Dietary habits among type 2 diabetic patients in Erbil City

Authors

  • Sultan Sameer Saber Community medicine trainee, Kurdistan Board of Medical Specialties (KHCMS).
  • Maaroof Tahseen Hassan Assist. Prof. Vice president of Kurdistan Board of Medical Specialties (KHCMS).
  • Sherzad Ali Ismael Ass. Professor of Community Medicine, the Dean of Public Health Faculty/ KHCMS.

DOI:

https://doi.org/10.56056/amj.2020.117

Keywords:

Dietary adherence, Dietary barriers, Glycemic control, Type 2 diabetes mellitus

Abstract

Background and objectives:Dietary modification is the cornerstone in the management of type 2 diabetes. The pur- pose of this study was to explore the dietary behavior of type 2 diabetic patients, along its association with glycemic control and sociodemographic factors and their perceived obstacles to follow diabetic dietary regimens.

Methods:A cross-sectional study was conducted in Erbil City, Kurdistan Region of Iraq, from December 2017 to December 2018. In this study, 344 type 2 diabetic patients, who were attending Leila Qasim Center for diabetes care, were recruited. Patients who were ?18 years and diagnosed at least for one year were enrolled. Data were collected through direct interview based on the questionnaire. Dietary behavior was assessed through modified UK Diabetes and Diet Question- naire.

Results: Out of all enrolled patients, 85.5% of them had unsatisfactory dietary habits. Adherence to whole grain and fish consumption were 2.9% and 5.5%, respectively, which had the lowest rate of dietary adherence. Only 24.4% of patients had their glycosylated hemoglobin level below 7%. Statistically significant association was found between dietary habits and glycemic control. Females tend to have more dietary adherence than males (16% vs 12.3%); how- ever, there was no statistically significant association between gender and age with dietary habits. Lack of palatability was perceived as the main barrier for dietary adherence by the patients.

Conclusions:Type 2 diabetic patients had low adherence to the recommended diet. The educational level and source of dietary advice were significantly associated with adherence. The dietary adherence of the patients was inversely associated with their glycosylated hemoglobin.

Downloads

Download data is not yet available.

References

Mansour A, Al Douri F. Diabetes in Iraq: facing the epidemic. A system- atic review. Wulfenia. 2015;22(3):258-73.

Lanting LC, Joung IM, Vogel I, et al. Ethnic differences in outcomes of diabetes care and the role of self-management behavior. Patient Educ Couns. 2008; 72(1):20-8.

Wheeler ML, Dunbar SA, Jaacks LM, et al. Macronutrients, food groups, and eating patterns in the management of diabetes: a systematic review of the literature. Diabetes care. 2012;35(2):434-45.

Pastors JG, Warshaw H, Daly A, Franz M, Kulkarni K. The evidence for the effectiveness of medical nutrition therapy in diabetes management. Diabetes care. 2002;25(3):608-13.

Sabaté E. Adherence to long term therapies: evidence for action. World Health Organization. 2003.Available from: http://www.who.int/chp/ knowledge/publications/adherence_full_report.pdf.

Rivellese A, Boemi M, Cavalot F, et al. Dietary habits in type II diabetes mellitus: how is adherence to dietary recommendations Eur J Clin Nutr. 2008;62(5):660-4.

Monnier L, Grimaldi A, Charbonnel B, et al. Management of French patients with type 2 diabetes mellitus in medical general practice: report of the Mediab observatory. Diabetes Metab. 2004;30(1):35-42.

Evert AB, Boucher JL, Cypress M, et al. Nutrition therapy recommen- dations for the management of adults with diabetes. Diabetes care. 2014;37(1): S120-43.

Lafta RK, Faiq U, Al-Kaseer A-H. Compliance of Diabetic patients. MMJ. 2017;7(2):17-22.

Daniel WW, editor. Biostatistics: A Foundation for Analysis in the Health Sciences. New York: John Wiley & Sons; 2013.

Omer W, Al-Hadithi T. Developing a socioeconomic index for health research in Iraq. EMHJ. 2017;23(10):670-7.

