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study used a structured questionnaire as a tool to measure
patients
’
knowledge, behavior, and diet adherence. In add-
ition, demographic characteristics, comorbid medical disor-
ders, the awareness and compliance of nutritional practice,
capability, attitude, self-efficacy, accessibility of medical
resources, social support were into analyses.
Results:
This study supported positive correlation of self-care,
diet adherence and diabetes control. Patients with effective
self-care and strict diet adherence were significantly lower
HbA1c level. The average HbA1c for those patients after a
diabetic diet adherence monitor reduced from 8.04 ± 2.74 to
6.88 ± 1.26 (P < 0.05).
Conclusion:
Proper diet adherence monitoring and educa-
tional program are recommended in diabetes educational
clinics to enhance diabetes control.
PA-23
Relationship of neck circumference to metabolic syndrome
and central obesity in regional hospital employees
Te-Shu WU
1
, Liang-Wen DING
2
, Hsiao-Lien CHEN
3
*,
Yu-Ying CHANG
1
, Yi-Ping LAN
1
.
1
Department of Dietician, Lo-Hsu
Medical Foundation, Lotung Poh-Ai Hospital,
2
Division of Critical
Care Medicine, Department of Internal Medicine, Lo-Hsu Medical
Foundation, Lotung Poh-Ai Hospital,
3
Division of Endocrinology and
Metabolism, Department of Internal Medicine, Lo-Hsu Medical
Foundation, Lotung Poh-Ai Hospital, Taiwan
Objective:
Metabolic syndrome (MS) increases the relative risk
of cardiovascular disease. In Taiwan, the prevalence rate is
estimated to be 15
–
18%. Upper-body fat distribution has long
recognized as related to increase cardiovascular disease risk,
and neck circumference (NC) has been used as an index for risk
profile, suggesting it plays an important role in metabolic risk .
The aim of the study is to investigate the relationship of NC to
MS and central obesity in regional hospital employees.
Methods:
A cross-sectional study, participants aged between
25 and 60 yrs with mean age of 43.7 ± 7.7 yrs (mean ± SD) and
criteria compatible to two or more of risk factors for metabolic
syndrome combined with LDL-C
≧
130 mg/dL or total choles-
terol
≧
200 mg/dL were included.
Results:
Total of 34 participants were completed (11 male, and
23 female). Male, with a mean NC of 39.1 ± 2.1 cm, 6 cm wider
than female of 33.1 ± 2.5 cm (P < 0.01). NC correlate positively
with BMI (r = 0.39, P < 0.01). NC also correlate positively with
waist circumference (r = 0.68, P < 0.01) andMS (r = 0.65, P < 0.05).
Our study also showed that an NC of 38.2 cm for male and 37.4
cm for female was optimal cutoff point for central obesity, NC
of 39.15 cm for male and 34.55 cm for female was the optimal
cutoff point for overweight and NC of 38.2 cm for male and
35.2 cm for female was the optimal cutoff point to determine
participants with MS.
Conclusion:
In our study, neck circumference is positively
related with BMI, central obesity, and metabolic syndrome in
regional hospital employees
PA-24
The role of medical nutrition therapy on components of
metabolic syndrome in community-based population
Te-Shu WU
1
, Sien-Cheng CHANG
2
, Hsiao-Lien CHEN
3
*,
Chiao-Yu WAN
1
, Yi-Jen WU
1
.
1
Department of Dietician, Lo-Hsu
Medical Foundation, Lotung Poh-Ai Hospital,
2
Division of Community
Medicine, Department of Internal Medicine, Lo-Hsu Medical
Foundation, Lotung Poh-Ai Hospital,
3
Division of Endocrinology and
Metabolism, Department of Internal Medicine, Lo-Hsu Medical
Foundation, Lotung Poh-Ai Hospital, Taiwan
Objective:
The prevalence of obesity is rising in throughout the
world, reaching 14.6% in Taiwan, and it increases with
increasing age. According to American Diabetes Association
guideline in 2012, medical nutrient therapy(MNT) not only
decreases the complications of obesity, but also prevents the
occurrence of MS. Weight reduction have shown reductions in
various mediators of chronic diseases, including hyperglipi-
demia, hypertension, hyperglycemia, metabolic syndrome
and cardiovascular disease. The aim of this study was to
evaluate the effects of MNT on weight reduction andmetabolic
risk factors in the community-based population.
Methods:
Participants aged 20
–
60 yrs with meanage of 45 ±
1.82 yrs (mean ± SD) and BMI
≥
24 kg/m
2
were included. The
intervention period of 8 weeks and the maintenance period of
6 weeks. Dietitians provided continuous individualized MNT
to the participants for initial 8 weekly then biweekly in
following 6 weeks period. We measured height at baseline
and body weight, BMI, and waist circumference at baseline, 8-
week, 14-week, and 24-week. We also checked blood sugar and
lipid profile at baseline, 8-week, 14-week and collected KAP
questionnaires of diet to estimate the effectiveness at baseline
and 8-week.
Results:
Total sixty participants were completed both inter-
vention and maintenance period. There were significant
reductions in body weight 3.53 kg, waist circumference
5.97 cm, BMI 1.34 kg/m
2
, total cholesterol 18.3 mg/dL, LDL-C
12.06 mg/dL compared between baseline, 8-week, 14-week
(p < 0.001) and scores of KAP questionnaires at 8-week
compared to baseline (p < 0.001). However, there were no
significant differences 14-week compared to 8-week.
Conclusion:
Our study showed that it was effective on weight
reduction by continuously individualized MNT, can improve
metabolic syndrome and associated cardiovascular risk
factors.
PA-25
Low lung function associated with type 2 diabetes risk in
Chinese older people: Data from the Qingdao Aging Study
Feng NING
1,2
*.
1
Faculty of Medicince, Qingdao University,
2
Department of Non-Communicable Disease, Qingdao Centers for
Disease Control and Prevention, China
Backgrounds:
Evidence suggests that low lung function
increased risk for type 2 diabetes in Europeans, but not well
known in Chinese. The aim of this study was to investigate the
association between lung function and type 2 diabetes based
on the Qingdao Aging Study.
Methods:
A total of 1321 individuals aged 50
–
78 years was
randomly selected to investigate in the current study. Forced
vital capacity (FVC) and forced expiratory volume in 1 s (FEV1)
were measured using standard spirometry. Newly type 2
diabetes were classified by the fasting plasma glucose
≥
7.0 mmol/L and (or) 2-h plasma glucose
≥
11.1 mmol/L. The
odds ratios of FVC and FEV1 for prevalence of type 2 diabetes
were analyzed adjusting for age, BMI, gender, residential areas,
hypertension status, family history of diabetes, total choles-
terol, smoking and drinking status.
Results:
The mean values of FVC and FEV1 were significantly
inversely associated with fasting, 2-h glucose and fasting
insulin concentrations both in men and in women (P < 0.01
for all comparisons). The multivariable adjusted model
indicated that odds ratio of FEV1 was significantly declined in
prevalence of type 2 diabetes, but not for FVC. The correspond-
ing figures were 0.66 (0.46
–
0.95) and 1.23 (0.95
–
1.59),
respectively.
Conclusions:
It is first time to show that the low level of FEV1,
but not FVC is independently increased risk for development
of the type 2 diabetes in Chinese people.
PA-26
Risk for cardiovascular diseases based on relationship
between post-load and fasting plasma glucose levels in the
normal range
Feng NING
1,2
*.
1
Faculty of Medicine, Qingdao University, Qingdao,
2
Department of Non-communicable Disease, Qingdao Centers for
Disease Prevention and Control, China
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65
–
S211
S72