Adherence to Carbohydrate Counting Improved Diet Quality of Adults with Type 1 Diabetes Mellitus during Social Distancing Due to COVID-19
Abstract
:1. Introduction
2. Materials and Methods
2.1. Type of Study
2.2. Participants
2.3. Instrument
- (a)
- Sociodemographic: age range (was recorded in numbers only, for example: 22), sex, characterization of the city and housing district in which one lived, and schooling level.
- (b)
- Financial situation: family income in minimum wage (MW), considering the minimum wage value in the year of 2020 in Brazil (1.045 BRL); family income during the pandemic; and receiving financial emergency aid offered by the federal government to some people in social vulnerability.
- (c)
- Supplies’ acquisition (considering the period 30 days prior to answering the form): equipment used for insulin administration, and equipment used for blood glucose monitoring.
- (d)
- Food habits (considering the period 30 days prior to answering the form) and CC: increased consumption of sweet foods; increased consumption of ultra-processed foods, considering frozen ready-made foods such as nuggets, pizza, or cheese bread; fruit consumption (appropriate, for the consumption of 2 or 3 servings; and inappropriate, for the consumption of less than 2 servings or more than 3 servings); vegetable consumption (appropriate, when consumption was equal or more than 2 servings; and inappropriate, when consumption was less than 2 servings); number of daily meals; increase in cooking habits; and CC (did not know what it is; had heard about CC, but did not know how to perform it; did know how to perform CC, but was not engaged in it; stopped performing it during this period of social distancing; performed it more frequently than before social distancing; performed it at the same frequency as before social distancing; or performed it less frequency than before social distancing).
- (e)
- Social distancing: type (total, was not leaving home to any activity; partial, left home only to buy food and medicines; did not engage in social distancing because of work commitments; did not engage in social distancing because they did not agree with it; engaged in social distancing for family reasons, but did not agree with it); and time one thought it was feasible to remain in social distancing.
2.4. Data Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Carbohydrate Counting n (%) | p-Value * | ||
---|---|---|---|
Yes | No | ||
Schooling | |||
Higher education | 247 (52.33) | 123 (26.06) | <0.000 † |
No higher education | 50 (10.60) (−) | 52 (11.01) (+) | |
City | |||
State Capital | 130 (27.54) (+) | 57 (12.08) (−) | 0.027 † |
Metropolitan Region | 68 (14.41) | 40 (8.47) | |
State inland | 99 (20.97) (−) | 78 (16.53) (+) | |
District | |||
Favela or community | 4 (0.85) | 6 (1.27) | 0.025 † |
Periphery | 46 (9.75) | 33 (6.99) | |
Middle Class | 164 (34.75) | 96 (20.34) | |
Upper class | 57 (12.08) (+) | 16 (3.39) (−) | |
Rural Area | 11 (2.33) | 9 (1.91) | |
None of the alternatives | 15 (3.17) | 15 (3.17) | |
Family Income | |||
<1 MW | 8 (1.69) | 11 (2.33) | <0.000 † |
≥1 and <3 MW | 66 (13.98) (−) | 68 (14.41) (+) | |
≥3 and <5 MW | 94 (19.92) | 59 (12.50) | |
≥5 and <10 MW | 78 (16.53) (+) | 25 (5.30) (−) | |
≥10 and <20 MW | 38 (8.05) (+) | 8 (1.69) (−) | |
≥20 MW | 13 (2.75) | 4 (0.85) | |
Financial Emergency Aid | |||
Yes | 104 (22.04) (−) | 81 (17.16) (+) | 0.045 † |
No, but no one met the criteria | 173 (36.65) (+) | 82 (17.37) (−) | |
No, even requesting for financial aid and meeting the criteria | 20 (4.24) | 12 (2.54) |
Carbohydrate Counting n (%) | p-Value * | ||
---|---|---|---|
Yes | No | ||
Insulin administration | |||
Insulin pump | 88 (18.64) (+) | 6 (1.27) (−) | <0.000 † |
Pen | 167 (35.38) | 100 (21.19) | |
Syringe | 6 (1.27) (−) | 35 (7.42) (+) | |
