Barriers to adherence to a nutritional plan and strategies to overcome them in patients with type 2 diabetes mellitus; results after two years of follow-up.

Endocrinología, Diabetes Y Nutrición
María Victoria Landa-AnellSergio Hernández-Jiménez

Abstract

Lifestyle changes in medical nutrition therapy (MNT) are associated to HbA1c decreases ranging from 0.3 to 2%. Evidence shows that people with barriers are less likely to adhere to a long-term nutritional plan. Little information is available on the barriers that prevent the implementation of a healthy nutritional plan, and the strategies used to overcome them. To report the longitudinal changes in perceptions of barriers to adherence to a nutritional plan in T2DM. A prospective cohort study with intervention. Follow-up was assessed at two years, and all patients received comprehensive care according to the CAIPaDi model. A questionnaire was used to detect the most common barriers to adherence to a nutritional plan at baseline and at 3 months and 1 and 2 years of follow-up. The analysis included data from 320 patients with complete evaluations from baseline to 2 years. Patients with T2DM aged 53.8±9.1 years (55.9% women), BMI 29.2±4.4kg/m2, and time since the diagnosis 1 (0-5) years were included in the study. At baseline, 78.4% of patients reported any barrier that limited adherence to a nutritional plan. The most common were "Lack of information on an adequate diet" (24.7%), "I eat away from home most of the time" (19.7%), an...Continue Reading

Citations

Feb 12, 2021·Journal of Pharmacy Practice·Fahamina AhmedIfeanyiChukwu O Onor
Jun 3, 2021·Nutrients·Fabiola Mabel Del Razo-OlveraCarlos Alberto Aguilar-Salinas

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