Korean J Community Nutr.  2011 Feb;16(1):136-144. 10.5720/kjcn.2011.16.1.136.

Study on Diet-related Quality of Life in Online Self-help Diabetes Mellitus Patients Who Practice Dietary Regimen

Affiliations
  • 1Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Korea. rwcho@khu.ac.kr
  • 2Research Institute of Clinical Nutrition, Kyung Hee University, Seoul, Korea.

Abstract

Assessment of quality of life (QOL) is a new method to investigate the effectiveness of dietary regimen. Particularly, diet-related QOL is the most appropriate method to estimate social and psychological problems originated from dietary regimen practice. The purpose of this study was to evaluate the diet-related QOL and the correlation between diet-related QOL and health-related QOL, and dietary regimen practice in online diabetes self-help patients who practice the dietary regimen. Sixty one subjects who intended to practice dietary regimen were recruited from online diabetes self-help community, and instructed to fill-up the self report questionnaires. Contents of questionnaire were comprised of general characteristics, clinical characteristics, dietary compliance, and dietary regimen practice. As a result, the mean score of the 'Dietary impact' among the diet-related QOL sub-scales was the lowest suggesting most of the subjects suffer from burden of dietary regimen practice. The "Dietary impact" was correlated with "Taste", "Convenience" and "Cost" (p < 0.05). "Self-care" and "Satisfaction" were positively associated with well-controlled blood glucose and dietary regimen compliance, but negatively associated with "Dietary impact". Diet-related QOL was significantly correlated with the Health-related QOL, particularly the mental and social component (p < 0.05). Diet-related QOL was negatively associated with BMI, and self monitoring blood glucose was negatively correlated with "Self-care" (p < 0.05). In conclusion, Diet-related QOL might be appropriate to evaluate the effects of dietary regimen or nutrition education. The need for dietary education of cognitive-behavioral strategies and problem-solving ability is required.

Keyword

diabetes; diet-related quality of life; dietary impact; self-help group; QOL

MeSH Terms

Blood Glucose
Compliance
Diabetes Mellitus
Humans
Quality of Life
Surveys and Questionnaires
Self Report
Self-Help Groups
Blood Glucose

Cited by  2 articles

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JinJu Lee, Ji-Myung Kim, Yuri Kim
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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)
Yoonsu Cho, Min-Jeong Shin, Hye-Kyung Chung
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Reference

