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題 名 | 糖尿病人配合飲食控制對血糖及血脂之影響=Effects of Dietary Adherence on Blood Glucose and Triglyceride Control in Diabetic Patients |
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作 者 | 黃淑俐; 陳羿璇; 呂菁; 楊宏智; 張然舜; | 書刊名 | 臺灣營養學會雜誌 |
卷 期 | 41:3 2016.09[民105.09] |
頁 次 | 頁85-92 |
分類號 | 411.3 |
關鍵詞 | 糖尿病; 均衡飲食; 飲食配合度; 血糖控制; 糖化血色素; 三酸甘油酯; Diabetes; Balanced diet; Dietary adherence; Glycemic control; HbA1C; Triglyceride; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究的目的在探討門診糖尿病人,是否配合飲食控制和臨床指標的關係。經由隨機取樣方式選擇門診糖尿病人,以非介入性、橫斷性的流行病學調查,進行面對面的問卷訪談,共收達447份有效問卷。以病人主觀勾選飲食控制為其治療糖尿病的方式,比較有無飲食控制的病人,在糖化血色素、空腹血糖、三酸甘油酯、高密度膽固醇、低密度膽固醇、總膽固醇、肌酸酐、尿蛋白和飲食配合度的差異。有飲食控制者83名,無飲食控制者364名,後者女性較多(p =0.000)、年齡較長(p =0.016)、糖尿病罹病年數較長(p =0.000)、合併較多慢性病(p =0.008)、較多人使用胰島素治療(p =0.033),糖化血色素(p =0.000)和三酸甘油酯(p =0.008)較高;身體質量指數、腰圍、飯前血糖、總膽固醇、高密度膽固醇、低密度膽固醇、肌酐酸、蛋白尿均無顯著差異。有飲食控制的病人較能遵從每天三餐定時定量(p =0.004)、每天吃1.5~4碗全穀根莖類(p =0.001)、每天吃3種以上的新鮮蔬菜(p =0.047)、每天吃2種以上的水果(p =0.015)、每天吃豆、魚、肉、蛋類食品(p =0.049)。本研究顯示,大部份門診糖尿病人(81%),承認並未飲食控制,此族群之血糖和血脂控制不如有飲食控制的病人,有飲食控制的病人,較能配合遵循均衡飲食的建議。 |
英文摘要 | The aim of this study was to explore the effects of adherence to the recommended diet on the clinical parameters in patients with diabetes. This was a cross-sectional study with randomized sampling. Data were collected by face-to-face interviews with a food frequency questionnaire in a regional teaching hospital in the Hsinchu area. In total, 447 outpatients with diabetes participated in the study; 364 (81%) of them did not adhere to the recommended diet (NAR group), while 83 (19%) of them adhered to recommended diet (AR group). Female (p = 0.000), older participants (p = 0.016), and those with a longer duration of diabetes (p = 0.000), with more comorbidities (p = 0.008), and with insulin therapy (p = 0.033) were more common in the NAR group than those in the AR group. Patients in the AR group had lower glycated hemoglobin (HbA1C)(p = 0.000) and triglyceride (p = 0.008) levels, and they also followed the fixed amount of food and time schedule of meals (p = 0.004), daily intake of 1.5~4 bowls whole-grain staple foods (p = 0.001), more than three kinds of fresh vegetables (p = 0.047), more than two kinds of fruits (p = 0.015), and the proper amounts of meat and beans (p = 0.049). Our results showed that most diabetic patients (81%) reported that they did not adhere to recommended diet had higher HbA1C and triglyceride levels. Patients with dietary adherence were more likely to meet the recommendations of a healthy, balanced diet. |
本系統中英文摘要資訊取自各篇刊載內容。