Clin Nutr Res.  2014 Jul;3(2):106-114. 10.7762/cnr.2014.3.2.106.

Effects of Diet Modification on Meal Quality and Quality of Life in Korean Diabetic Patients: Data from Korea National Health and Nutrition Examination Survey (2007-2011)

Affiliations
  • 1Department of Food and Nutrition, Korea University, Seoul 136-703, South Korea.
  • 2Department of Public Health Sciences, Graduate School, Korea University, Seoul 136-703, South Korea.
  • 3Korea University Guro Hospital, Korea University, Seoul 152-703, South Korea.
  • 4Severance Institute for Vascular and Metabolic Research, Yonsei University College of Medicine, Seoul 120-749, South Korea. chk@yuhs.ac

Abstract

It is generally accepted that diet modification provides beneficial effects on the management of diabetes. In the present study, we evaluated the effects of diet modification on nutrient intake and quality of life in a large sample of diabetic patients. This study was conducted using data from the Korea National Health and Nutrition Examination Survey IV and V (2007-2010). A total of 2,484 of diabetic patients were included in the analysis. Then, we compared the overall quality of dietary intake between diabetic patients with diet modification and those without dietary modification. The result showed that subjects on diabetic diet (DDG) showed lower levels of total cholesterol, triglyceride, and AST before and after the adjustment for covariates (all p < 0.05). The results of nutrient assessment showed that DDG had lower intakes of total energy, fat, and carbohydrate (all p < 0.05), but higher intakes of energy from protein, vitamin B1, vitamin B2, niacin and vitamin C than NDG. (all p < 0.05). In addition, nutritional adequacy ratio of calcium and vitamin B2 were significantly higher in DDG than those in normal diet group (NDG) (p < 0.05). However, we observed no significant differences in quality of life between two groups. In conclusion, diet modification in diabetic patients seemed to be effective to improve blood lipid profile and the adequacy of nutrient intake without sacrificing the quality of life.

Keyword

Diet modification; Diabetes; Meal quality; Quality of life

MeSH Terms

Ascorbic Acid
Calcium
Cholesterol
Diet, Diabetic
Diet
Food Habits*
Humans
Korea
Meals*
Niacin
Nutrition Surveys*
Quality of Life*
Riboflavin
Thiamine
Triglycerides
Ascorbic Acid
Calcium
Cholesterol
Niacin
Riboflavin
Thiamine

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