Telephone support for adherence to healthy eating practices among people with type 2 diabetes mellitus
Supporting Agencies
- Agradecimentos
- Conselho Nacional de Desenvolvimento Científico e Tecnológico – CNPq.
Abstract
Objective: To verify the effects of telephone support on adherence to healthy eating practices among patients with type 2 diabetes mellitus.Methods: This was a clinical trial with 63 patients with type 2 diabetes mellitus; 36 patients were allocated to the intervention group (G1) and 27 patients to the control group (G2). For G1, telephone support was provided, consisting of four telephone calls addressing food planning, types and portions of food, and healthy foods. For G2, normal care was given in their health facility. The effects of telephone support on healthy eating were measured at baseline (T1) and at four months after the intervention (T2).
Results: In G1, 16 (44.44%) patients joined at T1, which dropped to 14 (38.88%) by T2. In G2, 8 (29.62%) patients started at T1 and the number rose to 9 (33.33%) by T2. After the G1 intervention, there was an increase in the consumption of fruits and vegetables, a reduction in the consumption of fatty foods and foods high in sugar, and an increase in meal frequency. A significant difference was noted in reduced fasting blood glucose among non-adherent patients and reduced Hb1Ac among adherent patients from G1.
Conclusion: The four-month intervention using telephone support proved insufficient to increase adherence to healthy eating. However, there was an increase in consumption of fruits and vegetables and a decrease in the consumption of fatty foods, foods high in sugar, and soft drinks.
Downloads
References
American Diabetes Association (ADA). Nutrition Therapy Recommendations for the Management of Adults With Diabetes. Diabetes Care [Internet]. 2014 [acesso em 20 març 2015]; 37(Suppl 1):120S-143S. Disponível em: http://care.diabetesjournals.org/content/37/Supplement_1/S120.full.pdf+html
Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, at al. American Diabetes Association (ADA); European Association for the Study of Diabetes (EASD). Management of hyperglycemia in type 2 diabetes: a patient-centered approach: position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care [Internet]. 2012 [acesso 2014 nov 11]; 35(6):1364 -1379.Disponívelem:http://care.diabetesjournals.org/content/35/6/1364.full.pdf+html
Groff DP, Simões PWTA, Fagundes ALS. Adesão ao tratamento dos pacientes diabéticos tipo II usuários da estratégia saúde da família situada no bairro Metropol de Criciúma, SC. Arquivos Catarinenses de Medicina [Internet]. 2011 [acesso 2014 nov 11]; 40 (3): 43-48. Disponível em: http://www.acm.org.br/revista/pdf/artigos/878.pdf
Obreli-Neto PR, Prado MF, Vieira JC, Fachini FC, Pelloso SM, Marcon SS et al. Fatores interferentes na taxa de adesão à farmacoterapia em idosos atendidos na rede pública de saúde do Município de Salto Grande – SP, Brasil. Rev Ciênc Farm Básica Apl [Internet]. 2010 [acesso 2014 nov 10]; 31(3): 229-233. Disponível em: http://servbib.fcfar.unesp.br/seer/index.php/Cien_Farm/article/viewFile/1121/993
Pontieri FM, Bachion MM. Crenças de pacientes diabéticos acerca da terapia nutricional e sua influência na adesão ao tratamento. Ciênc. saúde coletiva [Internet]. 2010 [acesso 2014 Nov 11]; 15(1): 151-160. Disponível em:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S141381232010000100021&ln=en http://dx.doi.org/10.1590/S1413-81232010000100021
Ganiyu AB, Mabuza LH, Malete NH, Govender I, Ogunbanjo GA. Nonadherence to diet and exercise recommendations amongst patients with type 2 diabetes mellitus attending Extension II Clinic in Botswana. Afr J Prm Health Care Fam Med [Internet]. 2013 [acesso em 2014 nov 10]; 5(1): 6 pages. Disponível em: Http://dx.doi.org/10.4102/phcfm.v5i1.457
Hernández-Ronquillo L, Téllez-Zenteno JF, Garduño-Espinosa J, González-Acevez E. Factors associated with therapy noncompliance in type-2 diabetes patients. Salud pública Méx [Internet]. 2003 [acesso em 2014 Nov 11]; 45 (3): 191-197. Disponível em: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S003636342003000300008&lng=en. http://dx.doi.org/10.1590/S0036-36342003000300008
Khattab M, Khader YS, Al-khawaldeh A, Ajlouni k. Factors associated with poor glycemic control among patients with Type 2 diabetes. Journal of Diabetes and Its Complications [Internet]. 2010 [acesso em 2014 nov 09]; 24: 84–89. Disponível em: http://ac.els-cdn.com/S1056872708001293/1-s2.0-S1056872708001293-main.pdf?_tid=6636d266-69bc-11e4-b26d-00000aab0f02&acdnat=1415722041_9e1604e3f3713cd9257ca4b7b2c74d98
Vinholes DB, Assunção MCF, Neutzling MB. Freqüência de hábitos saudáveis de alimentação medidos a partir dos 10 Passos da Alimentação Saudável do Ministério da Saúde: Pelotas, Rio Grande do Sul, Brasil. Cad. Saúde Pública. 2009; 25 (4): 791-799.
