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Quantitative Assessment of Dietary Adherence in Patients with Insulin-dependent Diabetes Mellitus
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1983
Year
NutritionNutrition LiteracyObesityPersonalized NutritionPublic HealthDietary AdherenceHealth EducationDietetics PracticeDiabetes ManagementInsulin ManagementHealth PromotionDietetics EducationDiet PlansQuantitative AssessmentDiet PlanInsulin-dependent Diabetes MellitusDiet Management SuffersDiabetesDiabetes MellitusMedicineNutrition Assessment
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.