{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T02:57:22Z","timestamp":1778813842010,"version":"3.51.4"},"reference-count":39,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T00:00:00Z","timestamp":1665619200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Self-control\/self-care means the active participation of a diabetic patient in therapy. It involves making numerous decisions and undertaking actions independently. The primary activities under the patient\u2019s control include adherence to medication regimens and maintenance of a health-promoting lifestyle, especially a healthy diet. However, the sense of responsibility for one\u2019s own health, i.e., high sense of responsibility (HSR), is an important element in the treatment of diabetes and in undertaking pro-health behaviors. The study aimed at analyzing adherence to dietary recommendations in the context of HSR in patients with type 1 diabetes. Methods: The cross-sectional study was conducted on a group of 394 adults. The assessment of adherence to dietary recommendations was performed with the present authors\u2019 Diabetes Dietary Guidelines Adherence Index (DDGA Index). The measurement of HSR was performed with the standardized Sense of Responsibility for Health Scale (HSRS). The assessment of the multifactorial influence of independent variables on the DDGA Index, including the \u201cresponsibility for health\u201d variable, was conducted with the use of a linear regression model. Results: The mean DDGA value was 18.68 (SD = 3.97). The patients significantly more often avoided unhealthy products than included recommended products into the diet at a required frequency. A positive correlation was demonstrated between HSR and adherence to dietary recommendations (\u03b2std. = 0.43, p &lt; 0.001). Conclusions: The sense of responsibility for one\u2019s health plays a main role in adherence to dietary recommendations in diabetes. Our study showed that a higher sense of responsibility for health was associated with a higher level of adherence to dietary recommendations. Patients with a high sense of responsibility for one\u2019s health will be more involved in the therapeutic process, including adherence to dietary recommendations. Therefore, all education actions should comprise not only dietary knowledge transfer and shaping appropriate skills, but they should also strengthen the sense of responsibility for one\u2019s health.<\/jats:p>","DOI":"10.3390\/ijerph192013173","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T20:55:11Z","timestamp":1665694511000},"page":"13173","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Undertaking Healthy Nutrition Behaviors by Patients with Type 1 Diabetes as an Important Element of Self-Care"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5644-8731","authenticated-orcid":false,"given":"Beata Irena","family":"Si\u0144ska","sequence":"first","affiliation":[{"name":"Department of Human Nutrition, Faculty of Health Sciences, Medical University of Warsaw, 27 Erazma Cio\u0142ka Street, 01-445 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3379-8165","authenticated-orcid":false,"given":"Karolina","family":"D\u0142u\u017cniak-Go\u0142aska","sequence":"additional","affiliation":[{"name":"Pediatric Clinical Hospital\u2014University Clinical Center, Medical University of Warsaw, 63A \u017bwirki I Wigury Street, 02-091 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5207-8323","authenticated-orcid":false,"given":"Mariusz","family":"Jaworski","sequence":"additional","affiliation":[{"name":"Department of Education and Research in Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 14\/16 Litewska Street, 00-575 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1830-2114","authenticated-orcid":false,"given":"Mariusz","family":"Panczyk","sequence":"additional","affiliation":[{"name":"Department of Education and Research in Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 14\/16 Litewska Street, 00-575 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aneta","family":"Duda-Zalewska","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Health Sciences, Medical University of Warsaw, Jana Nielubowicza Street 5, Blok F, 02-097 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7413-1212","authenticated-orcid":false,"given":"Iwona","family":"Traczyk","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition, Faculty of Health Sciences, Medical University of Warsaw, 27 Erazma Cio\u0142ka Street, 01-445 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1434-2138","authenticated-orcid":false,"given":"Urszula","family":"Religioni","sequence":"additional","affiliation":[{"name":"School of Public Health, Centre of Postgraduate Medical Education of Warsaw, Kleczewska 61\/63, 01-826 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6738-2088","authenticated-orcid":false,"given":"Alicja","family":"Kucharska","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition, Faculty of Health Sciences, Medical University of Warsaw, 27 Erazma Cio\u0142ka Street, 01-445 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Petroni, M.L., Brodosi, L., Marchignoli, F., Sasdelli, A.S., Caraceni, P., Marchesini, G., and Ravaioli, F. 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