Brasil. Ministério da Saúde. Guia alimentar para a população brasileira. [internet]. Brasília: Ministério da Saúde; 2014 [acesso 2015 jan 06]. Disponível em: http://portalsaude.saude.gov.br/images/pdf/2014/novembro/05/Guia-Alimentar-para-a-pop-brasiliera-Miolo-PDF-Internet.pdf
Car J, Sheikh A. Telephone consultations. British Medical Journal [Internet].
[acesso 2014 nov 04]; 326 (7396): 966-969. Disponível em:
http://www.bmj.com/content/bmj/326/7396/966.full.pdf .
Sociedade Brasileira de Diabetes (SBD). Diretrizes da Sociedade Brasileira de Diabetes: 2014-2015. São Paulo: AC Farmacêutica; 2015.
Scripps Whittier Diabetes Institute. Project DULCE [Internet]. [ acesso em 2013 jan 02]. Disponível em: http://www.scripps.org/services/metabolic-conditions__diabetes/why-choose-scripps__project-dulce
Becker TAC, Teixeira CRS, Zanetti ML. Intervenção de enfermagem na aplicação de insulina: acompanhamento por telefone. Acta paulista de Enfermagem, 2012; 25 (spe1): 67-73.
Zanetti, GG et al. Investigating telephone support as a strategy to increase the physical activity levels of people with diabetes. Journal of Diabetes Nursing,2013, 18: 32-6.
Lipschitz D.A. Screening for nutritional of status in the elderly. Primary Care, Philadelphia, 1994; 21(1): 55-67.
World Health Organization (WHO). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization, 2000. [acesso 2014 nov 07]. Disponível em: http://apps.who.int/bmi/index.jsp?introPage=intro_3.html
FISHER RA. The logico inductive inference.J. R. Statist. Soc., 1935. [acesso 2014 nov 07]; 98 (1): 39-82. Disponível em: http://www.jstor.org/stable/2342435.
Çevik AB, Özcan S, Satman I. Reducing The Modifiable Risks of Cardiovascular Disease in Turkish Patients With Type 2 Diabetes: The Effectiveness of Training. Clinical Nursing Research [Internet]. 2014 [acesso em 2014 nov 12]; 29:1-19. Disponível em: http://cnr.sagepub.com/content/early/2014/04/28/1054773814531288.long
Assunção MCF, Santos IS, Costa J. Avaliação do processo da atenção médica: adequação do tratamento de pacientes com diabetes mellitus, Pelotas, Rio Grande do Sul, Brasil. Cad. Saúde Pública [internet]. 2002 [acesso em 2014 nov 06]; 18 (1): 205-211. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102311X2002000100021&lng=en&nrm=iso
Diabetes Control And Complications Trial (DCCT). Research Group: the effect of intensive treatment of diabetes on the development and progression of the long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine. 1993, 329 (4): 977-986.
United Kingdom Prospective Diabetes Study Group (UKPDS). Intensive blood-glucose control with sulfonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. Lancet. 1988; 352:837-853.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
