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Tipo de Documento:	Artigo
Título :	Relationship between adherence to diet, glycemic control and cardiovascular risk factors in patients with type 1 diabetes: a nationwide survey in Brazil
Autor :	Davison, Kariane A. K. Negrato, Carlos Antonio Cobas, Roberta Matheus, Alessandra Tannus, Lucianne Palma, Cátia Cristina Silva Sousa Vergara Japiassu, Leticia Carneiro, João Regis Ivar Rodacki, Melanie Zajdenverg, Lenita Araújo, Neuza Braga Campos de Cordeiro, Marilena Menezes Luescher, Jorge Luiz Berardo, Renata Szundy Nery, Marcia Cani, Catarina Marques, Maria do Carmo A. Calliari, Luiz Eduardo Noronha, Renata Maria de Manna, Thais Della Savoldelli, Roberta Penha, Fernanda G. Foss, Milton Cesar Foss-Freitas, Maria Cristina Guedes, Maria de Fátima Dib, Sergio Atala Dualib, Patricia Medici Silva, Saulo C. Sepúlveda, Janice Sampaio, Emerson Rea, Rosangela Roginski Faria, Ana Cristina Ravazzani de Almeida Tschiedel, Balduino Lavigne, Suzana Cardozo, Gustavo A. Pires, Antonio C. Robles, Fernando Cesar Azevedo, Mirela Canani, Luis Henrique Zucatti, Alessandra Teixeira Netto Coral, Marisa Helena Cesar Pereira, Daniela A. Araújo, Luiz Antônio Pedrosa, Hermelinda Cordeiro Tolentino, Monica Prado, Flaviene A. Rassi, Nelson Araújo, Leticia B. Fonseca, Reine Marie Chaves Guedes, Alexis Dourado Mattos, Odelisa S. Faria, Manuel Azulay, Rossana Costa e Forti, Adriana Façanha, Cristina Figueiredo Sampaio Montenegro Junior, Renan Magalhães Montenegro, Ana Paula Melo, Naira Horta Rezende, Karla Freire Ramos, Alberto Felício, João Soares Santos, Flavia M. Jezini, Deborah Laredo Gomes, Marilia B.
Fecha de publicación :	2014
Resumen:	Background: To 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. Methods: 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. Results: 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). Conclusions: 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.
Palabras clave :	Type 1 diabetes Glycemic control Dietitian Diet Diabetes care Adherence to diet
ISSN :	1475-2891
Es parte de:	Nutrition Journal
Idioma :	eng
Institución / Editorial :	BioMed Central
Citación :	DAVISON, K. A. K. et al. Relationship between adherence to diet, glycemic control and cardiovascular risk factors in patients with type 1 diabetes: a nationwide survey in Brazil. Nutrition Journal, London, v. 13, n. 19, 2014. Disponível em: https://link.springer.com/article/10.1186/1475-2891-13-19. Acesso em: 13 jan. 2026.
License:	Creative Commons Atribuição 2.0 Genérica (CC BY 2.0)
URI :	https://ri.ufs.br/jspui/handle/riufs/24204
Aparece en las colecciones:	DME - Artigos de periódicos

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