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La educación con un sitio multimedia en combinación con la terapia nutricia mejora el estilo de vida y la HbA1c en diabetes mellitus tipo 2. Estudio clínico cuasiexperimental / Effects of a multimedia educational intervention on lifestyles and metabolic control of adult diabetic patients
Penney-Amador, Carlos; Mendoza-Salmerón, Grecia; Muñoz-Torres, Abril Violeta; Roy-García, Ivonne; Achar-De La Macorra, Renata; Lam-Chavez, Ana Elisa; Escobedo-De La Peña, Jorge; Velásquez-López, Lubia.
Afiliação
  • Penney-Amador, Carlos; Instituto Mexicano del Seguro Social. Unidad de Medicina Familiar N° 28. Ciudad de México. MX
  • Mendoza-Salmerón, Grecia; Universidad Iberoamericana. Sede Santa Fe. Ciudad de México. MX
  • Muñoz-Torres, Abril Violeta; Universidad Nacional Autónoma de México. Escuela de Medicina. Departamento de Salud Pública. Ciudad de México. MX
  • Roy-García, Ivonne; Instituto Mexicano de Seguro Social. Coordinación de Investigación en Salud. División de Desarrollo de la Investigación. Ciudad de México. MX
  • Achar-De La Macorra, Renata; Universidad Iberoamericana. Sede Santa Fe. Ciudad de México. MX
  • Lam-Chavez, Ana Elisa; Universidad Iberoamericana. Sede Santa Fe. Ciudad de México. MX
  • Escobedo-De La Peña, Jorge; Hospital Carlos Mac Gregor Sánchez Navarro. Unidad de Investigación en Epidemiología Clínica. Ciudad de México. MX
  • Velásquez-López, Lubia; Hospital Carlos Mac Gregor Sánchez Navarro. Unidad de Investigación en Epidemiología Clínica. Ciudad de México. MX
Rev. méd. Chile ; 148(4): 478-481, abr. 2020. tab, graf
Article em Es | LILACS | ID: biblio-1127088
Biblioteca responsável: CL1.1
RESUMEN
Background Education is the mainstay of medical management of chronic non communicable diseases such as diabetes mellitus. Aim To assess the effects of a multimedia diabetes education intervention and nutritional therapy on lifestyle changes and metabolic control of patients with type 2 diabetes mellitus. Material and Methods We studied 219 patients with type 2 diabetes mellitus aged 56 ± 8 years (28% males). They received education through a multimedia site about control indicators, complications, nutrition and physical exercise, among others. They also received a personalized nutritional therapy. They were followed-up for one year. At baseline and the end of follow up they were weighed, and their waist circumference and blood pressure were measured. A fasting blood sample was withdrawn to measure glucose, glycosylated hemoglobin and lipid profile. Lifestyles were assessed using a self-administered questionnaire called IMEVID. Results The median duration of diabetes was six years. During the follow up, patients had a significant reduction in body weight, waist circumference and blood pressure and improvements in glycosylated hemoglobin, HDL and LDL cholesterol. Seven and 13% of patients reported favorable lifestyles at baseline and the end of follow up, respectively (p < 0.01). Compared with their counterparts with unfavorable lifestyles, patients with a favorable lifestyle had a significantly lower weight and glycosylated hemoglobin at the end of follow up. Conclusions The educational intervention along with nutritional therapy improved metabolic control and lifestyles in this group of diabetic patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Multimídia / Diabetes Mellitus Tipo de estudo: Qualitative_research Limite: Adult / Humans Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: México País de publicação: Chile

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Multimídia / Diabetes Mellitus Tipo de estudo: Qualitative_research Limite: Adult / Humans Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: México País de publicação: Chile