Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus

Detalhes bibliográficos
Autor(a) principal: Zibetti de Albuquerque, Izabela
Data de Publicação: 2014
Outros Autores: Ferreira Stringhini, Maria Luiza, de Morais Borges Marques, Rosana, Mundim, Cláudia Aparecida, Lourenço Dias Rodrigues, Monike, Hidalgo Campos, Maria Raquel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/18381
Resumo: AIMS: To evaluate the effect of a carbohydrate counting program on the anthropometric measurements, body composition, biochemical parameters anddietary intake of adolescentswithtype 1 diabetes mellitususing insulin. METHODS: A randomized clinical trial included adolescents between 10 and 19 years in treatment for type 1 diabetes with association of fast-acting insulin (regular) and intermediate-acting insulin (Neutral Protamine Hagedorn). The participants received nutritional counseling and were followed for four months, being divided into intervention group (IG), with carbohydrate counting, and control group (CG), without carbohydrate counting. At the beginning and end of the program, patients were evaluated for body mass index, waist circumference, body fat percentage and biochemical parameters: glycated hemoglobin, fasting glucose, postprandial glucose and lipid levels. Dietary intake was assessed every two weeks through the 24-hour recall. For intragroup comparison T-paired and Wilcoxon tests were used, and for intergroup comparison Student t and Mann-Whitney tests were used. The significance level was 5%. RESULTS: The study included 28 adolescents, 14 in each group. The IG significantly decreased glycated hemoglobin (p=0.002) and lipid intake (p=0.002), and increased carbohydrate intake (p=0.005). The CG increased glycated hemoglobin (p=0.024). The IG showed lower fasting glucose value (p=0.033) and glycated hemoglobin (p
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spelling Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitusContagem de carboidratos, estado nutricional e perfil metabólico em adolescentes com diabetes mellitus tipo 1DIABETES MELLITUSTYPE 1HEMOGLOBIN AGLYCOSYLATEADOLESCENTDIETARY CARBOHYDRATESNUTRITIONAL STATUSDIABETES MELLITUS TIPO 1HEMOGLOBINA A GLICOSILADAADOLESCENTECARBOIDRATOS DA DIETAESTADO NUTRICIONALAIMS: To evaluate the effect of a carbohydrate counting program on the anthropometric measurements, body composition, biochemical parameters anddietary intake of adolescentswithtype 1 diabetes mellitususing insulin. METHODS: A randomized clinical trial included adolescents between 10 and 19 years in treatment for type 1 diabetes with association of fast-acting insulin (regular) and intermediate-acting insulin (Neutral Protamine Hagedorn). The participants received nutritional counseling and were followed for four months, being divided into intervention group (IG), with carbohydrate counting, and control group (CG), without carbohydrate counting. At the beginning and end of the program, patients were evaluated for body mass index, waist circumference, body fat percentage and biochemical parameters: glycated hemoglobin, fasting glucose, postprandial glucose and lipid levels. Dietary intake was assessed every two weeks through the 24-hour recall. For intragroup comparison T-paired and Wilcoxon tests were used, and for intergroup comparison Student t and Mann-Whitney tests were used. The significance level was 5%. RESULTS: The study included 28 adolescents, 14 in each group. The IG significantly decreased glycated hemoglobin (p=0.002) and lipid intake (p=0.002), and increased carbohydrate intake (p=0.005). The CG increased glycated hemoglobin (p=0.024). The IG showed lower fasting glucose value (p=0.033) and glycated hemoglobin (p OBJETIVOS: Avaliar o efeito de um programa de contagem de carboidratos sobre parâmetros antropométricos, de composição corporal, bioquímicos e de consumo alimentar em adolescentes com diabetes mellitus tipo 1 em uso de insulina. MÉTODOS: Ensaio clínico randomizado que incluiu adolescentes entre 10 e 19 anos, em tratamento para diabetes mellitus tipo 1 com associação de insulinas de ação rápida (regular) e intermediária (Neutral Protamine Hagedorn). Os participantes receberam orientação nutricional e foram acompanhados durante quatro meses, sendo divididos em grupo intervenção (GI), com contagem de carboidratos, e grupo controle (GC), sem contagem de carboidratos. No início e no final do programa os pacientes foram avaliados em relação ao índice de massa corporal, circunferência da cintura, percentual de gordura corporal e parâmetros bioquímicos: hemoglobina glicada, glicemia de jejum, glicemia pós-prandial e perfil lipídico. O consumo alimentar foi avaliado a cada quinze dias por meio do recordatório de 24 horas. Para a comparação intragrupo foram utilizadosos testes T-pareado e Wilcoxon e para a comparação intergrupo os testes t Student e Mann-Whitney. O nível de significância adotado foi o de 5%. RESULTADOS: Participaram do estudo 28 adolescentes, 14 em cada grupo. O GI diminuiu significativamente a