1. Ahn Y, Kwon E, Shim JE, Park MK, Joo Y, Kim K, Park C, Kim DH. Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur J Clin Nutr. 2007. 61(12):1435–1441.
2. American Diabetes Association. Standards of medical care in diabetes-2009. Diabetes Care. 2009. 32:Suppl 1. S13–S61.
3. Barr JT, Schumacher GE. The need for a nutrition-related quality-of-life measure. J Am Diet Assoc. 2003. 103(2):177–180.
4. Barr JT, Schumacher G, Myers EF. Case problem: quality of life outcomes assessment. How can you use it in medical nutrition therapy? J Am Diet Assoc. 2001. 101(9):1064–1066.
5. Cho YI. A structural model promotion behaviors and the quality of life of patients with type 2 diabetes mellitus. 2004. Kyung Hee University;Ph.D thesis.
6. Cho YY, Lee MK, Jang HC, Rha MY, Kim JY, Park YM, Sohn CM. The clinical and cost effectiveness of medical nutrition therapy for patients with type 2 diabetes mellitus. Korean J Nutr. 2008. 41(2):147–155.
7. Chun JH, Jung SB, Sohn HS. Self-care and related factors in patients with diabetes. J Korean Diabetes Assoc. 1999. 23(2):193–206.
8. Chung SO, Song OK, Ko JM, Wi JH, Lee TH, Yum JY, Cho DK, Son JH, Nam HW, Yoo HJ, Lee YN, Kim SG, Moon HK, Kim ES. The effects of teaching methods on the dietary compliance and hemoglobin A1c level in patients with diabetes mellitus. J Korean Diabetes Assoc. 2000. 24(5):560–573.
9. Delahanty LM, Hayden D, Ammerman A, Nathan DM. Medical nutrition therapy for hypercholesterolemia positively affects patient satisfaction and quality of life outcomes. Ann Behav Med. 2002. 24(4):269–278.
10. Evans JM, Newton RW, Ruta DA, MacDonald TM, Stevenson RJ, Morris AD. Frequency of blood glucose monitoring in relation to glycaemic control: observational study with diabetes database. BMJ. 1999. 319(7202):83–86.
11. Franciosi M, Pellegrini F, De Berardis G, Belfiglio M, Cavaliere D, Di Nardo B, Greenfield S, Kaplan SH, Sacco M, Tognoni G, Valentini M, Nicolucci A. QuED Study Group. The impact of blood glucose self-monitoring on metabolic control and quality of life in type 2 diabetic patients: an urgent need for better educational. Diabetes Care. 2001. 24(11):1870–1877.
12. Gerteis M, Edgman-Levitan S, Daley J, Delbanco TL. Through the patient's eyes. understanding and promoting patientcentred care. 1993. San Francisco: Jossey-Bass Inc.
13. Glasgow RE, Wilson W, McCaul KD. Regimen adherence: a problematic construct in diabetes research. J Chronic Dis. 1985. 8(3):399–412.
14. Goodall TA, Halford WK. Self-management of diabetes mellitus: a critical review. Health Psychol. 1991. 10(1):1–8.
15. Harris MI. Frequency of blood glucose monitoring in relation to glycemic control in patients with type 2 diabetes. Diabetes Care. 2001. 24(6):979–982.
16. Hatton DC, Haynes RB, Oparil S, Kris-Etherton P, Pi-Sunyer FX, Resnick LM, Stern JS, Clark S, McMahon M, Morris C, Metz J, Ward A, Holcomb S, McCarron DA. Improved quality of life in patients with generalized cardiovascular metabolic disease on a prepared diet. Am J Clin Nutr. 1996. 64(6):935–943.
17. Jackson JA, Kinn S, Dalgarno P. Patient-centred outcomes in dietary research. J Hum Nutr Diet. 2005. 18(2):83–92.
18. Jun JE. A study on barriers and problem solving related to dietary therapy in diabetics mellitus patients. 2007. Kyungwon University;MS thesis.
19. Kim JH. Effect of nutrition education in knowledge, attitude and behavior about dietary therapy and blood glucose control in type 2 diabetic patients. 2002. Keimyung University;MS thesis.
20. Kim JH. A study on factors affecting quality of life of employees with diabetes. 2008. Ewha Womens University;MS thesis.
21. Kim TY, Um SH, Kim WY, Chang NS. Group lunch visits at the public health center improve glycemic control in older adults with type 2 diabetes mellitus. Korean J Nutr. 2004. 37(4):302–309.
22. Korea Centers for Disease Control and Prevention. The fourth Korea national health and nutrition examination survey (KNHANES IV-1). 2007.
23. Korean Dietetic Association. Manual of medical nutrition therapy the 3rd. 2008. Seoul:
24. Lee SL, Kim YL, Lee SJ, Cho TK, Choi YK, Chun DH, Chang YK. Effects of diabetes education on diabetic management in non-insulin-dependent diabetics mellitus patients. J Korean Diet Assoc. 2004. 10(3):300–308.
25. Lee YW, Hwang WS, Choe SJ, Lee DH, Kim DH, Lee EH, Hong EG, Noh HL, Chung YS, Lee KW, Kim HM. The effect of intensive education on glycemic control in type 2 diabetic patients. J Korean Soc Endocrinol. 2003. 18(1):63–72.
26. Lim HS, Chyun JH, Kim YS, Nam MS. Effect of nutrition education on diabetic management in diabetic patients. Korean J Nutr. 2001. 34(1):69–78.
27. Park BS, Jin GN, Choi YC, Chung JH, Kim KH, Lee MY, Koh JH, Chung CH. Self-management and health-related quality of life in adolescent and adulthood diabetic patients. J Korean Diabetes Assoc. 2005. 29(3):254–261.
28. Park CO, Baik HY, Lee HK, Min HK. The effect of knowledge and dietary compliance on diabetic control in non - insulin dependent diabetics. J Korean Diabetes Assoc. 1988. 12(1):79–88.
29. Rubin RR, Peyrot M. Psychological issues and treatments for people with diabetes. J Clin Psychol. 2001. 57(4):457–478.
30. Sato E, Suzukamo Y, Miyashita M, Kazuma K. Development of a diabetes diet-related quality-of-life scale. Diabetes Care. 2004. 27(6):1271–1275.
31. Song MS, Song KH, Ko SH, Ahn YB, Kim JS, Shin JH, Cho YK, Yoon KH, Cha BY, Son HY, Lee DH. The long-term effect of a structured diabetes education program for uncontrolled type 2 diabetes mellitus patients-a 4-year follow-up. J Korean Diabetes Assoc. 2005. 29(2):140–150.
32. Song OK, Nam HW, Moon DH, Lim KH, Moon HK, Kim ES. Perceived barriers to dietary practice adherence among persons with diabetes. J Korean Diabetes Assoc. 1998. 22(3):381–391.
33. Song OK. The effect of teaching methods on diet compliance and hemoglobin A1c level in patients with diabetes mellitus. 1999. Dankook University;Ph.D.
34. Splett P, Myers EF. A proposed model for effective nutrition care. J Am Diet Assoc. 2001. 101(3):357–363.
35. Stewart M, Brown JB, Weston WW, McWhinney I, McWilliam CL, Freeman TR. Patient-centred Medicine. Transforming the clinical method. 1995. Thousand Oaks: Sage Publications Inc.
36. Tunbridge R, Wetherill JH. Reliability and cost of diabetic diets. BMJ. 1970. 2(5701):78–80.
37. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. conceptual framework and item selection. Med Care. 1992. 30(6):473–483.
38. Weinberger M, Kirkman MS, Samsa GP, Cowper PA, Shortliffe EA, Simel DL, Feussner JR. The relationship between glycemic control and health-related quality of life in patients with non-insulin-dependent diabetes mellitus. Med Care. 1994. 32(12):1173–1181.
39. Wiser NA, Shane JM, McGuigan AT, Memken JA, Olsson PJ. The effects of a group nutrition education program on nutrition knowledge, nutrition status, and quality of life in hemodialysis patients. J Ren Nutr. 1997. 7(4):187–193.
40. Wolffenbuttel BHR, Weber RFA, van Koetsveld PM, Verschoor L. A randomised crossover study of sulfonylurea and insulin treatment in patients with type II diabetes poorly controlled on dietary therapy. Diabetic Med. 1989. 6(6):520–525.
41. Woo YJ, Lee HS, Kim WY. Individual diabetes nutrition education can help management for type 2 diabetes. Korean J Nutr. 2006. 39(7):641–648.
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