Abstract

HERMOZA ARAMBULO, Rodrigo David; MATELLINI MOSCA, Briano Marcelo; ROSALES ROJAS, Ángel José  and  NORIEGA RUIZ, Víctor Hugo. Adherence to nutritional therapy in patients with type 2 diabetes mellitus in a level III national hospital in Lima, Peru. Rev Med Hered [online]. 2017, vol.28, n.3, pp.150-156. ISSN 1018-130X.  http://dx.doi.org/https://doi.org/10.20453/rmh.v28i3.3181.

Objectives: To ascertain the adherence to nutritional therapy (NT) among type 2 diabetes mellitus (DM2) in a level III national hospital in Lima, Peru and to explore factors associated with it. Methods: Cross-sectional study performed in 163 patients with DM2 at the Endocrinology service of Hospital Cayetano Heredia. A food frequency questionnaire was applied; caloric and macronutrient evaluation was performed with reference values from the Centro Nacional de Alimentación y Nutrición (CENAN). Adherence to recommendation for consumption of carbohydrates, proteins and lipids was evaluated based on recommendations by the American Diabetes Association (ADA). Results: Mean age was 61.1 ± 10.3 years; 61.9% were females; 40.5% had elementary education; 38% had obesity. Only 35.6% adhered to NT. Time with DM2 was higher in the adherent group (9.8 vs. 7.5 years; p=0.035); frequency of diabetic foot was three times higher than that of non-adherent patients (12.1% vs 3.8%; p=0.04). Conclusions: This is the first attempt to evaluate adherence to NT in Peru showing low adherence rates.

Keywords : Diabetes Mellitus; type 2; nutrition therapy; diet; nutrition.

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