hemoglobina glicada (p=0,002) e a ingestão de lipídeos (p=0,002), e aumentou a ingestão de carboidratos (p=0,005). O GC aumentou a hemoglobina glicada (p=0,024). O GI apresentou menor valor de glicemia de jejum (p=0,033) e da hemoglobina glicada (pEditora da PUCRS - ediPUCRS2014-12-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1838110.15448/1980-6108.2014.4.18381Scientia Medica; Vol. 24 No. 4 (2014); 343-352Scientia Medica; v. 24 n. 4 (2014); 343-3521980-61081806-556210.15448/1980-6108.2014.4reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/18381/12450Zibetti de Albuquerque, IzabelaFerreira Stringhini, Maria Luizade Morais Borges Marques, RosanaMundim, Cláudia AparecidaLourenço Dias Rodrigues, MonikeHidalgo Campos, Maria Raquelinfo:eu-repo/semantics/openAccess2015-08-11T18:57:15Zoai:ojs.revistaseletronicas.pucrs.br:article/18381Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2015-08-11T18:57:15Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus
Contagem de carboidratos, estado nutricional e perfil metabólico em adolescentes com diabetes mellitus tipo 1
title Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus
spellingShingle Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus
Zibetti de Albuquerque, Izabela
DIABETES MELLITUS
TYPE 1
HEMOGLOBIN A
GLYCOSYLATE
ADOLESCENT
DIETARY CARBOHYDRATES
NUTRITIONAL STATUS
DIABETES MELLITUS TIPO 1
HEMOGLOBINA A GLICOSILADA
ADOLESCENTE
CARBOIDRATOS DA DIETA
ESTADO NUTRICIONAL
title_short Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus
title_full Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus
title_fullStr Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus
title_full_unstemmed Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus
title_sort Carbohydrate counting, nutritional status and metabolic profil eof adolescents with type 1 diabetes mellitus
author Zibetti de Albuquerque, Izabela
author_facet Zibetti de Albuquerque, Izabela
Ferreira Stringhini, Maria Luiza
de Morais Borges Marques, Rosana
Mundim, Cláudia Aparecida
Lourenço Dias Rodrigues, Monike
Hidalgo Campos, Maria Raquel
author_role author
author2 Ferreira Stringhini, Maria Luiza
de Morais Borges Marques, Rosana
Mundim, Cláudia Aparecida
Lourenço Dias Rodrigues, Monike
Hidalgo Campos, Maria Raquel
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Zibetti de Albuquerque, Izabela
Ferreira Stringhini, Maria Luiza
de Morais Borges Marques, Rosana
Mundim, Cláudia Aparecida
Lourenço Dias Rodrigues, Monike
Hidalgo Campos, Maria Raquel
dc.subject.por.fl_str_mv DIABETES MELLITUS
TYPE 1
HEMOGLOBIN A
GLYCOSYLATE
ADOLESCENT
DIETARY CARBOHYDRATES
NUTRITIONAL STATUS
DIABETES MELLITUS TIPO 1
HEMOGLOBINA A GLICOSILADA
ADOLESCENTE
CARBOIDRATOS DA DIETA
ESTADO NUTRICIONAL
topic DIABETES MELLITUS
TYPE 1
HEMOGLOBIN A
GLYCOSYLATE
ADOLESCENT
DIETARY CARBOHYDRATES
NUTRITIONAL STATUS
DIABETES MELLITUS TIPO 1
HEMOGLOBINA A GLICOSILADA
ADOLESCENTE
CARBOIDRATOS DA DIETA
ESTADO NUTRICIONAL
description AIMS: To evaluate the effect of a carbohydrate counting program on the anthropometric measurements, body composition, biochemical parameters anddietary intake of adolescentswithtype 1 diabetes mellitususing insulin. METHODS: A randomized clinical trial included adolescents between 10 and 19 years in treatment for type 1 diabetes with association of fast-acting insulin (regular) and intermediate-acting insulin (Neutral Protamine Hagedorn). The participants received nutritional counseling and were followed for four months, being divided into intervention group (IG), with carbohydrate counting, and control group (CG), without carbohydrate counting. At the beginning and end of the program, patients were evaluated for body mass index, waist circumference, body fat percentage and biochemical parameters: glycated hemoglobin, fasting glucose, postprandial glucose and lipid levels. Dietary intake was assessed every two weeks through the 24-hour recall. For intragroup comparison T-paired and Wilcoxon tests were used, and for intergroup comparison Student t and Mann-Whitney tests were used. The significance level was 5%. RESULTS: The study included 28 adolescents, 14 in each group. The IG significantly decreased glycated hemoglobin (p=0.002) and lipid intake (p=0.002), and increased carbohydrate intake (p=0.005). The CG increased glycated hemoglobin (p=0.024). The IG showed lower fasting glucose value (p=0.033) and glycated hemoglobin (p
publishDate 2014
dc.date.none.fl_str_mv 2014-12-15
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/18381
10.15448/1980-6108.2014.4.18381
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/18381
identifier_str_mv 10.15448/1980-6108.2014.4.18381
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/18381/12450
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 24 No. 4 (2014); 343-352
Scientia Medica; v. 24 n. 4 (2014); 343-352
1980-6108
1806-5562
10.15448/1980-6108.2014.4
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
_version_ 1809101750608592896

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