Both (pen and syringe) | 36 (7.63) (−) | 34 (7.20) (+) | |
Blood glucose monitoring | |||
Glucometer | 190 (40.25) (−) | 154 (32.63) (+) | <0.000 † |
FGMS | 12 (2.54) | 6 (1.27) | |
FGMS and glucometer | 94 (19.92) (+) | 12 (2.54) (−) | |
I do not perform blood glucose monitoring | 1 (0.21) | 3 (0.64) | |
Type of social distancing | |||
Total | 68 (14.41) (+) | 21 (4.45) (−) | 0.026 † |
Partial | 184 (38.98) (−) | 126 (26.69) (+) | |
No distancing because they needed to work | 41 (8.69) | 26 (5.51) | |
No distancing because they did not agree | 0 (0.00) | 1 (0.21) | |
Distancing for family reasons, despite not agreeing | 4 (0.85) | 1 (0.21) | |
Time one thought it was feasible to remain in social distancing | |||
Would not be able to stay a whole month in this condition | 25 (5.30) (−) | 31 (6.57) (+) | 0.013 † |
Would be able to stay between 1 and 2 months | 45 (9.53) | 17 (3.60) | |
Would be able to stay more than 2 months | 15 (3.18) | 9 (1.90) | |
Was willing to stay as long as necessary to face the pandemic | 212 (44.92) | 118 (25.00) |
Carbohydrate Counting n (%) | p-Value * | ||
---|---|---|---|
Yes | No | ||
Sweets Consumption | |||
Much higher | 45 (9.53) | 31 (6.57) | 0.830 |
Slightly higher | 96 (20.34) | 54 (11.44) | |
Same as before social distancing | 109 (23.10) | 66 (13.98) | |
Decreased | 47 (9.96) | 24 (5.08) | |
Ultra-processed food consumption | |||
Increased | 82 (17.37) (−) | 66 (13.98) (+) | 0.022 † |
Maintained or Decreased | 215 (45.55) (+) | 109 (23.10) (−) | |
Fruit Consumption | |||
Adequate | 129 (27.33) | 72 (15.25) | 0.627 |
Inadequate | 168 (35.60) | 103 (21.82) | |
Vegetable Consumption | |||
Adequate | 159 (33.69) | 93 (19.70) | 0.934 |
Inadequate | 138 (29.24) | 82 (17.37) | |
Number of Meals | |||
More than 6 | 11 (2.33) (−) | 18 (3.81) (+) | 0.015 † |
Between 5–6 | 132 (27.97) | 77 (16.31) | |
Between 3–4 | 150 (31.78) | 75 (15.89) | |
Between 1–2 | 4 (0.85) | 5 (1.06) | |
Cooking Habit | |||
Did not know how to cook | 15 (3.18) | 14 (2.97) | 0.012 † |
Did not like to cook, someone else was cooking | 29 (6.14) | 24 (5.08) | |
Were cooking as much as before | 71 (15.04) | 40 (8.47) | |
Were cooking less than before | 17 (3.60) (−) | 22 (4.66) (+) | |
Were cooking more than before | 165 (34.96) (+) | 75 (15.90) (−) |
B | S.E. | Wald | df | Sig. | OR (Odds Ratio) * | 95% C.I. for EXP(B) | ||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
Ultra-processed food consumption | −0.468 | 0.205 | 5.238 | 1 | 0.022 | 0.626 | 0.419 | 0.935 |
Cooking Habit | 0.516 | 0.193 | 7.107 | 1 | 0.008 | 1.675 | 1.146 | 2.447 |
Constant | 0.428 | 0.149 | 8.239 | 1 | 0.004 | 1.534 |
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Uliana, G.C.; Carvalhal, M.M.D.L.; Berino, T.N.; Reis, A.L.; Felício, K.M.; Felício, J.S.; Gomes, D.L. Adherence to Carbohydrate Counting Improved Diet Quality of Adults with Type 1 Diabetes Mellitus during Social Distancing Due to COVID-19. Int. J. Environ. Res. Public Health 2022, 19, 9776. https://doi.org/10.3390/ijerph19169776
Uliana GC, Carvalhal MMDL, Berino TN, Reis AL, Felício KM, Felício JS, Gomes DL. Adherence to Carbohydrate Counting Improved Diet Quality of Adults with Type 1 Diabetes Mellitus during Social Distancing Due to COVID-19. International Journal of Environmental Research and Public Health. 2022; 19(16):9776. https://doi.org/10.3390/ijerph19169776
Chicago/Turabian StyleUliana, Gabriela Correia, Manuela Maria De Lima Carvalhal, Talita Nogueira Berino, Aline Leão Reis, Karem Miléo Felício, João Soares Felício, and Daniela Lopes Gomes. 2022. "Adherence to Carbohydrate Counting Improved Diet Quality of Adults with Type 1 Diabetes Mellitus during Social Distancing Due to COVID-19" International Journal of Environmental Research and Public Health 19, no. 16: 9776. https://doi.org/10.3390/ijerph19169776