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Amaç: Çölyak hastalığının günümüzde bilinen tek tedavi şekli ömür boyu glutensiz diyet tedavisidir ve hastalığın yönetimindeki en önemli sorun diyete uyumsuzluktur. Bu çalışmada, çocukluk çağında tanı almış çölyak hastalarında diyet tedavisini etkileyen faktörlerin değerlendirilmesi amaçlanmıştır. Bireyler ve Yöntem: Bu çalışmada, çölyak hastalığı tanısı almış ve en az bir yıldır takipli olan 8-18 yaş arasındaki rastgele seçilmiş 92 hasta kesitsel olarak değerlendirilmiştir. Hastaların demografik ve klinik özellikleri, ailelerinin sosyal yapısı ve glutensiz diyet hakkındaki bilgileri incelenmiştir. Hastaların diyete uyumu güncel serum anti-tTG IgA düzeylerine bakılarak değerlendirilmiştir. Seroloji sonucuna göre hastalar, diyete uyumlu ve uyumsuz olarak 2 gruba ayrılmış ve veriler karşılaştırılmıştır. Bulgular: Çalışmaya dahil edilen 92 hastanın güncel yaş ortalaması 13.1±3.5 yıl’dır. Anti-tTG IgA düzeyi normal olan hasta oranı %55.4 olarak saptanmıştır. Diyete uymayan hastalarda yaş ortalamasının daha yüksek (13.8±3.4 yıl; p

BACKGROUD: Diabetes mellitus is an assembly of symptoms that arise in a person caused by increased blood sugar levels due to insulin deficiency, both absolute and relative. The highest prevalence in North Sulawesi is in Tomohon City (4.8%) then Manado City (3.2%). AIM: This study aimed to determine the correlation between dietary compliance with blood glucose levels and duration of hospitalization of type 2 diabetes mellitus (T2DM) patients with hypertension complications in the Pancaran Kasih General Hospital, Manado. METHOD: This research was observational with a cross-sectional design. The population in this study were all patients with type 2 diabetes who were hospitalized and 34 people involved as a sample through purposive sampling technique. RESULTS: The results showed that 88.2% of respondents with not normal blood glucose did not adhere to the diet. Fisher’s test obtained p = 0.011 (p < 0.05), indicated a significant correlation between dietary compliance with blood glucose levels. About 82.4% of patients did not adhere to the diet with a long day of hospitalization and p = 0.027 (p < 0.05). It indicated a significant correlation between dietary compliance and length of stay. CONCLUSION: This study concluded a correlation between dietary compliance with blood glucose levels and dietary compliance and length of stay for T2DM patients with hypertension complications.

Baground: Diabetic foot ulcers are a chronic complication of diabetes in the form of open wounds on the skin surface The prevalence of diabetic foot ulcers in Indonesia is around 13% of patients treated in hospitals and 26% of outpatients. The aimed was to determine relationship between physical activity, dietary compliance with the incidence of diabetic ulcers in Hospital Makassar City. Methods: This type of research used an analytic observational method with a cross sectional study design. Research were taken by accidental sampling and obtained 78 respondents. Data collection is done by filling out questionnaires. The data were analyzed by chi square fisher's exact test. Results: The results showed that the age of the with the highest incidence of diabetic ulcers was between 45-60 years was (57,7%) and the lowest was >60 years (42,3%), Women were susceptible to the incidence of diabetic ulcers (62,8%), the highest level of education was high school, namely 50% and the lowest was elementary school ( 1,3%) and employment is dominated by private employees (26,9%) and the lowest is civil servants (11,5%). From 46 respondents with less physical activity (71,8%) rexperienced the incidence of diabetic ulcers, while from 32 respondents in the moderate category (28,2%) experienced diabetic ulcers, p value = 0,019. From 42 respondents in the dietary compliance category, there were (71,8%) experiencing the incidence of diabetic ulcers, from 11 respondents in the diet-adhering category there were (28,2%) experiencing the incidence of diabetic ulcers, obtained a p value of 0,001. Conclusion: There are a significant relationship between physical activity, dietary compliance with the incidence of diabetic ulcers in Hospital Makassar City. Keywords: Diabetic ulcer, physical activity, diet compliance Abstrak Pendahuluan: Luka kaki diabetik adalah komplikasi kronik diabetes berupa luka terbuka pada permukaan kulit. Prevalensi terjadinya luka kaki diabetes di Indonesia sekitar 13% penderta dirawat di Rumah Sakit dan 26% penderita rawat jalan. Tujuan penelitian untuk mengetahui hubungan aktivitas fisik, kepatuhan diet terhadap kejadian ulkus diabetik di RSUD Kota Makassar. Metode: Jenis penelitian menggunakan metode observasional analitik dengan rancangan cross sectional study. Responden penelitian diambil dengan accidental sampling dan didapat 78 responden. Pengambilan data dilakukan dengan pengisian kuisioner. Data tersebut dianalisis dengan chi square fisher's exact test. Hasil: Hasil penelitian menunjukkan bahwa usia responden dengan kejadian ulkus diabetik tertinggi antara 45-60 tahun (57,7%) dan terendah >60 tahun (42,3%), berdasarkan jenies kelamin wanita rentan terhadap kejadian ulkus diabetik (62,8%), tingkat pendidikan terbanyak SMA yaitu 50% dan terendah SD (1,3%), pekerjaan didominasi oleh pegawai swasta (26,9%) dan terendah PNS (11,5%). Dari 46 responden dengan aktivitas fisik kurang terdapat (71,8%) responden mengalami kejadian ulkus diabetik sedangkan dari 32 responden dengan kategori cukup (28,2%) mengalami kejadian ulkus diabetik nilai p value = 0,019. Dari 42 responden dengan kategori kepatuhan diet, terdapat (71,8%) mengalami kejadian ulkus diabetik sedangkan dari 11 responden dengan kategori patuh diet terdapat (28,2%) mengalami mengalami kejadian ulkus diabetik, diperoleh nilai p 0,001 Kesimpulan: Ada hubungan signifikan antara aktivitas fisik, kepatuhan diet dengan kejadian ulkus diabeti RSUD Kota Makassar. Kata kunci: Ulkus diabetik, aktivitas fisik, kepatuhan diet

