Effects of a multimedia educational intervention on lifestyles and metabolic control of adult diabetic patients
Por:
Penney-Amador, Carlos, Mendoza-Salmeron, Grecia, Violeta Munoz-Torres, Abril, Roy-Garcia, Ivonne, Achar-De La Macorra, Renata, Elisa Lam-Chavez, Ana, Escobedo-de la Pena, Jorge, Velazquez-Lopez, Lubia
Publicada:
1 abr 2020
Categoría:
Medicine (miscellaneous)
Resumen:
Background: Education is the mainstay of medical management of chronic
non communicable diseases such as diabetes mellitus. Aim: To assess the
effects of a multimedia diabetes education intervention and nutritional
therapy on lifestyle changes and metabolic control of patients with type
2 diabetes mellitus. Material and Methods: We studied 219 patients with
type 2 diabetes mellitus aged 561 8 years (28% males). They received
education through a multimedia site about control indicators,
complications, nutrition and physical exercise, among others. They also
received a personalized nutritional therapy. They were followed-up for
one year. At baseline and the end of follow up they were weighed, and
their waist circumference and blood pressure were measured. A fasting
blood sample was withdrawn to measure glucose, glycosylated hemoglobin
and lipid profile. Lifestyles were assessed using a self-administered
questionnaire called IMEVID. Results: The median duration of diabetes
was six years. During the follow up, patients had a significant
reduction in body weight, waist circumference and blood pressure and
improvements in glycosylated hemoglobin, HDL and LDL cholesterol. Seven
and 13% of patients reported favorable lifestyles at baseline and the
end of follow up, respectively (p < 0.01). Compared with their
counterparts with unfavorable lifestyles, patients with a favorable
lifestyle had a significantly lower weight and glycosylated hemoglobin
at the end of follow up. Conclusions: The educational intervention along
with nutritional therapy improved metabolic control and lifestyles in
this group of diabetic patients.
Filiaciones:
Penney-Amador, Carlos:
Inst Mexicano Seguro Social, Unidad Med Familiar 28, Mexico City, DF, Mexico
Mendoza-Salmeron, Grecia:
Univ Iberoamer, Sede Santa Fe, Mexico City, DF, Mexico
Violeta Munoz-Torres, Abril:
Univ Nacl Autonoma Mexico, Dept Salud PUbl, Escuela Med, Mexico City, DF, Mexico
Roy-Garcia, Ivonne:
Inst Mexicano Seguro Social, Div Desarrollo Invest, Coordinac Invest Salud, Mexico City, DF, Mexico
Achar-De La Macorra, Renata:
Univ Iberoamer, Sede Santa Fe, Mexico City, DF, Mexico
Elisa Lam-Chavez, Ana:
Univ Iberoamer, Sede Santa Fe, Mexico City, DF, Mexico
Escobedo-de la Pena, Jorge:
Hosp Carlos Mac Gregor Sanchez Navarro, Unidad Invest, Epidemiol Clin, Mexico City, DF, Mexico
Velazquez-Lopez, Lubia:
Hosp Carlos Mac Gregor Sanchez Navarro, Unidad Invest, Epidemiol Clin, Mexico City, DF, Mexico
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