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Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study

BACKGROUND: Globally, one in ten pregnant women have diabetes; out of which, 90% contribute to gestational diabetes mellitus (GDM). Medical Nutrition Therapy (MNT) is the cornerstone for GDM treatment yet adherence to MNT among the masses is not adequately monitored as part of the routine antenatal...

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Autores principales: Ravel, Vanessa, Jayaseelan, Venkatachalam, Rengaraj, Sasirekha, Lakshminarayanan, Subitha, Kannusamy, Sivaranjini, Susindhran, Balaji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10079207/
https://www.ncbi.nlm.nih.gov/pubmed/37034861
http://dx.doi.org/10.4103/jehp.jehp_930_22
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author Ravel, Vanessa
Jayaseelan, Venkatachalam
Rengaraj, Sasirekha
Lakshminarayanan, Subitha
Kannusamy, Sivaranjini
Susindhran, Balaji
author_facet Ravel, Vanessa
Jayaseelan, Venkatachalam
Rengaraj, Sasirekha
Lakshminarayanan, Subitha
Kannusamy, Sivaranjini
Susindhran, Balaji
author_sort Ravel, Vanessa
collection PubMed
description BACKGROUND: Globally, one in ten pregnant women have diabetes; out of which, 90% contribute to gestational diabetes mellitus (GDM). Medical Nutrition Therapy (MNT) is the cornerstone for GDM treatment yet adherence to MNT among the masses is not adequately monitored as part of the routine antenatal services. The study aimed to estimate the proportion of adherence to MNT and determine the factors related toadherence among antenatal women with GDM. This study also explores the facilitators, barriers, and possible suggestions for improving adherence. MATERIALS AND METHODS: This facility-based sequential explanatory mixed-method study was conducted among 341 antenatal women with GDM at, Puducherry. The study was conducted in 2021. Dietary adherence was evaluated using Perceived Dietary Adherence Questionnaire and based on the scores obtained they were selected for in-depth interviews to explore the facilitators and barriers. Collected data wereanalysed by Chi-square test using STATA version 16. RESULTS: Out of 341 participants, the proportion of participants adherent to MNT was 135 (39.6%) with 95% CI of 34%–44%. Thepredictors for poor adherence were unemployment (PR: 0.65; 95%CI: 0.48–0.88) and good adherence was antenatal women in the 2(nd) trimester (PR: 1.541; 95%CI: 1.18–2.025). Barrierstonon-adherence were financial crisis, lack of awareness ofthe need for MNT, and joint family pressure. CONCLUSIONS: About two-thirds of antenatal women with GDM are non-adherent to MNT. Unemployment and period of gestation were found to be theirdeterminants. Appropriate action has to be implemented for improving the adherence rate.
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spelling pubmed-100792072023-04-07 Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study Ravel, Vanessa Jayaseelan, Venkatachalam Rengaraj, Sasirekha Lakshminarayanan, Subitha Kannusamy, Sivaranjini Susindhran, Balaji J Educ Health Promot Original Article BACKGROUND: Globally, one in ten pregnant women have diabetes; out of which, 90% contribute to gestational diabetes mellitus (GDM). Medical Nutrition Therapy (MNT) is the cornerstone for GDM treatment yet adherence to MNT among the masses is not adequately monitored as part of the routine antenatal services. The study aimed to estimate the proportion of adherence to MNT and determine the factors related toadherence among antenatal women with GDM. This study also explores the facilitators, barriers, and possible suggestions for improving adherence. MATERIALS AND METHODS: This facility-based sequential explanatory mixed-method study was conducted among 341 antenatal women with GDM at, Puducherry. The study was conducted in 2021. Dietary adherence was evaluated using Perceived Dietary Adherence Questionnaire and based on the scores obtained they were selected for in-depth interviews to explore the facilitators and barriers. Collected data wereanalysed by Chi-square test using STATA version 16. RESULTS: Out of 341 participants, the proportion of participants adherent to MNT was 135 (39.6%) with 95% CI of 34%–44%. Thepredictors for poor adherence were unemployment (PR: 0.65; 95%CI: 0.48–0.88) and good adherence was antenatal women in the 2(nd) trimester (PR: 1.541; 95%CI: 1.18–2.025). Barrierstonon-adherence were financial crisis, lack of awareness ofthe need for MNT, and joint family pressure. CONCLUSIONS: About two-thirds of antenatal women with GDM are non-adherent to MNT. Unemployment and period of gestation were found to be theirdeterminants. Appropriate action has to be implemented for improving the adherence rate. Wolters Kluwer - Medknow 2023-01-31 /pmc/articles/PMC10079207/ /pubmed/37034861 http://dx.doi.org/10.4103/jehp.jehp_930_22 Text en Copyright: © 2023 Journal of Education and Health Promotion https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ravel, Vanessa
Jayaseelan, Venkatachalam
Rengaraj, Sasirekha
Lakshminarayanan, Subitha
Kannusamy, Sivaranjini
Susindhran, Balaji
Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study
title Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study
title_full Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study
title_fullStr Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study
title_full_unstemmed Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study
title_short Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study
title_sort adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in south india- a sequential explanatory mixed-method study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10079207/
https://www.ncbi.nlm.nih.gov/pubmed/37034861
http://dx.doi.org/10.4103/jehp.jehp_930_22
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