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Nutr Hosp. 2014 Mar 1;29(3):547-52. doi: 10.3305/nh.2014.29.3.7116.

Glycemic control and lipid profile of children and adolescents undergoing two different dietetic treatments for type 1 diabetes mellitus.

Author information

  • 1Nutricionist. Master (MSc) in Human Nutrition by the Institute of Nutrition Josué de Castro (INJC). Federal University of Rio de Janeiro (UFRJ).. elizabethaccioly@ig.com.br.
  • 2Nutricionist. Doctor (PhD) in Sciences by Osvaldo Cruz Foundation (FIOCRUZ). Professor at the Departament of Nutrition and Dietetics-INJC/UFRJ. Coordinator of the Research Group on Maternal and Child Health (GPSMI) at INJC/UFRJ.. elizabethaccioly@ig.com.br.
  • 3Nutricionist. Doctor (PhD) in Nutritional Sciences by INJC/UFRJ. Professor at the Departament of Nutrition and Dietetics-INJC/UFRJ. Researcher of the Research Group on Maternal and Child Health (GPSMI) at INJC/UFRJ. Member of the Diabetes Sector of the Pediatrics and Childcare Institute Martagão Gesteira (IPPMG)/UFRJ.. elizabethaccioly@ig.com.br.
  • 4Pediatric Doctor. Specialist in Pediatric Endocrinology. Head member of the Diabetes Sector-IPPMG/UFRJ.. elizabethaccioly@ig.com.br.
  • 5Pediatric Doctor. Specialist in Pediatric Endocrinology. Master (MSc) in Medicine focusing Nutrition and Diabetes-UFRJ. Member of the Diabetes Sector-IPPMG/UFRJ.. elizabethaccioly@ig.com.br.
  • 6Nutricionist. Doctor (PhD) in Sciences by the Federal University of São Paulo (UNIFESP). Professor at the Department of Nutrition and Dietetics-INJC/UFRJ. Researcher of the Research Group on Maternal and Child Health (GPSMI)-INJC/UFRJ. Brazil.. elizabethaccioly@ig.com.br.

Abstract

in English, Spanish

OBJECTIVE:

To compare the glycemic control and lipid profile of children and adolescents undergoing two different dietetic treatments for type 1 Diabetes Mellitus assisted at the Children and Adolescent's Diabetes Mellitus Health Center-UFRJ.

METHODS:

A retrospective longitudinal study conducted between 2002 and 2006. We evaluated the same subjects in two different periods: after 1 year in TD and subsequently after 1 year in CCHO. The evolution of the nutritional status during the dietary treatments was evaluated using Body Mass Index (BMI) for age. The lipid panel was evaluated according to the 1st Guideline for Prevention of Atherosclerosis in Childhood and Adolescence, used in Brazil, and the glycemic control was evaluated by measuring glycated hemoglobin (HbA1c).

RESULTS:

We evaluated 93 individuals, 38.7% children and 61.3% adolescents. The mean age at study entry was 11.1 (± 2.66) years and the mean disease duration was 6.1 (± 3.2) years. A significant difference in the percentage of adequacy of HbA1c (p = 0.000) and in the values of total plasma cholesterol (p = 0.043) was found after 1 year of CCHO diet, which did not happen during the observation time of TD. The evolution of anthropometric nutritional status showed no significant difference between the beginning and the end of both dietary treatments.

CONCLUSION:

The results of this study suggest that a more flexible food orientation program can contribute to the improvement of blood glucose levels without causing deterioration of the lipid profile when compared to TD.

Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

PMID:
24558997
[PubMed - in process]
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