scholarly journals Subjects’ experiences of a nutrition education programme: a qualitative study of adults with type 2 diabetes mellitus living in a rural resource-limited setting in South Africa

2016 ◽  
Vol 29 (2) ◽  
pp. 83-89 ◽  
Author(s):  
Jane Muchiri ◽  
Gerda Gericke ◽  
Paul Rheeder
2019 ◽  
Author(s):  
ANN Watetu THUITA-Wambugu ◽  
Beatrice Nyanchama Kiage ◽  
Arnold N Onyango ◽  
Makokha O Anselimo

Abstract Background Type 2 diabetes mellitus; a chronic disorder characterized by poor glycemic control, is a life threatening condition of global public health concern which worsens in the presence of metabolic syndrome (MetS) and associated risks. However application of lifestyle intervention may reduce this risk. The aim of the current study was to evaluate the effect of nutrition education programme with inclusion of peer to peer support on MetS and Mets risk factors in type 2 diabetes mellitus patient. Methods This was a randomized controlled trial with two intervention groups and one control. The intervention groups included nutrition education peer to peer support group (NEP) (n=51) and nutrition education group (NE) (n=51) which participated in an eight week (2 h per week) group nutrition education sessions and follow-up sessions for six month. The NEP in addition had a peer to peer support component on weekly basis for the eight weeks of training and monthly support for six months. The control group (C) (n 51) received standard care. Outcomes were assessed at 6 months. An intention-to-treat analysis was conducted using analysis of co-variance (ANCOVA).Results: Differences in MetS were -38.1 and -31.7% (P<0.01) at 6 months in the NEP group as per Harmonized and WHO criteria respectively. Significant improvement was seen in number of participant achieving recommended waist circumference; WC (33.9 %) and high density lipoprotein; HDL (35.2%) in the NEP group and blood pressure; BP (reduction by 39.2 and 31.6) as per harmonized and WHO criteria respectively in the NE group. six month post intervention Statistical mean change was also noted six month post intervention in; weight lost (-6.26kg), BMI (-2.37 kg/m2), waist hip ratio; WHR (-0.03), WC (-14.51 cm) and HDL (+0.34mmol/l in the NEP group and diastolic blood pressure; DBP (-5.17 mmhg) in the NE group. Comparison of the NEP and NE with control showed that NEP and NE had better outcome.Conclusions: Nutrition education with inclusion of peer to peer support was of clinical benefit in reducing metabolic outcomes and MetS in Type 2 diabetes mellitus patient. Optimal goal setting and self-effective training could benefit future nutrition education programmes with peer to peer support component for people with Type 2 Diabetes and at risk of Mets.


2015 ◽  
Vol 19 (1) ◽  
pp. 142-155 ◽  
Author(s):  
Jane W Muchiri ◽  
Gerda J Gericke ◽  
Paul Rheeder

AbstractObjectiveTo evaluate the effect of a participant-customised nutrition education programme on glycated Hb (HbA1c), blood lipids, blood pressure, BMI and dietary behaviours in patients with type 2 diabetes mellitus.DesignA randomised controlled trial. The control group (n 41) received education materials. The intervention group (n 41) received the same education materials and participated in eight weekly (2–2·5 h) group nutrition education sessions and follow-up sessions. Outcomes were assessed at 6 and 12 months. An intention-to-treat analysis was conducted. ANCOVA compared the groups (adjustments for baseline values, age, sex and clinic).SettingTwo community health centres, Moretele sub-district (North West Province), South Africa.SubjectsAdults (aged 40–70 years) with type 2 diabetes, HbA1c ≥8 %.ResultsDifferences in HbA1c (primary outcome) were −0·64 % (P=0·15) at 6 months and −0·63 % (P=0·16) at 12 months in favour of the intervention group. Starchy-food intake was significantly lower in the intervention group, 9·3 v. 10·8 servings/d (P=0·005) at 6 months and 9·9 v. 11·9 servings/d (P=0·017) at 12 months. Median energy intake was significantly lower in the intervention group at 12 months (5988 v. 6946 kJ/d, P=0·017). No significant group differences in BMI, lipid profile, blood pressure and intakes of macronutrients, vegetables and fruits were observed.ConclusionsNutrition education was not efficacious on HbA1c; however, it improved specific dietary behaviours. Group education and hands-on activities appeared to contribute to the improvement. Optimal goal setting and self-efficacy training/assessment could benefit future nutrition education programmes for people with type 2 diabetes mellitus in resource-limited settings.


Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3516
Author(s):  
Savvas Katsaridis ◽  
Maria G. Grammatikopoulou ◽  
Konstantinos Gkiouras ◽  
Christos Tzimos ◽  
Stefanos T. Papageorgiou ◽  
...  

Patient adherence to guidelines is important for improved outcomes and prognosis. Nevertheless, many patients with type 2 diabetes mellitus (T2DM) do not comply with the recommendations regarding medication, physical activity, diet or self-care. The present cross-sectional study aimed to assess the level of adherence to the dietary recommendations issued by the American Diabetes Association (ADA) among patients with T2DM in Komotini, Greece. A total of 162 adults with T2DM (64.7 ± 10.6 years old), of which 41.4% were men, were recruited from the Sismanoglio Hospital and participated in the study. The level of adherence to individual recommendations issued by the ADA was assessed using yes/no questions. The overall adherence rate to the guidelines was low (41.2%). According to the multivariable analysis, age and medication therapy were identified as contributors to the compliance rate. No differences were noted in the total compliance rate between patients of different religious denominations (Muslims/Christians). Patients on oral antidiabetic agents (OAA) were more adherent compared with those on insulin therapy. A mere 3.7% of the participants had received nutrition education by a registered dietitian, 9.9% were following an individualized diet plan to improve glycemia, and 3.1% had set specific energy goals to reduce body weight. These findings are indicative of the need for the delivery of improved nutrition education.


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