Patients with diabetes mellitus must follow a strict diet to control blood sugar levels to keep them within normal limits. If it is not controlled, it will cause various diseases which will be caused by visual disturbances, cataracts, heart problems, impaired kidney function, sexual impotence, difficulty in healing wounds or even rot/gangrene, lung infections, vascular disorders, and strokes. The purpose of this study was to determine the factors that affect dietary compliance in diabetes mellitus sufferers. This study uses a qualitative method with a phenomenological approach. This study explores the experiences of people with diabetes mellitus when they are on a diet. The participants in this study were 10 people. The technique of collecting data was by conducting in-depth interviews so that the results were 3 themes, namely lack of knowledge about diet, lack of family support, and difficulty in adhering to a diet. The importance of support and motivation from family and health workers for diabetes mellitus sufferers to always adhere to a diet to avoid various complications. Keywords : Diabetes Mellitus, and Diet Compliance

Introduction: hypertension and diabetes are chronic disorders associated with an increased risk of cardiovascular disease. Objectives: to evaluate the effect of 52 % low-sodium salt applied to the Chinese-modified DASH (CM-DASH) diet on risk of atherosclerotic cardiovascular disease (ASCVD) in patients with hypertension and type-2 diabetes. Methods: the low-sodium salt group (LSSG) took 5 g/day of 52 % low-sodium salt plus CM-DASH diet for 8 weeks, while the normal-sodium salt group (NSSG) took the same dose of normal-sodium salt plus CM-DASH diet for 8 weeks. Blood tests, 24-hour urine tests, anthropometric measurements, and 10-year risk of ASCVD prediction were assessed. Results: compared with baseline, both LSSG and NSSG showed a significant reduction in 10-year risk of ASCVD, but we did not find any statistically significant differences in 10-year risk of ASCVD between LSSG and NSSG. Conclusions: our study shows that salt limits and DASH diets reduce the risk of cardiovascular disease whereas low-sodium salt containing 52 % sodium chloride did not significantly lower the risk of cardiovascular disease when compared to regular salt. Due to the limitations of the research, additional studies will be necessary to confirm our findings.Introducción: la hipertensión y la diabetes son trastornos crónicos asociados a un mayor riesgo de enfermedad cardiovascular. Objetivos: evaluar el efecto de la sal baja en sodio (52 %) aplicada a la dieta DASH modificada en China (CM-DASH) sobre los riesgos de enfermedad cardiovascular aterosclerótica (ECA) en pacientes con hipertensión arterial y diabetes de tipo 2. Métodos: el grupo de sal baja en sodio (LSSG) tomó 5 g/día de sal baja en sodio al 52 % más dieta CM-DASH durante 8 semanas, mientras que el grupo de sal normal en sodio (NSSG) tomó la misma dosis de sal normal en sodio más dieta CM-DASH durante 8 semanas. Se evaluaron los análisis de sangre, los análisis de orina de 24 horas, las mediciones antropométricas y los riesgos de predicción de ECVA a 10 años. Resultados: en comparación con el valor basal, tanto el LSSG como el NSSG mostraron una reducción significativa de los riesgos a 10 años de ECVA, mientras que no se encontraron diferencias estadísticamente significativas en los riesgos a 10 años de ECVA entre el LSSG y el NSSG. Conclusiones: nuestro estudio muestra que los límites de sal y las dietas DASH reducen el riesgo de enfermedad cardiovascular mientras que la sal baja en sodio con un 52 % de cloruro sódico no redujo significativamente el riesgo de enfermedad cardiovascular en comparación con la sal normal. Debido a las limitaciones de la investigación, serán necesarios estudios adicionales para confirmar nuestros hallazgos.

