Adherence to nutrition counseling for diabetes mellitus in a primary health care service

• Autor(a) principal: Rodriguez, Maria Tereza Gouveia
• Data de Publicação: 2014
• Outros Autores: Santos, Luana Caroline, Lopes, Aline Cristina Souza
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Reme (Online)
• Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50137
• topic: Diabetes Mellitus; Patient Compliance; Counseling; Health Promotion; Primary Health Care; Diabetes Mellitus; Cooperación del Paciente; Consejo; Promoción de la Salud; Atención Primaria de Salud; Diabetes Mellitus; Cooperação do Paciente; Aconselhamento; Promoção da Saúde; Atenção Primária à Saúde

The aim of this study was to analyze the adherence to nutritional recommendations among patients with diabetes mellitus (DM) in a Primary Health Care service. We conducted a 12-month intervention study with DM patients. All study subjects received individual nutritional counseling. We collected demographic, health and nutrition data. The adherence was measured by comparing patients' self-reported evolution with nutritional recommendations for the treatment of DM. It was classified as low ( 50%). Barriers to adherence were also investigated. 11 patients participated in the study. Most participants were female, elderly, and had lower income and education levels. After 12 months, the recommendations to which there was greater adherence were: eat slowly; avoid excessive consumption of foods high in complex carbohydrates; and avoid the consumption of food between meals (e.g. snacks). 63.6% of subjects showed low adherence. Dietary restrictions were reported as the main barrier to adherence. These findings corroborate that patient adherence to nutritional recommendations is a challenge to health care delivery, especially among individuals with low income. It needs to be better assessed in health care settings.