EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS

Objective: To evaluate the effect of medical nutrition knowledge on glycemic control in patients with Diabetes mellitus (DM).Material and Methods: Type 1 and Type 2 DM patients (n: 105) who had received medical nutrition therapy (MNT) education at least once were recruited. Nutritional knowledge sco...

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Main Authors: Bita Motamedıan, Gülşah Yenidünya Yalın
Format: Article
Language:English
Published: Istanbul University Press 2024-02-01
Series:Sabiad
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/8C50B5E0DB9A42DBA61385B42768B244
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author Bita Motamedıan
Gülşah Yenidünya Yalın
author_facet Bita Motamedıan
Gülşah Yenidünya Yalın
author_sort Bita Motamedıan
collection DOAJ
description Objective: To evaluate the effect of medical nutrition knowledge on glycemic control in patients with Diabetes mellitus (DM).Material and Methods: Type 1 and Type 2 DM patients (n: 105) who had received medical nutrition therapy (MNT) education at least once were recruited. Nutritional knowledge scores (NKS) were obtained from the NKS evaluation form and patients were classified into Group 1 (NKS ≤60, n:24) and Group 2 (NKS>60, n:81). Patients’ socio-demographic characteristics, biochemical parameters, nutritional habits, anthropometric measurements, and 24-hour food consumption data were recruited.Results: Mean age in Group 1 and Group 2 was 50.5±12.1 and 45.5±15.5, respectively. Mean NKS scores were higher in patients with type 1 DM (p=0.02). There was no significant relation between NKS and HbA1c (p=0.3). NKS was significantly associated with higher educational degrees, higher HDL, and lower frequency of neuropathy (p=0.03; 0.01; 0.01, respectively). NKS was negatively correlated with age, triglyceride, and neuropathy frequency (p=0.001, r=-0.35, p=0.004, r=-0.36; p=0.01, r=-0.24, respectively); positively correlated with HDL, educational degree, health literacy and presence of leisure time activities (p<0.001, r=0.38; p<0.001, r=0.53; p=0.01, r=0.26 and p<0.001, r=0.31, respectively). Logistic regression analysis revealed the relationship between NKS and educational degree (p=0.01, OR:0.17, CI:0.04-0.68).Conclusion: Adequacy of nutritional knowledge may not be sufficient in achieving better glycemic regulation in DM and patients should be motivated to reflect their nutritional knowledge in their daily living activities.
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spelling doaj-art-c0ef53e351e9462ba2bc716f89a0c92f2025-08-20T03:48:52ZengIstanbul University PressSabiad2651-40602024-02-0171172310.26650/JARHS2024-1305762123456EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUSBita Motamedıan0https://orcid.org/0009-0009-2637-0150Gülşah Yenidünya Yalın1https://orcid.org/0000-0002-9013-5237İstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeObjective: To evaluate the effect of medical nutrition knowledge on glycemic control in patients with Diabetes mellitus (DM).Material and Methods: Type 1 and Type 2 DM patients (n: 105) who had received medical nutrition therapy (MNT) education at least once were recruited. Nutritional knowledge scores (NKS) were obtained from the NKS evaluation form and patients were classified into Group 1 (NKS ≤60, n:24) and Group 2 (NKS>60, n:81). Patients’ socio-demographic characteristics, biochemical parameters, nutritional habits, anthropometric measurements, and 24-hour food consumption data were recruited.Results: Mean age in Group 1 and Group 2 was 50.5±12.1 and 45.5±15.5, respectively. Mean NKS scores were higher in patients with type 1 DM (p=0.02). There was no significant relation between NKS and HbA1c (p=0.3). NKS was significantly associated with higher educational degrees, higher HDL, and lower frequency of neuropathy (p=0.03; 0.01; 0.01, respectively). NKS was negatively correlated with age, triglyceride, and neuropathy frequency (p=0.001, r=-0.35, p=0.004, r=-0.36; p=0.01, r=-0.24, respectively); positively correlated with HDL, educational degree, health literacy and presence of leisure time activities (p<0.001, r=0.38; p<0.001, r=0.53; p=0.01, r=0.26 and p<0.001, r=0.31, respectively). Logistic regression analysis revealed the relationship between NKS and educational degree (p=0.01, OR:0.17, CI:0.04-0.68).Conclusion: Adequacy of nutritional knowledge may not be sufficient in achieving better glycemic regulation in DM and patients should be motivated to reflect their nutritional knowledge in their daily living activities.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/8C50B5E0DB9A42DBA61385B42768B244diabetes mellitushba1cmedical nutrition therapynutrition knowledge level
spellingShingle Bita Motamedıan
Gülşah Yenidünya Yalın
EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS
Sabiad
diabetes mellitus
hba1c
medical nutrition therapy
nutrition knowledge level
title EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS
title_full EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS
title_fullStr EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS
title_full_unstemmed EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS
title_short EFFECT OF MEDICAL NUTRITION KNOWLEDGE ON GLYCEMIC REGULATION IN PATIENTS WITH DIABETES MELLITUS
title_sort effect of medical nutrition knowledge on glycemic regulation in patients with diabetes mellitus
topic diabetes mellitus
hba1c
medical nutrition therapy
nutrition knowledge level
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/8C50B5E0DB9A42DBA61385B42768B244
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