Quantitative assessment of dietary adherence in patients with insulin-dependent diabetes mellitus.
Research on the education of diabetic patients in diet management suffers from lack of an adequate method for describing patients' dietary behavior. In this report, a method is proposed for the quantitative assessment of dietary adherence in patients with IDDM. The method relies on comparisons between individualized diet plans and actual consumption as reflected by 24-h diet recalls. Data are presented that suggest this method has reliability and validity. In a sample of 97 patients with IDDM, nearly two-thirds adhered to the number and timing of planned feedings, while only about 10% of patients adhered to planned exchanges, 90% of the time. The average patient added or deleted one exchange for every four exchanges in the diet plan.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002940:Circadian Rhythm; D003920:Diabetes Mellitus / Q000178:diet therapy*; D003927:Diet, Diabetic; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D007328:Insulin / Q000172:deficiency; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D013997:Time Factors
D007328:Insulin