Type 2 Diabetes Mellitus (DM) is one of chronic diseases resulting from decreased insulin production and is characterized by an increase in glucose in the blood. Dietary adherence is one of the effective managements that can control blood sugar levels. This management requires supporting factors and one of them is motivation. This research aimed to describe the motivation and dietary compliance of patients with type 2 DM at the working area of Puskesmas Padalarang. This quantitative descriptive research used a cross-sectional approach. The samples were selected using proportional random sampling techniques. This study used the Treatment Self-Regulation Questionnaire (TSRQ) with the validity score 0.4821 and a diet adherence questionnaire with the validity score 0.4732. The results showed that the internal motivation of respondents was a good internal motivation with 33.3% and 66.7% had low motivation. Only 2.2% had good external motivation and almost all respondents had a low external motivation with 97.8%. Meanwhile, there were only 3.3% with a good level of adherence, 94.4% with a sufficient level of adherence and 2.2% had a poor level of diet adherence. Therefore, it is expected for Puskesmas to implement more motivational interviewing therapy to increase motivation and diet adherence in type 2 DM patients.

Appropriate diet and physical exercise is part of diabetes management. The role of health professionals is critical to regulating the lifestyle of type 2 DM patients. The study aimed at examining the effectiveness of cell phone-based mentoring on dietary compliance. A quasi-experimental study design, pre and post-test equivalent with the control group. The research was conducted at Bromo Medan Health Center. We recruited 84 diabetic patients and divided into the experimental and control group. The findings showed there was a positive effect on the patients in the experimental group who received the program than patients in the control group who did not receive the application. This strategy is essential and recommended to apply in the routine diet at home. Keywords: short message service (SMS), diet compliance, type 2 diabetes mellitus

Mothers' of leukemic children facing many stressors which represents challenging to them to maintain balance between care for their leukemic children and maintain their wellbeing so this study investigate the effects of maternal capacity building intervention on their competence, perceived wellbeing and their leukemic children health. A Quasi experimental research design was used to conduct the current study, a purposive sample of 54 mothers with their leukemic children admitted during September - December 2018 at Oncology center, pediatric department, Mansoura University, Egypt whom fulfills the criteria of selection. Data were collected pre and post the capacity building intervention. The results indicated that post capacity building intervention mothers ' knowledge regarding leukemia and care practice of leukemic children was improved significantly. Post capacity building intervention also the majority of mothers were comply with; children care (88.9%), recommended diet compliance (72.2%), and all of them comply with follow up schedule also about two thirds of them post the intervention had good sleep quality (77.8%), good appetite ( 72.2%) and moderate anxiety level (63%).Regarding studied subjects sense of competence it was improved significantly post the intervention where more than two third of them perceived that they has high level of competence compared with none of them pre the intervention. Conclusion: Capacity building intervention improved subjects' knowledge, subjects’ care practice which raises their perceived self-competence, wellbeing level and improve their leukemic children health. Recommendation: Mothers’ need special preparation to; satisfy leukemic children need, maintain children health, raise mothers’ wellbeing to be able to go through their life and satisfy other family member's needs.

