Family Food Choices Relate to Nutritional Behavior in Adult Patients with Type 1 Diabetes: Possible Implications on Metabolic Control
Ticiane Gonçalez Bovi
Division of Endocrinology, Department of Clinical Medicine, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, CP:13083-887, SP, Brazil.
Denise Engelbrecht Zantut-Wittmann
Division of Endocrinology, Department of Clinical Medicine, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, CP:13083-887, SP, Brazil.
Arnaldo Moura Neto
Division of Endocrinology, Department of Internal Medicine, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, CP:13083-887, SP, Brazil.
Elizabeth João Pavin
Division of Endocrinology, Department of Clinical Medicine, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, CP:13083-887, SP, Brazil.
Maria Cândida Ribeiro Parisi *
Division of Endocrinology, Department of Internal Medicine, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, CP:13083-887, SP, Brazil and Department of Endocrinology, Faculty of Medicine, Hospital das Clinicas, University of São Paulo, CP: 01246-904 SP, Brazil.
*Author to whom correspondence should be addressed.
Abstract
This study compared the levels of calories and macronutrients ingested by patients with type 1 diabetes and their relatives. This is a cross-sectional study that evaluated dietary intake (24-hour Food Record), nutritional status (Body Mass Index), as well as socioeconomic status of patients and their families. Glycemic control was assessed by glycated hemoglobin (HbA1c). There were positive correlations between dietary intake of patients and family members/accompanying persons regarding carbohydrates, proteins and lipids consumption. Dietary intake of patients and their family members was similar, but inadequate and discordant in relation to current recommendations. Longer time since diagnosis and in service as well as higher number of capillary blood tests was related to better HbA1c levels. Kinship relationship to HbA1c requires further study focusing on parental influence on the treatment of adult patients with type 1 diabetes.
Keywords: Diabetes, type 1 diabetes, family, food habits, nutritional status.