IMPACT OF NUTRITION COUNSELLING ON NUTRITIONAL STATUS OF NON-INSULIN DEPENDENT DIABETIC SUBJECTS

Article Id: ARCC704 | Page : 126 - 135
Citation :- IMPACT OF NUTRITION COUNSELLING ON NUTRITIONAL STATUS OF NON-INSULIN DEPENDENT DIABETIC SUBJECTS.Asian Journal Of Dairy and Food Research.2012.(31):126 - 135
Savita Budhwar and Sudesh Jood* ramjood@rediffmail.com
Address : Department of Foods and Nutrition CCS Haryana Agricultural University Hisar-125004, India

Abstract

A study was conducted on 40 adults (male and female) ranging from 40-60 years and suffering from non-insulin dependent diabetes mellitus (NIDDM). The subjects were divided into control and experimental groups. Nutrition counseling was imparted only to the experimental subjects for 3 months. Its impact was assessed in terms of their dietary intake, anthropometric measurement, biochemical parameters and gain in knowledge. Before nutrition counseling, daily consumption of protective foods like pulses, leafy and other vegetables and fruits by NIDDM patients was found inadequate. But after nutrition counseling mean daily intake of energy yielding foods such as cereals, roots and tubers, fats and oils and sugar and jaggery and milk and milk products decreased which resulted in  significantly lower mean daily intakes of nutrients the mean daily intake of protein, fibre, riboflavin, niacin, iron, folic acid, magnesium and zinc was significantly improved as per their suggested intakes. Increased consumption of protective foods, decreased energy and fat intake by the experimental diabetic subjects might contribute in reduction of their body weight and BMI. Fasting blood glucose and post prandial glucose was reduced significantly by 16, 10 and 16, 14%, respectively. Similarly, significant reduction was also noticed in lipid profile and liver enzymes. After nutrition counseling, majority of the experimental subjects had adequate nutrition knowledge.

Keywords

NIDDM subjects Nutrition counseling Food and nutrient intake Biochemical assessment Anthropometric measurements Knowledge assessment.

References

  1. Agarwal, J., Nagi, M. and Gulati, T. (2007). Impact of nutrition education on nutritional profile of non-insulin dependent diabetic females. J. Indian Dietetic. Assoc. 32: 1-5.
  2. Allain, C.A., Poon, L.S., Chan, C.S.G., Richmond, W. and Paul, C. F. (1974). Estimation of cholesterol by enzymatic method. Clin. Chem. 20: 470.
  3. Annoni, G., Bottasso, B.M., Ciaci, D., Donato, M.F. and Tripoli, A. (1982). Triglycerides estimation. J. Lab. Medic. 9: 15.
  4. Babu, V., Gangadevi, T. and Subramanium, A. (2003). Anti-diabetic activity of ethanol extract of Cassia kleinii leaf in streptozotocin-induced diabetic rats and isolation of an active fraction and toxicity evaluation of the extract. Indian J. Pharmacol. 35: 290-296.
  5. Banga, K. (2005). Effect of chromium supplementation and nutrition counselling in male diabetic subjects. Ph.D. Thesis. Punjab Agricultural University, Ludhiana, India.
  6. Borbora, M., Bhattacharyya, R., Borthakur, S. (2009). Impact of nutrition counseling on subjects suffering from cardiovascular disease. Asian J. Home Sci. 3: 164-166.
  7. Friedwald, W.T., Levy, R.I and Frederickson, D.P.S. (1972). Estimation of plasma low density lipoprotein cholesterol concentration without use of preparaline ultra centrifuge. Clin. Chem. 18: 499-504.
  8. Garrow, J.S. 1981. Treat Obesity Seriously. Edinburg Churchill, Livingstone. pp. 21-72.
  9. Gopalan, C., Ramasastri, B.V. and Balasubramanian, S.C. (2000). Nutritive Value of Indian Foods. NIN, Hyderabad.
  10. Gupta, S., Sood, S., Rekha, A. and Gupta, M. (2007). Effect of neelkanthi (Ajuga bracteosa) and plakhar (Ficus lacor) on blood sugar level and plasma lipid profile of non-insulin dependent diabetic subjects. J. Indian Dietetic. Assoc. 32: 14-22.
  11. ICMR. (1991). Nutrient Requirements and Recommended Dietary Allowances for Indians. NIN, Hyderabad.
  12. ICMR. (1998). Dietary Guidelines for Indians. NIN, Hyderabad, India.
  13. IFCC. (1976). Expert panel of the IFCC on enzymes. Clinica Chimica Acta. 70: 619.
  14. Jelliffe, D.B. (1966). The Assessment of the Nutritional Status of the Community. World Health Organization Monograph Series No. 53, Geneva, 50-84.
  15. Kapoor, A. (2001). Effect of bitter gourd, jambu and fenugreek on blood glucose and serum lipids in non-insulin dependent diabetes. Ph.D. Dissertation. Punjab Agricultural University, Ludhiana, India.
  16. Mathur, P. (2006). Consumption pattern of fenugreek seed and effect of its processing on nutrient composition, blood glucose and lipid profile of NIDDM subjects. Ph.D. Thesis. MPUAT, Udaipur, India.
  17. Monga, S. (2004). Efficacy of nutrition counselling on the nutritional status of working women. M.Sc. Thesis. Punjab Agricultural University, Ludhiana, India.
  18. National Centre for Health Statistics. (1985). Anthropometric Reference Data and Prevalence of Overweight. Vital and Health Statistics, Series 11, No. 238.
  19. NIN. (1998). Dietary Guidelines for Indians: A Manual. NIN, Hyderabad, India.
  20. Panse, V.G. and Sukhatme, P.V. (1961). Statistical Methods of Agricultural Workers. 2nd Edn., ICAR, New Delhi, 12, 87.
  21. Raghuram, T.C., Pasricha, S. and Sharma, R.D. (1998). Diet and Diabetes. NIN, ICMR, Hyderabad. pp. 12-17
  22. Rao, U. and Ramulu, P. (2003). Dietary fibre content of fruits and leafy vegetables. Nutri. News. 24: 1-4.
  23. Richmond, W. (1973). Preparation and properties of a cholesterol oxidase from Nocardia sp. and its application to the enzymatic assay of total cholesterol in serum. Clin. Chem. 19: 1350-1356.
  24. Talwar, G.P. and Srivastava, L.M. 2003. Textbook of Biochemistry and Human Biology. Prentice Hall of India (P) Ltd. Publishers, New Delhi.
  25. Trinder, P. (1969). Estimation of glucose by GOD/POD method. Annals Clin. Biochem. 6: 624.

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