Objective: A pilot program was designed to improve the nutrition and the health of type 2 diabetes (T2D) patients with high cardiovascular risk (29-4-12%). Among various interventions, it provided nutritional education and dietary counselling whose effectiveness was assessed using a 2-d 24-h dietary recall (24HDR) administered at 1, 3, 6, 9, and 12 months. Metbods: We evaluated the initial outcome in 14 T2D patients (age 62-4-5 y, BMI 30-4-5 kg/m 2, HbAlc 7.1-4-1.2%) monitored during the first 9 months. Weights of food were estimated using a standard reference guide and analysed using Microdiet software (Sanford University). The software produces a real time report that indicates total energy and nutrients intake, the percentage of energy from protein, fat, and carbohydrate, nutrient totals (comparable with reference values). Results: Mean dietary energy intake was 1646-4-431 kcal/d (vs the suggested 1602-4-181, ns). The percentage of energy from protein 18-4-4% (vs 17-4-1), carbohydrate 49-4-7% (vs 55-4-1, p<0.001), lipid 31-4-8% (vs 27-4-1, p<0.001). Daily intake of fiber was 19-4-8 g/d, cholesterol 199-4-135 mg/d, saturated fat 15-4-7 g/d, monounsaturated 25-4-12 g/d, polyunsaturated 14-4-12 g/d. From month 1 to 9 the daily intake of folic acid increased (p<0.05). Conclusions: Present results highlight the potential advantage of 24HDR analysed by Microdiet software, but also confirm the difficulty that presents changing dietary habits in aged T2D subjects, in particular concerning the reduction in lipid intake in favour of carbohydrate. Funding: Research funds.
Assessing dietary behaviour by microdiet software as educational tool.
GIAMPIETRO, OTTAVIO;MATTEUCCI, ELENA
2006-01-01
Abstract
Objective: A pilot program was designed to improve the nutrition and the health of type 2 diabetes (T2D) patients with high cardiovascular risk (29-4-12%). Among various interventions, it provided nutritional education and dietary counselling whose effectiveness was assessed using a 2-d 24-h dietary recall (24HDR) administered at 1, 3, 6, 9, and 12 months. Metbods: We evaluated the initial outcome in 14 T2D patients (age 62-4-5 y, BMI 30-4-5 kg/m 2, HbAlc 7.1-4-1.2%) monitored during the first 9 months. Weights of food were estimated using a standard reference guide and analysed using Microdiet software (Sanford University). The software produces a real time report that indicates total energy and nutrients intake, the percentage of energy from protein, fat, and carbohydrate, nutrient totals (comparable with reference values). Results: Mean dietary energy intake was 1646-4-431 kcal/d (vs the suggested 1602-4-181, ns). The percentage of energy from protein 18-4-4% (vs 17-4-1), carbohydrate 49-4-7% (vs 55-4-1, p<0.001), lipid 31-4-8% (vs 27-4-1, p<0.001). Daily intake of fiber was 19-4-8 g/d, cholesterol 199-4-135 mg/d, saturated fat 15-4-7 g/d, monounsaturated 25-4-12 g/d, polyunsaturated 14-4-12 g/d. From month 1 to 9 the daily intake of folic acid increased (p<0.05). Conclusions: Present results highlight the potential advantage of 24HDR analysed by Microdiet software, but also confirm the difficulty that presents changing dietary habits in aged T2D subjects, in particular concerning the reduction in lipid intake in favour of carbohydrate. Funding: Research funds.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
