| 초록 |
Objectives: The purpose of this study was to investigate the relations between diabeticdietary compliance and dietary intake, physical activity and prevalence of metabolicsyndrome (MS) in type 2 diabetic patients.Methods: Seventy five subjects diagnosed with type 2 diabetes visiting the D hospital inDongducheon from May 2014 to Dec 2014 were included in this study. The subjects weredivided into two groups according to their diabetic dietary compliance score (median 39);low diabetic dietary compliance (LDDC) group (n=44) and high diabetic dietary compliance(HDDC) group (n=31). Survey data collection was carried out by direct interview method.The nutrient intake, food intake and KDDS (Korean's dietary diversity score), DVS (dietaryvariety score) and GMVDF (grain, meat, vegetable, dairy and fruit) were analyzed usingdata from the 24-recall method. Metabolic parameters were obtained from the hospitalrecords. Data was analyzed using Chi-square test and general linear model adjusted for sex.Results: The prevalence of MS was 59.7% in the participating diabetic patients. Theprevalence of MS of the HDDC (39.3%) was significantly lower than that of the LDDC(72.7%). The distribution of physical activity showed a significant difference between thegroups (p=0.006). The intakes of seeds and nuts of the HDDC were significantly lower thanthose of the LDDC. Fat and vegetable fat intakes and % fat of energy in the HDDC weresignificantly lower than those in the LDDC. But, carbohydrate (CHO) and potassium intakeand %CHO of energy in the HDDC were significantly higher than those in the LDDC.KDDS and GMVDF showed significant differences between groups (p=0.033; p=0.012).Conclusions: Continuous intervention by specialized nutritionists for long-term selfregulationis needed for diabetic patients, and the high compliance to diabetic diet andincreasing physical activity may be effective in the prevention of metabolic syndrome. |
