营养素养:有1型糖尿病的年轻人缺少什么?
Cassandra Abrams1, Jaymie Meliker2, Anna Floreen Sabino3
1Pediatric Endocrinology, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|July 6, 2023
概括
患有1型糖尿病的年轻人了解碳水化合物计数,更有可能控制血糖. 然而,疾病的情感负担显著影响了社会饮食行为.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 公共卫生 公共卫生
背景情况:
- 年轻成年人 (18-24岁) 的1型糖尿病管理具有挑战性,通常以增加的HbA1c水平为标志.
- 这个年龄组经历了生活过渡,可能会影响糖尿病自我护理.
- 营养知识缺陷经常被认为是年轻人HbA1c升高的原因.
研究的目的:
- 评估1型糖尿病的年轻成年人的营养素养和感知到的情绪负担.
- 评估碳水化合物计数技能,疾病负担和糖尿病护理结果之间的关系.
- 了解对饮食习惯和对营养的情感态度的影响.
主要方法:
- 进行了40个问题的调查,以评估治疗,饮食习惯和对糖尿病的感受.
- 碳水化合物计数技能通过四个具体问题进行了评估.
- 二元物流回归分析了负担和知识对糖尿病护理和情感幸福感的影响.
主要成果:
- 较高的碳水化合物计数得分与由于血糖超出范围而避免进食相关 (p=0.05).
- 较高的感知疾病负担与由于食物问题而避免社交聚会密切相关 (p=0.002).
- 情绪负担,而不是营养知识,可能是HbA1c峰值的一个关键因素.
结论:
- 1型糖尿病的情感负担显著影响了年轻人的社交饮食行为.
- 虽然营养知识很重要,但疾病的心理影响在糖尿病管理中起着至关重要的作用.
- 干预措施应解决营养教育和生活在1型糖尿病的情感方面.
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