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Efficacy of diabetes nutrition counseling on metabolic factors and knowledge, attitude, and practice
Amirhossein Gholamnia Khatir1 
, Ali Jafari2 , Atena Mohammadian1 , Javad Heshmati3 , Motahareh Hasani *4
, Ali Jafari2 , Atena Mohammadian1 , Javad Heshmati3 , Motahareh Hasani *4
1- School of Medicine, Golestan University of Medical Sciences and Health Services, Gorgan, Iran.
2- Department of Community Nutrition, School of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran ; Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Public Health, Songhor Healthcare Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
4- Department of Nutritional Sciences, School of Health, Golestan University of Medical Sciences, Gorgan, Iran ; Metabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran
2- Department of Community Nutrition, School of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran ; Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Public Health, Songhor Healthcare Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
4- Department of Nutritional Sciences, School of Health, Golestan University of Medical Sciences, Gorgan, Iran ; Metabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran
Abstract: (541 Views)
Background: This study aimed to evaluate the impact of nutrition experts' involvement on the metabolic parameters and the knowledge, attitude, and practice of type 2 diabetes patients.
Methods: We used a retrospective cohort design for this study. We randomly selected 156 type 2 diabetes patients, of whom 78 received nutrition-related education and formed the exposure group. In contrast, the other 78 received no nutrition-related advice and constituted the non-exposure group.
Results: The exposure and non-exposure groups had similar average BMI values of 28.09 ± 5.01 and 29.45 ± 4.26, respectively, with no significant difference between them. However, the exposure group showed a significant reduction in average FBS and HbA1C levels, from 173.24 ± 71.57 to 147.76 ± 50.09 and from 8.30 ± 1.92 to 7.25 ± 1.44, respectively, compared to the non-exposure group. The exposure and non-exposure groups also had comparable average scores for knowledge, attitude, and practice, with 55.54 ± 13.99, 26.15 ± 14.03, and 41.92 ± 14.69 for the exposure group and 52.56 ± 13.24, 26.01 ± 14.85, and 41.47 ± 15.02 for the non-exposure group, respectively. No significant differences were detected between the two groups in these scores.
Conclusion: The study highlights the importance of implementing training programs and expanding their reach for diabetes management. Although no significant difference was found in knowledge, attitude, and practice scores between the two groups, the exposure group demonstrated improved physical activity levels and control of clinical parameters.
Methods: We used a retrospective cohort design for this study. We randomly selected 156 type 2 diabetes patients, of whom 78 received nutrition-related education and formed the exposure group. In contrast, the other 78 received no nutrition-related advice and constituted the non-exposure group.
Results: The exposure and non-exposure groups had similar average BMI values of 28.09 ± 5.01 and 29.45 ± 4.26, respectively, with no significant difference between them. However, the exposure group showed a significant reduction in average FBS and HbA1C levels, from 173.24 ± 71.57 to 147.76 ± 50.09 and from 8.30 ± 1.92 to 7.25 ± 1.44, respectively, compared to the non-exposure group. The exposure and non-exposure groups also had comparable average scores for knowledge, attitude, and practice, with 55.54 ± 13.99, 26.15 ± 14.03, and 41.92 ± 14.69 for the exposure group and 52.56 ± 13.24, 26.01 ± 14.85, and 41.47 ± 15.02 for the non-exposure group, respectively. No significant differences were detected between the two groups in these scores.
Conclusion: The study highlights the importance of implementing training programs and expanding their reach for diabetes management. Although no significant difference was found in knowledge, attitude, and practice scores between the two groups, the exposure group demonstrated improved physical activity levels and control of clinical parameters.
Keywords: Knowledge, Attitude, Professional Practice, Diabetes Mellitus, Type 2, Diet, Food, and Nutrition
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