Nowadays, gamification is applied in many areas, including healthy lifestyle promotion. In earlier work, a system has been proposed to stimulate diet compliance and adherence of participants of a trial within the PROMISS-project. In this paper, we describe the design of a gamified version of this system. The goal of the gamification is to further stimulate diet compliance and adherence to the system, but also to increase the knowledge about the diet and make the use of the system more fun. To do so, we implemented gamification elements (profile page, achievements, mini-games, and a reward garden) to address multiple behaviour change techniques. Based on a small evaluation, the system has been improved so that it can be used by participants of the PROMISS trial. At the end of this paper, future improvements are suggested in the future work section

Background: People with diabetes mellitus are increasing in number. Controlling blood sugar levels is an action that must be taken to get normal and stable blood sugar levels. Self-control takes precedence over treatment. Compliance with diet is one of the important things in controlling blood sugar levels. Raflesia Room as one of the internal medicine inpatients in dr. SoedomoTrenggalek, received inpatient care for the majority of diabetes mellitus patients. Purpose : The purpose of this study was to analyze the relationship between diet adherence and blood sugar levels in people with diabetes mellitus. Methods : The research design used descriptive analytic with cross sectional approach. The population in this study were patients with diabetes mellitus in the Raflesia room of Dr. SoedomoTrenggalek Hospital in January 2017 with 30 patients. With a simple random sampling technique so that 29 samples were obtained. Result : The results showed that almost all respondents, namely 25 (86%) respondents, had abnormal blood sugar levels. Almost all respondents, 23 (79%) did not comply with the diet. Chi square test results obtained 0.004 which means there is a relationship between dietary compliance with blood sugar levels of diabetes mellitus patients in Raflesia room Dr. Soedomo Hospital Trenggalek in 2017. Conclusion : Old age is an age that is susceptible to a decrease in body function, especially hormonal causes of decreased pancreatic function resulting in a decrease in insulin sensitivity which causes high blood sugar levels. The level of education has an important role in diet compliance where patients are required to understand 3J "Types, Amounts and Schedules" so that the lower level of education causes lower diet compliance. Disobedience to diets causes sufferers to consume irregular foods which cause a pile of glucose and blood so that hyperglycemia occurs.

Hypertension is a disease that gets attention from all walks of life, considering that its impact requires comprehensive and integrated long-term treatment, one of which is to run a good diet. Hypertension is a natural way to control blood pressure. This study aims to determine the relationship between knowledge and the level of dietary compliance in patients with hypertension. The design of this study uses Analytical Correlation with a Cross-sectional approach. The samples obtained were 96 by using the purposive sampling technique. The independent variable is knowledge, the dependent variable is hypertension diet. The instrument used in this study was a questionnaire. Data tabulated and analyzed using the Spearmen Rank test with a significance level of

Diagnosis of histamine intolerance (HIT) has been based on low serum diamine oxidase (DAO) values, functional gastrointestinal disorders and improvement of symptoms with a histamine-reduced diet (HRD). In a retrospective analysis of outpatients' charts we identified 101 patients with HIT. After a median of 13 months, a questionnaire was distributed to the patients so that they could be classified into four diet-compliance groups. Calculated with all 101 patients we found an increase of serum DAO values due to a HRD. In the 63 patients that completed the questionnaire, we found that 50 patients had improvement of symptoms or no continuing symptoms. A significant increase of serum DAO levels was found in the patients with strict and occasional diet compliance. Therefore, we demonstrate that a HRD is not only improving symptoms in HIT, but is causing an increase in serum DAO values that correlates with the degree of diet compliance.

Diabetes mellitus (DM) is one of the biggest global health emergencies in the 21st century. Diabetes mellitus is a genetic or hereditary disease that is difficult to cure but can be controlled with a 3 J diet program that is the number, type and schedule. Patient adherence to the diet program is one of the obstacles in patients with type 2 diabetes mellitus. Compliance is caused by many factors, one of which is self-motivation and support of health workers. The purpose of this study was to determine whether there is a relationship between self-motivation and support of health workers with diet compliance with DM type 2 sufferers in the Work Area of the Community Health Center of Bangkinang City. This research is a quantitative study with cross sectional design. The sample in this study were some patients with type 2 diabetes mellitus in the work area of the City Health Center Bangkinang, amounting to 86 people with a purposive sampling technique. Data processing using chi-square test. The results showed that there was a significant relationship between self-motivation (p value = 0,000) and support of health workers (p value = 0.020) with diet compliance of DM type 2 sufferers in the Bangkinang City Health Center Work Area. The results of this study are expected to be used by people with type 2 diabetes are expected to be able to comply with the correct diet according to diet 3j, namely the type, amount and schedule recommended by health workers, patients are expected to carry out healthy living behaviors.

This paper introduces a system with persuasive communication to improve the diet compliance and adherence of participants of the PROMISS-project. For this persuasive communication different strategies and ways of personalisation are used, in accordance with existing literature. Furthermore, as the target group is elderly users, the design is tailored to their specific needs. A first prototype was created, based on seven functional requirements. During a pilot study, the prototype is evaluated with seven participants. Based on lessons learned during this pilot, as well as new requirements from the PROMISS dietitians, a refined design of the system was implemented. This refined design is briefly evaluated with four participants of the pilot during individual interviews. The changes made to the prototype were evaluated positively.

