Japan. Diabetes Care. 16:570-574. 1993   DOI   ScienceOn
17 Clement, S. Diabetes self-management education. Diabetes Care. 18:1204-1214. 1995   DOI
18 Norris, SL, Nichols, PJ, Caspersen, CJ, Glasgow, RE, Engelgau, MM, Jack, L, Snyder, SR, Carande-Kulis, VG, Isham, G, Garfield, S, Briss, P, and McCulloch, D. The effectiveness of disease and case management for people with diabetes a systematic review. Am. J. Prev. Med. 22:39-66. 2002   DOI   ScienceOn