Evaluation of fiber intake in diabetes 2 patients of an asistencial center of Rosario city
DOI:
https://doi.org/10.14306/renhyd.17.3.20Keywords:
Type 2 Diabetes Mellitus, dietary fiber, soluble fiber, insoluble fiber, Nutritional assessment, Nutrition surveysAbstract
Introduction: a diet high in fiber has associated with better glycaemic control in diabetes 2 patients, being the soluble fraction of the most effective in the control of blood sugar levels. The aim of the study is determine the amount of total, soluble and insoluble dietary fiber intake by patients with type 2 diabetes who attended a medical centre for diabetics in Rosario.
Material and methods: descriptive, observational, cross-sectional study was conducted. It was determined a sample of 60 adults with a diagnosis of diabetes type 2 >6 months, 18 to 70 years old, with no disease or intestinal disorders. A semiquantitative food frequency questionnaire of foods source of dietary fiber, and a photo album was used to identify the portion size. Descriptive statistical analysis was performed and Chi-square and ANOVA test was used to evaluate the association.
Results: the average consumption of total fiber was 18,8±5,9 g/d, 14, 8±4,6 g/d corresponded to insoluble fiber and 4,0±1,5 g/d to soluble fiber. Fruits and vegetables contributed 82% of soluble fiber. Most patients (62%) had a consumption of fiber total less than the recommendation of the ADA, and 60% presented an inadequate relationship between intake of soluble and insoluble fiber.
Conclusions: it is necessary to increase the contribution of total dietary fiber, especially the soluble fraction in diabetes 2 patients, because there are evidences that supports its benefits.
References
Mataix Verdú JM, Gassull MA. Diabetes Mellitus. En: Mataix Verdú J.M. Nutrición y alimentación humana. Vol. 2. 2ª ed. Barcelona: Editorial Océano; 2005.
Organización Panamericana de Salud. La Diabetes en las Américas. Boletín epidemiológico. 2001; 22(2): 1-3.
World Health Organization. Diet, Nutrition and Prevention of the Chronic Disease. WHO Technical Report Series 916: Geneva; 2003.
Springer SC, Silverstein J, Copeland K, Moore KR, Prazar GE, Raymer T, Shiffman RN, Thaker VV, Anderson M, Spann SJ,
Flinn SK; American Academy of Pediatrics. Management of type 2 diabetes mellitus in children and adolescents. Pediatrics. 2013 Feb; 131(2): 648-64.
American Diabetes Association. Standards of medical care in diabetes-2012. Diabetes Care. 2012 Jan; 35 Suppl 1: S11-63.
Schwartz SS. A practice-based approach to the 2012 position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Curr Med Res Opin. 2013 Jul; 29(7): 793-9.
Cabrera Llano JL, Cárdenas Ferrer M. Importancia de la fibradietética para la nutrición humana. Rev Cubana Med Salud Pública 2006; 32(4).
Chandalia M, Garg A, Lutjohann D, von Bergmann K, Grundy SM, Brinkley LJ. Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med. 2000 May 11; 342(19): 1392-8.
Steemburgo T, Dall’Alba V, Almeida JC, Zelmanovitz T, Gross JL, de Azevedo MJ. Intake of soluble fibers has a protective role for the presence of metabolic syndrome in patients with type 2 diabetes. Eur J Clin Nutr. 2009 Jan; 63(1): 127-33.
Olivares S, Soto D. Dietoterapia y educación en la Diabetes Mellitus. En: Olivares S, Soto D. Nutrición prevención de riesgos y tratamiento dietético. 2ª ed. Santiago de Chile: Confederación Latinoamericana de Nutricionistas y Dietistas; 1991.
Pérez Rodríguez A, Barrios López Y, Monier Tornés A, Berenguer Gouarnalusses M, Martínez, Fernández I. Repercusión social de la educación diabetológica en personas con diabetes mellitus [artículo en línea] MEDISAN 2009; 13(1). http://scielo.sld.cu/pdf/san/v13n4/san11109.pdf
Aráuz A, Sánchez G, Padilla G, Fernández M, Rosell M, Guzmán S. Intervención educativa comunitaria sobre la diabetes en el ámbito de la atención primaria. Rev Panam Salud Pública. 2001; 9(3): 145-153.
García G, Aguilar C, Palau A, Dalmau MR. Educación grupal frente a individual en pacientes diabéticos tipo 2. Aten Primaria. 2003; 32(1): 36-41.
Escudero E. González P. La fibra dietética. Nutr Hosp. 2006; 21 (Supl2): 61-72.
Mataix Verdú JM, Gassull M.A. Fibra alimentaria. En: Mataix Verdu J.M. Nutrición y alimentación humana. Vol. 1. 2ª ed. Barcelona: Editorial Océano; 2005.
American Diabetes Association, Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG, et al. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2008 Jan; 31(Suppl 1): S61-78.
Wolfram T, Ismail-Beigi F. Efficacy of high-fiber diets in the management of type 2 diabetes mellitus. Endocr Pract. 2011 Jan-Feb; 17(1): 132-42
Mello VD, Laaksonen DE. Dietary fibers: current trends and health benefits in the metabolic syndrome and type 2 diabetes. Arq Bras Endocrinol Metabol. 2009 Jul; 53(5): 509-18.
Marlett JA. Content and composition of dietary fiber in 117 frequently consumed foods. J Am Diet Assoc. 1992; 92(2): 175-86.
Mazzei ME. Puchulu M.R. Tabla de composición química de los alimentos. 2ª ed. Buenos Aires: Cenexa y Leiden; 1995.
Zapata ME. Evaluación y comparación del consumo de fibra dietética entre los estudiantes de nutrición de UCEL (Rosario–Argentina) y UNIMEP (Piracicaba – Brasil). Actu. nutr. 2008; 9(2): 127-142.
Ministerio de Salud de la Nación. Guía de Práctica Clínica Nacional sobre Prevención, Diagnóstico y Tratamiento de la Diabetes Mellitus Tipo 2 para el Primer Nivel de Atención. 2009. Disponible en http://www.msal.gov.ar.
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