Introduction: Some hemodialysis patients may experience problems in completing activities of daily living and adhering to diet and fluid restrictions due to a decrease in self-care power and a loss of competence. Methods: The study was conducted with 78 people assigned to the intervention (N = 38) and control groups (N = 40). Data were collected using the sociodemographic characteristics questionnaire, dialysis diet and fluid nonadherence questionnaire (DDFQ), and fluid control in hemodialysis patients scale (FCHPS). The participants in the intervention group were given the “Nutrition Education Booklet for Dialysis Patients”. The participants in the intervention group were trained through four education sessions across 4 months, and the measurement tools were administered to them. The participants in the control group were interviewed twice, once at the onset of the study and once 2 months later and the measurement tools were administered to them. Findings: In the intervention group, a decrease was observed in the pre- and postdialysis interdialytic weight gain, ultrafiltration (UF) volume, and blood pressure values of the patients after the training. There was a statistically significant decrease in the mean scores for the frequency and degree of nonadherence to diet restriction, and for the frequency and degree of nonadherence to fluid restriction in the participants in the intervention group compared to the participants in the control group (P < 0.05). There was a statistically significant increase in the mean scores obtained from the FCHPS and its subscales by the participants in the intervention group compared to the participants in the control group (P < 0.05). Conclusion: The training given to the hemodialysis patients positively contributed to their adherence to diet and fluid restrictions. The patients' adherence to diet and fluid restriction increased. © 2019 International Society for Hemodialysis

GDH tip 1 hastalarında tıbbi beslenme tedavisi; normogliseminin sağlanması, büyüme gelişmenin normal seyrinde ilerlemesi için kullanılan etkin yöntemlerindendir. Bu çalışma Glikojen Depo Tip 1 tanısı ile takip edilen hastalarda tıbbi beslenme tedavisinin hastalığın seyrine etkisinin, hastaların diyetlerinin ve diyet uyumlarının değerlendirilmesi amacı ile yapılmıştır.Çalışmamıza, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı Metabolizma Hastalıkları ve Beslenme Bilim Dalı polikliniğinden takipli diyet alan 0-18 yaş arası 17 hasta ile yapılmıştır. Üç hasta düzenli takibe gelmediği için çalışma dışı bırakılmıştır. Hastaların dosyaları geriye dönük taranmış; laboratuvar sonuç, antropometrik ölçüm ve 3 günlük diyet formu verileri kaydedilmiştir. Veriler SPSS 25 programıyla değerlendirilmiştir.Hastaların izlem boy z skorları tanı ölçümlerine göre daha düşük değerlerde bulunmuştur. (z=-2,482; p=0,011). Hastaların izlem kan şekerleri tanı ölçümlerine göre daha yüksek değerde saptanmıştır. (z=-3,148; p=0,001). İzlemdeki ağırlık z skorları tanıya göre arttıkça izlem kan şekerleride tanıya göre daha yüksek bulunmuştur. (rs= -0,623; p=0,008). 10 yıl üstü izlem grubundaki laktik asit ölçümleri, 10 yıl ve altına göre daha düşük değerlere sahiptir. (z=-2,245; p=0,025). Metabolik kontrolü iyi olan hastalarda diyetteki enerji alımı, verilen diyetten daha yüksek enerjide saptanmıştır. (z=-2,741; p=0,004). Metabolik kontrolü iyi olan hastalarda diyetteki çiğ nişasta alımı, verilen diyetten daha yüksek miktarda saptanmıştır (z=-2,212; p=0,027). Çalışmamız glikojen depo tip 1 hastalarında diyet uyumunun artırılması gerekliliğini ortaya çıkartmıştır. Glikojen depo tip 1 hastalarının diyet ve diyet uyumlarını inceleyen daha geniş kapsamlı ve daha çok sayıda hasta iştiraki ile yapılacak araştırmalar bu konudaki eksiklerin giderilmesine yardımcı olacaktır.Anahtar Kelimeler: glikojen depo hastalığı tip 1, diyet, diyet uyum Nutritional Treatment for GSD Type 1 patients. Ensuring normoglycemia is one of the efficient method for the progression of growth.The aim of this study was to evaluate the effect of medical nutrition treatment on the course of the disease and the dietary and dietary adjustment of patients with Glycogen Storage Type 1.The study was conducted with 17 patients, aged 0-18 years who were followed-up from the outpatient clinic of Istanbul University Cerrahpaşa Medical Faculty, Department of Pediatrics and Metabolism Diseases. Laboratory results, anthropometric measurements and 3-day diet form data were recorded. Datas were assesed with SPSS 25 program.Monitored scores of the patients were lower than the diagnostic measurements. (z = -2.482; p = 0.011). Monitored glucose levels of the patients were found to be higher than the diagnostic measurements. (z = -3,148; p = 0.001). In case of monitored z scores of weight increased compared to the diagnosis, blood glucose levels also monitored higher than the diagnosis. (rs = -0.623; p = 0.008). The lactic acid measurements in the monitored group over 10 years have lower values than 10 years and below. (z = -2,245; p = 0,025). In patients with good metabolic control, energy intake in the diet was found to be higher than the diet given. (z = -2.741; p = 0.004). In patients with good metabolic control, the intake of raw starch in the diet was higher than the diet (z = -2,212; p = 0,027).Study, revealed the necessity of increasing the diet adaptation in glycogen storage type 1 patients. Researchs with a wider and larger number of patient affiliates examining the diet and diet adaptation of glycogen storage type 1 patients will help to address the deficiencies in this area.Keywords: glycogen storage disease type 1, diet, diet compliance 65

