Produção Nacional
Revisado por pares
Relationship between adherence to diet, glycemic control and cardiovascular risk factors in patients with type 1 diabetes: a nationwide survey in Brazil
2014; BioMed Central; Volume: 13; Issue: 1 Linguagem: Inglês
10.1186/1475-2891-13-19
ISSN1475-2891
AutoresKariane A K Davison, Carlos Antônio Negrato, Roberta Arnoldi Cobas, Alessandra Saldanha de Mattos Matheus, Lucianne Righeti Monteiro Tannus, Catia S Palma, Letícia Japiassú, João Régis Ivar Carneiro, Melanie Rodacki, Lenita Zajdenverg, Neuza B. C. de Araújo, Marilena M Cordeiro, Jorge Luiz Luescher, Renata S Berardo, Márcia Nery, Catarina Gomes Cani, Maria do Carmo Arruda Marques, Luís Eduardo Calliari, Renata Coelho Rodrigues Noronha, Thaís Della Manna, Roberta Diaz Savoldelli, Fernanda G Penha, Milton César Foss, Maria Cristina Foss‐Freitas, Maria de Fátima S Guedes, Sérgio Atala Dib, Patrícia Médici Dualib, Saulo C Silva, Janice Sepúlveda, Emerson Sampaio, Rosângela Réa, Ana Cristina R. A. Faria, Balduíno Tschiedel, Suzana Lavigne, Gustavo A Cardozo, António Pires, Fernando César Robles, Mirela Jobim de Azevedo, Luís Henrique Santos Canani, Alessandra Teixeira Netto Zucatti, Marisa Helena César Coral, Daniela Aline Pereira, Luiz Antônio de Araújo, Hermelinda Cordeiro Pedrosa, Monica Tolentino, Flaviene Alves do Prado, Nelson Rassi, Leticia B Araujo, Reine Marie Chaves Fonseca, Alexis Dourado Guedes, Odelisa Silva de Mattos, Manuel dos Santos Faria, Rossana Santiago de Sousa Azulay, Adriana Costa e Forti, Cristina Figueiredo Sampaio Façanha, Renan Magalhães Montenegro, Ana Paula Dias Rangel Montenegro, Naira Horta Melo, Karla Freire Rezende, Alberto Ramos, João Soares Felício, Flávia Marques Santos, Déborah Laredo Jezini, Marília Brito Gomes,
Tópico(s)Medication Adherence and Compliance
ResumoTo determine the relationship between adherence to the diet reported by patients with type 1 diabetes under routine clinical care in Brazil, and demographic, socioeconomic status, glycemic control and cardiovascular risk factors. This was a cross-sectional, multicenter study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. The data was obtained from 3,180 patients, aged 22 ± 11.8 years (56.3% females, 57.4% Caucasians and 43.6% non-Caucasians). The mean time since diabetes diagnosis was 11.7 ± 8.1 years. Overall, 1,722 (54.2%) of the patients reported to be adherent to the diet without difference in gender, duration of diabetes and socioeconomic status. Patients who reported adherence to the diet had lower BMI, HbA1c, triglycerides, LDL-cholesterol, non HDL-cholesterol and diastolic blood pressure and had more HbA1c at goal, performed more frequently self-monitoring of blood glucose (p < 0.001), and reported less difficulties to follow specific schedules of diet plans (p < 0.001). Less patients who reported to be adherent were obese or overweight (p = 0.005). The quantity of food and time schedule of the meals were the most frequent complaints. Logistic regression analysis showed that ethnicity, (Caucasians, (OR 1.26 [1.09-1.47]), number of medical clinical visits in the last year (OR 1.10 [1.06-1.15]), carbohydrate counting, (OR 2.22 [1.49-3.30]) and diets recommended by diabetes societies', (OR 1.57 [1.02-2.41]) were related to greater patients' adherence (p < 0.05) and age, [adolescents (OR 0.60 [0.50-0.72]), high BMI (OR 0.58 [0.94-0.98]) and smoking (OR 0.58 [0.41-0.84]) with poor patients' adherence (p < 0.01). Our results suggest that it is necessary to rethink medical nutrition therapy in order to help patients to overcome barriers that impair an optimized adherence to the diet.
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