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Asupan Energi, Karbohidrat, Serat, Beban Glikemik, Latihan Jasmani dan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe 2 (Energy intake, carbohydrate intake, fiber intake, glycemic load, exercise and blood glucose levels in patients with type 2 diabetes mellitus)
Backgrounds: The worldwide prevalence of type 2 diabetes mellitus (DM) is increasing at epidemic proportion. Dietary patterns and sedentary lifestyle are risk factors of type 2 DM
Objective: The study aimed to examine the association between carbohydrate intake, total energy intake, flber intake, glycemic load, frequency of exercise and duration of exercise with fasting blood glucose levels and with 2h postprandial blood glucose levels. Method: ln this observational study with crossectional approach, 46 adults with type 2 DM The subjects consisted of 17 male and 29 female. This study was performed at Dr. Kariadi Hospital during February-March 2008. Data onfood consumption was obtained using semi quantitauve food frequency questlonnaire (FFQ) and recall. Data on exercise was obtained using questionnaire. Data on blooc! glucose level was obtained from medical records. Data analysis used Pearson Product Moment and multiple regression to test this assoclations.
Results: Most (76.1% and 78.3%) subjects had high fasting blood glucose and 2h pp. In bivariate analysis, signiflcant associations withfasting blood glucose level were observed for carbohydrate intake (r=0.638, p=0.000), total energy intake (r=0.539, p=0.000), flber lntake (r=-0.670, p=0.000). glycemic load (r=0.345, p=0.019), frequency of exercise (r=-0.561, p=0.000), and duration of exerclse (r=-0.393. p=0.007). Signiflcant associations with 2h postprandial blood glucose level were also observedfor total energy intake (r=0.673. p=0.000), fiber in take (r=-0.638, p=0.000), glycemic load (r=0.775, p=0.000), frequency of exercise (r=-0.482, p=0.001), and duratipn of exercise (r=-0.393, p=0.007). Fiber intake, frequency of exercise and duration of exercise were negatively associated with fasting blood glucose levels and with 2h postprandial blood glucose levels. Carbohydrate intake, total energy intake, flber intake, glycemic load, frequency of exercise and durat ion of exercise influenced 69. 7% fasting blood glucose levels and 71.3% 2h blood glucose levels.
Conclus/on: The unsuccessful blood glucose level central are associated with food in take glycemic index of the food and physical activity.
Keywords: Carbohydrate intake, total energy, fiber, glycemic load, exercise, blood glucose levels, type 2 diabetes mellitus
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