Hypertension is a disease that suffered by many people in the world, including in Indonesia. Patients with hypertension must make a diet to consume foods that can increase the sufferer's blood pressure. A hypertension diet is one of the important factors in maintaining the health of hypertension sufferers to prevent disease complications. This study aimed to analysis family support, and compliance with hypertension diet in hypertensive sufferers.This study used a cross-sectional design conducted in the Hulu Village of Pancur Batu Public Health Center, Deli Serdang Regency. The sample size in this study was the entire population, namely hypertension sufferers. Sample (saturated sample), so that the total sample is 108 people. This study will conduct a Prevalent Rate (PR) analysis to see the risk of dietary adherence in hypertensive patients.This study showed family support in the category of bad as many as 85 people (78.7%), the implementation of hypertension diet in the non-compliant category as many as 76 people (70.4%) and adhered to the implementation of hypertension diet as many as 32 people (29.6%). of avoided foodstuffs (hypertension triggers) it is known that for this type of foods high in cholesterol is (a) grilled/boiled meat, which is as much as 76 people (70.4%), (b) meat or chicken skin, which is as much as 55 people (50.9%), and (c) chicken yolks, which is as many as 67 people (62.0%). The type of food high in Sodium is; chips, which is as many as 55 people (50.9%).Pancur Batu Public Health office, seeks to increase counselling about hypertension diet, namely recommended foodstuffs, restricted foodstuffs, avoided foodstuffs and carried out continuously in place and the right time. Families to increase knowledge about the primary prevention of hypertensive diseases so that they can conduct prevention independently and provide motivation (support) to hypertension sufferers to implement the hypertensive diet

Background: Diabetic diet management can be done by the family because the family is the main assistance in carrying out dietary compliance. Purpose:The purpose of this study was to determine the correlation between family support toward Diet Compliance Of Diabetes Mellitus Type II Patients in Semerap Community Health Center, Kerinci Distict, 2020. Methods:The Type of this research was quantitative research. With Cross Sectional approach. Purposive sampling Had been used to select the samples.. Then, it was analyzed by Statistical test with Chi-square. Result:The results showed that from 50 respondents, 16 (76.2%) respondents did not obedient and received less family support related to the diet. 21(72.4%) respondents obeyed a good diet and received good family support toward in their diet. Conclusion: The results of statistical thes showed that the p-value was 0.002 . It means that there was a significant realationship between family suppport and dietary adherence to type II Diabetes Mellitus Patien. Last, it is Suggested to diabetes mellitus patients type II to set the right amount of diet in the implementation of dietary compliance. Furthermore, families are expected to be able to better understand and participante in providing family support (emotional support) to patien suffering from diabetes mellitus.Keywords: Family Support, Diet Compliance, Diabetes Mellitus tipe- II

STUDY DESIGN: One-year follow-up of a randomized clinical trial. OBJECTIVES: Examine voluntary dietary compliance 1 year following the cessation of the intervention and the persistence of accrued benefits related to neuropathic pain and mood. SETTING: Outpatient rehabilitation program within the Niagara region. METHODS: Five individuals (4 female, 1 male; age 50.6 ± 11.8 years) with chronic SCI (C5-L3; ISNCSCI: A–D; 7–40 years post injury) who had previously completed a 3-month anti-inflammatory diet were reassessed after 1 year for measures related to dietary compliance, CES-D scores of depression, and NPQ scores of neuropathic pain. RESULTS: There was a significant reduction in diet compliance at the 1-year follow-up in comparison to the end of the dietary intervention at 3 months (92.6% versus 43.0%, p

