Abstract
Objective: The purpose of this study was to investigate the effects of a nutrition education program with pamphlet focused on personalized daily energy requirements and a food exchange system for diabetic elderly at a community health center. Theory, Prior Research, Rationale: Effective nutrition education program and materials are needed for diabetic elderly at a community health center. Study Design, Setting, Participants, and Intervention: We developed nutrition education program and pamphlet for 4 lessons (2 hours/lesson /week, 4 weeks), and provided nutrition education with developed program and pamphlet to 26 diabetic elderly subjects (55-75 yrs). The 1st lesson ‘‘Introduction: management of diabetes mellitus,’’ the 2nd lesson was ‘‘6 Food groups of Food Exchange Table,’’ the 3rd lesson ‘‘Individual daily energy requirements and food exchange units;’’ and the 4th lesson was ‘‘Food choice for diabetic mellitus’’. Outcome, Measures and Analysis: We assessed the changes in anthropometric characteristics, biochemical characteristics, and nutrient intakes using 24-hour recall method. Results:Weight and body mass index (BMI) was significantly decreased. Fast blood sugar (FBS), total cholesterol and LDL-cholesterol were significantly decreased. In the evaluation of nutrient intakes by Dietary Reference Intakes for Koreans (KDRI), riboflavin, niacin, calcium, phosphate, and zinc were shown to affect significantly positive changes in the distribution of subjects according to intake level. The index of nutrition quality (INQ), nutrition adequacy ratio (NAR) and mean nutrition adequacy ratio (MAR) were significantly increased. Conclusions and Implications: The developed nutrition education program with pamphlet focusing on exchange units using a Food Exchange System pamphlet for diabetic elderly at the community health center may improved the symptom of diabetes mellitus. Funding: None. P179 Effect of School Gardens on Food Behavior of Children Janet K. Grommet, PhD, RD, JGrommet@brooklyn.cuny. edu, Brooklyn College, City University of New York, 11 Lincoln Place, Glen Cove, NY 11542; R. Ernest, BS
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