Effect of Nutrition Education on Nutritional Behaviors and Glycemic Control Indices Based on BASNEF Model among Elderly with Type 2 Diabetes

Document Type : Original Article (s)

Authors

1 Department of Health Promotion and Health Education, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran

2 Professor, Department of Health Promotion and Health Education, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran

3 Lecturer, Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran

4 Associate Professor, Food Security Research Center and Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: The purpose of the present study was to determine the effectiveness of nutrition education program based on the BASNEF (Belief, Attitude, Subjective Norm and Enabling Factors) model among elderly subjects above 60 years old with type 2 diabetes.Methods: In this study, 100 diabetic elderly (≥ 60 years) patients were divided into intervention and control groups randomly. Data of control and intervention groups was collected in two stages, before intervention and 12 weeks after intervention. Intervention of nutritional education was performed based on baseline assessment and BASNEF model. Finally, data were analyzed by using χ2, Student’s t and paired t-test.Findings: Our findings indicated that mean scores of knowledge and BASNEF model variables were significantly increased in the intervention group compared to the controls after intervention (P < 0.001). Also, behavioral nutrition improved significantly. The number of serving’s intake, regarding the fruit and vegetable, has been increased significantly in the intervention group (P < 0.001). HbA1c and fasting blood sugar (FBS) levels decreased significantly in the intervention group (-0.36% and 19.5 mg/dl, respectively).  Conclusion: BASNEF–based nutrition education intervention led to improve nutritional behaviors in addition to improve knowledge and attitude of diabetic elderly and it led to improve indices of glucose control during 3-month intervention. 

Keywords

References

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Journal of Isfahan Medical School
Volume 29, Issue 155 - Serial Number 155
September and October 2011
Pages 1389-1400

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History

  • Receive Date: 14 March 2011
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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