PMID- 26634056
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20151204
LR  - 20200929
IS  - 1976-1457 (Print)
IS  - 2005-6168 (Electronic)
IS  - 1976-1457 (Linking)
VI  - 9
IP  - 6
DP  - 2015 Dec
TI  - Trends in adherence to dietary recommendations among Korean type 2 diabetes 
      mellitus patients.
PG  - 658-66
LID - 10.4162/nrp.2015.9.6.658 [doi]
AB  - BACKGROUND/OBJECTIVES: The current study examined trends in adherence to dietary 
      recommendations and compared the levels of adherence between diagnosed and 
      undiagnosed subjects with type 2 diabetes mellitus (T2DM) in Korea over the past 
      14 years. SUBJECTS/METHODS: Data were collected from the 1998-2012 Korea National 
      Health and Nutrition Examination Surveys (KNHANES). Diagnosed diabetes was 
      defined as giving a positive response to questions about awareness of the 
      disease, a physician's diagnosis of diabetes, or medical treatment for diabetes, 
      whereas undiagnosed diabetes was defined as having a fasting glucose level >/= 126 
      mg/dl. Assessment of adherence level was based on 6 components of dietary 
      guidelines, considering meal patterns and intake levels of calories, 
      carbohydrates, vegetable/seaweed, sodium, and alcohol. The participants received 
      1 point if they met the criteria for each of the 6 components, and the total 
      possible score ranged from 0 to 6 points. Multivariate generalized linear 
      regression was performed, taking into account the complex survey design. RESULTS: 
      Among all diabetic patients aged 30 years or older, the proportion of diagnosed 
      diabetes increased dramatically, from 40.9% in 1998 to 75.9% in 2012 (P for trend 
      < 0.001). The overall adherence levels to dietary recommendations were low and 
      did not significantly differ between diagnosed and undiagnosed subjects with T2DM 
      for all survey years. Several improvements were observed, including increased 
      adherence to maintaining sufficient vegetable/seaweed consumption (increased from 
      0.12 to 0.16 points) and limiting sodium intake (increased from 0.12-0.13 points 
      to 0.19-0.24 points; P for trend < 0.001), while adherence to maintaining 
      moderate alcohol consumption decreased. CONCLUSIONS: Analysis of data collected 
      by the KNHANES indicates that Korean T2DM patients have poor adherence to dietary 
      recommendations and maintenance of a healthy lifestyle, regardless of disease 
      awareness. This finding suggests that development of practical, evidence-based 
      guidelines is necessary and that provision and expansion of educational programs 
      for T2DM patients is critical after diagnosis.
FAU - Park, Kyong
AU  - Park K
AD  - Department of Food and Nutrition, Yeungnam University, 280 Daehak-Ro, Gyeongsan, 
      Gyeongbuk 712-749, Korea.
LA  - eng
PT  - Journal Article
DEP - 20150820
PL  - Korea (South)
TA  - Nutr Res Pract
JT  - Nutrition research and practice
JID - 101311052
PMC - PMC4667208
OTO - NOTNLM
OT  - Adherence
OT  - Korean
OT  - dietary recommendations
OT  - type 2 diabetes mellitus
EDAT- 2015/12/04 06:00
MHDA- 2015/12/04 06:01
PMCR- 2015/12/01
CRDT- 2015/12/04 06:00
PHST- 2015/05/08 00:00 [received]
PHST- 2015/06/22 00:00 [revised]
PHST- 2015/06/22 00:00 [accepted]
PHST- 2015/12/04 06:00 [entrez]
PHST- 2015/12/04 06:00 [pubmed]
PHST- 2015/12/04 06:01 [medline]
PHST- 2015/12/01 00:00 [pmc-release]
AID - 10.4162/nrp.2015.9.6.658 [doi]
PST - ppublish
SO  - Nutr Res Pract. 2015 Dec;9(6):658-66. doi: 10.4162/nrp.2015.9.6.658. Epub 2015 
      Aug 20.