Emadian A, England CY, Thompson JL. Dietary intake and factors in- fluencing eating behaviors in overweight and obese South Asian men living in the UK: mixed method study. BMJ open. 2017;7(7): e016919.

England CY, Thompson JL, Jago R, Cooper AR, Andrews RC. Devel- opment of a brief, reliable and valid diet assessment tool for impaired glucose tolerance and diabetes: the UK Diabetes and Diet Questionnaire. Public health Nutr. 2017;20(2):191-9.

Mumu SJ, Saleh F, Ara F, Afnan F, Ali L. Non-adherence to life-style modification and its factors among type 2 diabetic patients. Indian J of Public Health. 2014;58(1):40.

Tien KJ, Hung HC, Hsiao JY, et al. Effectiveness of comprehensive diabetes care program in Taiwanese with type 2 diabetes. Diabetes Res Clin Pract. 2008;79(2):276-83.

Lianov L, Johnson M. Physician competencies for prescribing lifestyle medicine. Jama. 2010;304(2):202-3.

Kahan S, Manson JE. Nutrition counseling in clinical practice: how clinicians can do better. Jama. 2017;318(12):1101-2.

Forouhi NG, Misra A, Mohan V, Taylor R, Yancy W. Dietary and nutri- tional approaches for prevention and management of type 2 diabetes. BMJ. 2018;36: k2234.

Mohan V, Shah SN, Joshi SR, et al. Current status of management, control, complications and psychosocial aspects of patients with diabe- tes in India: Results from the DiabCare India 2011 Study. Indian J Endo- crinol Metab. 2014;18(3):370.

Hippisley-Cox J, Pringle M. Prevalence, care, and outcomes for pa- tients with diet-controlled diabetes in general practice: cross sectional survey. The Lancet. 2004;364(9432):423-8.

UK Prospective Diabetes Study Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. The lancet. 1998;352(9131):837-53.

Al-Ghamdi Aisha. Role of HbA1c in management of diabetes mellitus. Saudi Med J. 2004;25(3):342-45.

International Expert Committee report on the role of the HbA1C assay in the diagnosis of diabetes. Diabetes care. 2009;32(7):1327-34.

Adham M, Froelicher ES, Batieha A, Ajlouni K. Glycaemic control and its associated factors in type 2 diabetic patients in Amman, Jordan. EMHJ. 2010;16(7):732-9.

Sattar N Ali. The Adequateness of Glycemic Control in Type 2 Diabetes Mellitus. MJB 2015; 12(4): 1129-36.

Raj GD, Hashemi Z, Contreras DC, et al. Adherence to Diabetes Dietary Guidelines Assessed Using a Validated Questionnaire Pre- dicts Glucose Control in Adults with Type 2 Diabetes. Can J Diabetes. 2018;42(1):78-87.

Khan AR, Lateef ZN, Al Aithan MA, et al. Factors contributing to noncompliance among diabetics attending primary health centers in the Al Hasa district of Saudi Arabia. J. Fam. Commun. Med. 2012;19(1):26-32.

Kalyango JN, Owino E, Nambuya AP. Non-adherence to diabetes treatment at Mulago Hospital in Uganda: prevalence and associated factors. Afr health Sci. 2008;8(2):67-73.

Spikmans F, Brug J, Doven M, et al. Why do diabetic patients not attend appointments with their dietitian J Human Nutr Diet. 2003;16(3):151-8.

Serour M, Alqhenaei H, Al-Saqabi S, Mustafa AR, Ben-Nakhi A. Cultural factors and patients’ adherence to lifestyle measures. Br J Gen Pract. 2007;57(537):291-5.

Downloads

Published

2023-06-22

How to Cite

Saber, S. S. ., Hassan, M. T. ., & Ismael, S. A. . (2023). Dietary habits among type 2 diabetic patients in Erbil City. AMJ (Advanced Medical Journal) , 6(1), 40-46. https://doi.org/10.56056/amj.2020.117

Issue

Section

Articles