Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1
Introduction: Type 1 Diabetes Mellitus (T1DM) is an autoimmune disease identified by the failure to produce insulin due to the destruction of pancreatic β cells, resulting from the interaction of various environmental and genetic factors. Nutritional therapy is the most important tool for succ...
| Autor principal: | CAMARA, Lediane Nunes |
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| Grau: | Trabalho de Conclusão de Curso - Graduação |
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2023
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oai:https:--bdm.ufpa.br:8443:prefix-60542023-09-19T13:20:40Z Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1 CAMARA, Lediane Nunes GOMES, Daniela Lopes http://lattes.cnpq.br/0014255351015569 ULIANA, Gabriela Correia http://lattes.cnpq.br/7105217362554840 https://orcid.org/0000-0001-7042-8254 Diabetes mellitus tipo 1 Terapia nutricional Carboidratos Hemoglobina glicada Diabetes mellitus type 1 Nutrition therapy Carbohydrates Glycated hemoglobin CNPQ::CIENCIAS DA SAUDE:: NUTRIÇÃO Introduction: Type 1 Diabetes Mellitus (T1DM) is an autoimmune disease identified by the failure to produce insulin due to the destruction of pancreatic β cells, resulting from the interaction of various environmental and genetic factors. Nutritional therapy is the most important tool for successful treatment of patients with T1DM, contributing to glycemic control and supplying the energy and nutritional needs of individuals. Thus, the Carbohydrate Counting (CC) is a nutritional strategy that is based on estimating the grams of carbohydrates that will be ingested at each meal, enabling the knowledge of the effects on blood glucose. Some studies show the beneficial relationship between adherence to CC and clinical and anthropometric data in people with T1DM, but Brazilian studies evaluating the relationship between clinical and anthropometric measures and CC for people with T1DM are still scarce. Aim: To verify the association between the clinical and anthropometric profile and adherence to CC by people with T1DM. Methodology: This is a cross-sectional, descriptive and analytical study carried out with adults with T1DM, of both sexes, who knew the CC strategy. Data were collected through an online form, which contained questions regarding knowledge of CC and clinical and anthropometric data. For data analysis, the Statistical Package for Social Science software, version 24.0, was used, with descriptive data categorized into absolute frequency and proportion, and in the analytical phase, Pearson's Chi-Square test, with residual analysis. A statistical significance level of p<0.05 was considered. Results: A total of 188 people with T1DM were evaluated, most of them with a diagnosis time of more than 10 years (n=120; 63.8%), eutrophic (n=105; 55.9%) and with a mean BMI of 25.0 ±4, 5 kg/m2, had increased HbA1c (n=104; 55.3%) and had CC (n=105; 55.9%). There was an association between adherence to the CC and having been tested for HbA1c for up to 3 months (p=0.037), adequate HbA1c (p=0.017), having more than 10 years of T1DM diagnosis (p=0.002) and between adequate HbA1c and performing of CC at lunch (p=0.034) and dinner (p=0.019), using CC applications (p=0.001) and non-specific CC applications (p<0.001), as a way of researching the amount of carbohydrates. Conclusion: After carrying out this study, it is concluded that not performing CC may be associated with obesity, adherence to CC is associated with better glycemic control, with the measurement of HbA1c at the correct time and seems to be higher over the time of diagnosis , as well as the use of cell phone applications seems to help in adherence to this nutritional therapy strategy. Thus, the study was fundamental, as it appears that adherence to CC is a nutritional strategy of extreme importance in maintaining adequate clinical and anthropometric characteristics during the treatment of DM1. Introdução: O Diabetes Mellitus tipo 1 (DM1) é uma doença autoimune identificada pela falha na produção de insulina devido à destruição de células β pancreáticas, resultante da interação de vários fatores ambientais e genéticos. A terapia nutricional é a ferramenta mais importante para o sucesso no tratamento do paciente com DM1, colaborando para o controle glicêmico e suprimento das necessidades energéticas e nutricionais dos indivíduos. Dessa maneira, a Contagem de Carboidratos (CC) é uma estratégia nutricional que se baseia em estimar as gramas de carboidratos que serão ingeridos em cada refeição, possibilitando o conhecimento dos efeitos na glicemia. Alguns estudos mostram a relação benéfica entre a adesão a CC e os dados clínicos e antropométricos em pessoas com DM1, mas ainda são escassos os estudos brasileiros nesta temática. Objetivo: Verificar a associação entre o perfil clínico e antropométrico e a adesão à CC por pessoas com DM1. Método: Trata-se de um estudo transversal, descritivo e analítico, realizado com adultos com DM1, de ambos os sexos, que conheciam a estratégia da CC. Os dados foram coletados por meio de um formulário online, que continha perguntas referentes ao conhecimento da CC e dados clínicos e antropométricos. Para análise dos dados foi usado o software Statistical Package for Social Science, versão 24.0, sendo os dados descritivos categorizados em frequência absoluta e proporção, e na fase analítica, o teste Qui-Quadrado de Pearson, com análise de resíduos ajustados (nível de significância estatística de p<0,05). Resultados: Foram avaliadas 188 pessoas com DM1, entre as quais a maioria possuía tempo de diagnóstico de mais de 10 anos (n=120; 63,8%), estavam eutróficos (n=105; 55,9%) e com IMC médio de 25,0±4,5 kg/m2 , tinham a HbA1c aumentada (n=104; 55,3%) e faziam a CC (n=105; 55,9%). Houve associação entre adesão à CC e ter feito o exame de HbA1c em até 3 meses atrás (p=0,037), ter HbA1c adequada (p=0,017), ter mais de 10 anos de diagnóstico de DM1 (p=0,002) e entre HbA1c adequada e realizar a CC no almoço (p=0,034) e no jantar (p=0,019), utilizando aplicativos de CC (p=0,001) e aplicativos não específicos de CC como meio de pesquisar a quantidade de carboidratos (p<0,001). Conclusão: Após a realização deste estudo conclui-se que não fazer a CC pode estar associado à obesidade, a adesão à CC está associada a um melhor controle glicêmico, à aferição da HbA1c no tempo correto e parece ser maior no decorrer do tempo de diagnóstico, bem como o uso de aplicativos de celular parece auxiliar na adesão a esta estratégia de terapia nutricional. Dessa forma, o estudo foi fundamental, pois nota-se que a adesão a CC é uma estratégia nutricional de extrema importância na manutenção de características clínicas e antropométricas adequadas durante o tratamento da DM1. 