Diabetes mellitus (DM) is a degenerative disease that can be controlled with the four pillars of management. One of the pillars is compliance in the implementation of the diet "3J". This study aims to determine the relationship of knowledge with dietary compliance in patients with DM in Posyandu Lansia Cempaka, Tembok Dukuh, Bubutan, Surabaya. The study design is analytic correlation with approach cross sectional. Sample research is patients with DM in Posyandu Lansia Cempaka the active come Posyandu Lansia of as many as 33 patients. The independent variable is the knowledge of diet DM. The dependent variable is a dietary compliance in patients with DM. Analysis of data using correlation coefficient with somers test. The results showed that people with diabetes who have a good knowledge of most of the diet compliance in the diet is also good. The results of the analysis test Somers obtained pvalue of 0.000 means that there is a relationship between knowledge and dietary compliance in patients with DM, with level of closeness 0,154 (0,00

Gluten-free diet (GFD) is the only treatment for celiac disease (CD). There is a general consensus that strict GFD adherence in CD patients leads to full clinical and histological remission accompanied by improvement in quality of life and reduced long-term complications. Despite the importance of monitoring the GFD, there are no clear guidelines for assessing the outcome or for exploring its adherence. Available methods are insufficiently accurate to identify occasional gluten exposure that may cause intestinal mucosal damage. Serological tests are highly sensitive and specific for diagnosis, but do not predict recovery and are not useful for follow-up. The use of serial endoscopies, it is invasive and impractical for frequent monitoring, and dietary interview can be subjective. Therefore, the detection of gluten immunogenic peptides (GIP) in feces and urine have been proposed as new non-invasive biomarkers to detect gluten intake and verify GFD compliance in CD patients. These simple immunoassays in human samples could overcome some key unresolved scientific and clinical problems in CD management. It is a significant advance that opens up new possibilities for the clinicians to evaluate the CD treatment, GFD compliance, and improvement in the quality of life of CD patients.

PurposeTreatment of coeliac disease (CD) is essentially dietary and requires permanent changes in dietary habits. Gluten‐free diet compliance affects every aspect of an individual's quality of life. This paper aims to analyse the difficulties associated with the food practices tried and reported by CD patients and their health and quality of life.Design/methodology/approachA questionnaire with open, closed and multiple choice questions adapted from an already validated instrument was administered to a sample of 105 CD patients. The inclusion criteria were patients diagnosed with CD living in Distrito Federal (DF) who agreed to participate in the study.FindingsThe greatest concerns of CD patients were eating out (44.23 per cent), having to read food labels (50.00 per cent), believing that foods are not safe (52.88 per cent) and not having dietary alternatives (56.44 per cent). Some (39.42 per cent) patients have no difficulty following the diet, 42.3 per cent have some difficulty and 18.27 per cent find it very difficult to follow the diet.Originality/valueThis study discloses some of the social difficulties faced by CD patients, such as eating with relatives and friends, and discusses the impact of these challenges on their quality of life. The data show that information can help CD patients to maintain their quality of life.

Triheptanoin-enriched diets have been successfully used in the experimental treatment of various metabolic disorders. Maximal therapeutic effect is achieved in the context of a ketogenic diet where triheptanoin oil provides 30–40% of the daily caloric intake. However, pre-clinical studies using triheptanoin-rich diets are hindered by the difficulty of administering to laboratory animals as a solid foodstuff. In the present study, we successfully synthesized triheptanoin to the highest standards of purity from glycerol and heptanoic acid, using sulfonated charcoal as a catalyst. Triheptanoin oil was then formulated as a solid, stable and palatable preparation using a ketogenic base and a combination of four commercially available formulation agents: hydrophilic fumed silica, hydrophobic fumed silica, microcrystalline cellulose, and talc. Diet compliance and safety was tested on C57Bl/6 mice over a 15-week period, comparing overall status and body weight change. Practical applications: This work provides a complete description of (i) an efficient and cost-effective synthesis of triheptanoin and (ii) its formulation as a solid, stable, and palatable ketogenic diet (triheptanoin-rich; 39% of the caloric intake) for rodents. Triheptanoin-rich diets will be helpful on pre-clinical experiments testing the therapeutic efficacy of triheptanoin in different rodent models of human diseases. In addition, using the same solidification procedure, other oils could be incorporated into rodent ketogenic diet to study their dosage and long-term effects on mammal health and development. This approach could be extremely valuable as ketogenic diet is widely used clinically for epilepsy treatment.

Screening of 1,042,000 Greek newborns for PKU using the Guthrie test, revealed a mean incidence 1:10,420 for Hyperphenylalaninaemia (1:24,233 classic PKU and 1:18,280 benign variants). The mean Phe concentration of the first sample (3-15 days) was 14.1 mg/dl (6-40) for PKU while, for variants, it was 7.7 mg/dl (4-16). Using 4 mg/dl as the limit under which no repeat test was requested, no case of PKU has been missed. On the whole, 100 newborns with persistent Hphe have been detected: 43 proved to be classical PKU and 57 benign variants. After excluding BH4 deficiency, Phe blood level has been kept below 10 mg/dl in all Hphe babies during the first 2 years of life, irrespective of the type of Hphe. All treated Hphe babies have developed normally. Discrimination between PKU and variants was achieved in the 6-18 months of life with protein loading tests. Treated PKU children had the lowest Phe concentrations during the first year of life (mean 5.1 mg/dl). From then on, a steady yearly increase was observed. Their mean IQ in the Stanford-Binet L-M dropped from 107.2 in the second year to 95.8 in the sixth year. A high negative correlation is not clearly shown, probably due to the small number of cases. PKU clinic (supportive and counselling group therapy) along with individual consultations have proved to be helpful, as has the promotion of diet compliance. The need to individualize each of Hphe before deciding upon ways of treatment is stressed and a protocol to be followed for each Hphe is proposed.

Currently, there is no universal agreement on galactosaemia screening, fundamentally because of the risk-benefit uncertainties. We conducted two exhaustive systematic searches in the main electronic databases (PubMed, Embase, Cochrane, etc.) to recover relevant information about the disease and screening test/s in order to support decision making in Spain. All of the 45 studies identified that covered disease issues were retrospective case series or cross-sectional analysis (level-4 evidence). Studies consistently found that the majority of patients presented characteristic symptomatology before diagnosis. Long term disabilities were not significantly correlated with age of diagnosis, onset of dietary restriction or strict diet compliance. The five studies that provided accuracy data used different cut-off points and verification tests, and thus differed in their definitions of a positive case (level-3b evidence). The estimated sensitivity was 100 % and the specificity 99.9 %. The false-positive rate ranged from 0.0005 % to 0.25 %, and the PPV from 0 % to 64.3 %. The comparative clinical effectiveness in relation to not screening or implementation of other programs is unknown. In summary, existing evidence remains insufficient to establish the appropriateness of newborn screening for galactosaemia screening, although health benefits could be expected if early diagnosis and treatment is achieved. If screening is implemented in Spain, it would be important that a pilot programme be implemented to assess false positive rate and ensure that early diagnosis is not delayed.

Steht die Diagnose Zoliakie erst einmal fest, bedeutet dies fur den Betroffenen eine lebenslange Umstellung auf eine glutenfreie Ernahrung. Chemisch betrachtet ist, Gluten ein Oberbegriff fur die alkoholloslichen Prolaminfraktionen der Getreideeiweise aus Weizen, Gerste, Roggen und Hafer. Gluten ist ernahrungsphysiologisch gesehen kein hochwertiges Eiweis, der Verzicht fuhrt zu keinerlei Mangelerscheinung. Lebensmitteltechnisch betrachtet, bietet Gluten eine Fulle von positiven Eigenschaften, die in der Lebensmittelindustrie nicht wegzudenken sind. So hat es gute backtechnologische Eigenschaften und wird zur Frischhaltung von Gebacken genutzt, um nur einige Vorteile zu nennen. Fur Zoliakiebetroffene bedeutet dies, dass es nicht ausreicht, glutenhaltige Getreide, deren Mehle und Zubereitungen zu vermeiden, sondern dass jede Speise, jedes Fertiggericht kritisch hinterfragt werden mussen. Gute Beratung, Aufklarung und Schulung des Betroffenen und der Familie durch eine(n) erfahrene Diatassistentin/Diatassistenten sind fur eine konsequente und lebenslange glutenfreie Ernahrung von groser Bedeutung.

A gluten-free diet (GFD) is the safest treatment modality in patient with coeliac disease (CD) and other gluten-related disorders. Contamination and diet compliance are important factors behind persistent symptoms in patients with gluten related-disorders, in particular CD. How much gluten can be tolerated, how safe are the current gluten-free (GF) products, what are the benefits and side effects of GFD? Recent studies published in Nutrients on gluten-free products’ quality, availability, safety, as well as challenges related to a GFD are discussed.