2023-08-28T14:31:23Z 2023-08-28T14:31:23Z 2022 Trabalho de Conclusão de Curso - Graduação CAMARA, Lediane Nunes. Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1. Orientadora: Daniela Lopes Gomes; Coorientadora: Gabriela Correia Uliana. 2022. 46 f. Trabalho de Conclusão de Curso (Bacharelado em Nutrição) - Faculdade de Nutrição, Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém, 2022. Disponível em: https://bdm.ufpa.br:8443/jspui/handle/prefix/6054. Acesso em:. https://bdm.ufpa.br:8443/jspui/handle/prefix/6054 Acesso Aberto Disponível na Internet via correio eletrônico: bibsaude@ufpa.br |
| institution |
Biblioteca Digital de Monografias - UFPA |
| collection |
MonografiaUFPA |
| topic |
Diabetes mellitus tipo 1 Terapia nutricional Carboidratos Hemoglobina glicada Diabetes mellitus type 1 Nutrition therapy Carbohydrates Glycated hemoglobin CNPQ::CIENCIAS DA SAUDE:: NUTRIÇÃO |
| spellingShingle |
Diabetes mellitus tipo 1 Terapia nutricional Carboidratos Hemoglobina glicada Diabetes mellitus type 1 Nutrition therapy Carbohydrates Glycated hemoglobin CNPQ::CIENCIAS DA SAUDE:: NUTRIÇÃO CAMARA, Lediane Nunes Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1 |
| topic_facet |
Diabetes mellitus tipo 1 Terapia nutricional Carboidratos Hemoglobina glicada Diabetes mellitus type 1 Nutrition therapy Carbohydrates Glycated hemoglobin CNPQ::CIENCIAS DA SAUDE:: NUTRIÇÃO |
| description |
Introduction: Type 1 Diabetes Mellitus (T1DM) is an autoimmune disease identified by the
failure to produce insulin due to the destruction of pancreatic β cells, resulting from the
interaction of various environmental and genetic factors. Nutritional therapy is the most
important tool for successful treatment of patients with T1DM, contributing to glycemic control
and supplying the energy and nutritional needs of individuals. Thus, the Carbohydrate Counting
(CC) is a nutritional strategy that is based on estimating the grams of carbohydrates that will be
ingested at each meal, enabling the knowledge of the effects on blood glucose. Some studies
show the beneficial relationship between adherence to CC and clinical and anthropometric data
in people with T1DM, but Brazilian studies evaluating the relationship between clinical and
anthropometric measures and CC for people with T1DM are still scarce. Aim: To verify the
association between the clinical and anthropometric profile and adherence to CC by people with
T1DM. Methodology: This is a cross-sectional, descriptive and analytical study carried out with
adults with T1DM, of both sexes, who knew the CC strategy. Data were collected through an
online form, which contained questions regarding knowledge of CC and clinical and
anthropometric data. For data analysis, the Statistical Package for Social Science software,
version 24.0, was used, with descriptive data categorized into absolute frequency and
proportion, and in the analytical phase, Pearson's Chi-Square test, with residual analysis. A
statistical significance level of p<0.05 was considered. Results: A total of 188 people with
T1DM were evaluated, most of them with a diagnosis time of more than 10 years (n=120;
63.8%), eutrophic (n=105; 55.9%) and with a mean BMI of 25.0 ±4, 5 kg/m2, had increased
HbA1c (n=104; 55.3%) and had CC (n=105; 55.9%). There was an association between
adherence to the CC and having been tested for HbA1c for up to 3 months (p=0.037), adequate
HbA1c (p=0.017), having more than 10 years of T1DM diagnosis (p=0.002) and between
adequate HbA1c and performing of CC at lunch (p=0.034) and dinner (p=0.019), using CC
applications (p=0.001) and non-specific CC applications (p<0.001), as a way of researching the
amount of carbohydrates. Conclusion: After carrying out this study, it is concluded that not
performing CC may be associated with obesity, adherence to CC is associated with better
glycemic control, with the measurement of HbA1c at the correct time and seems to be higher
over the time of diagnosis , as well as the use of cell phone applications seems to help in
adherence to this nutritional therapy strategy. Thus, the study was fundamental, as it appears
that adherence to CC is a nutritional strategy of extreme importance in maintaining adequate
clinical and anthropometric characteristics during the treatment of DM1. |
| author_additional |
GOMES, Daniela Lopes |
| author_additionalStr |
GOMES, Daniela Lopes |
| format |
Trabalho de Conclusão de Curso - Graduação |
| author |
CAMARA, Lediane Nunes |
| title |
Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1 |
| title_short |
Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1 |
| title_full |
Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1 |
| title_fullStr |
Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1 |
| title_full_unstemmed |
Fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1 |
| title_sort |
fatores clínicos e antropométricos associados à adesão à contagem de carboidratos por pessoas com diabetes mellitus tipo 1 |
| publishDate |
2023 |
| url |
https://bdm.ufpa.br:8443/jspui/handle/prefix/6054 |
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1787238470383566848 |
| score |
11.753896 |