Dietary habits of type 2 Diabetes patients: frequency and diversity of nutrition intake – Kingdom of Saudi Arabia

Main Article Content

Waqas Sami
Khalid M Alabdulwahhab
Mohd Rashid Ab Hamid
Tariq A Alasbali
Fahd Al Alwadani
Mohammad Shakil Ahmad

Keywords

dietary habits; type 2 diabetes mellitus; food frequency questionnaire; Kingdom of Saudi Arabia

Abstract

One of the important cornerstones of diabetes care is dietary management which should be based on healthy eating in context of food choices, cultural and social aspects. There is scarcity of literature adressing the dietary habits of type 2 diabetics in the Kingdom of Saudi Arabia (KSA). In Gulf countries, especially KSA there are ineffective dietary habits programs that can prevent and control complications from diet-related non-communicable diseases like diabetes  The present study was conducted to examine the dietary habits and food frequencies of type 2 diabetes patients attending the primary healthcare centers in Almajmaah City, KSA. It was an analytical cross-sectional study by design which was conducted from February – April 2017. A self-prepared Food Frequency Questionnaire (FFQ) in English language was used to collect the data from 350 patients. The FFQ comprised of local food items that were distributed in 9 food groups. The selection of patients was done by means of systematic random sampling technique. The median age of the patients was 45 years. When compared with the food guide pyramid, the consumption of lipids and fats, sweets and bakery, drinks and, soups and sauces were more than the recommended intake (p<0.001) respectively. Whereas, consumption of proteins, carbohydrates, dairy products, fruits, and vegetables was less than the recommended intake (p<0.001) respectively. The dietary habits of type 2 diabetics have been reported to be poor. Individualizing the nutrition interventions and encouraging to change the behavior can help the patients in accomplishing the health goals. The treating doctors should also identify the barriers that are hindering the patients from not following the recommended dietary guidelines. To achieve best results from self-care management, patients, doctors, and dietitians should work together.

Abstract 1422 | PDF Downloads 533

References

1. Shamsi N, Shehab Z, AlNahash Z, AlMuhanadi S, Alnasir F. Factors Influencing Dietary Practice Among Type 2 Diabetic Patients in Bahrain. Bahrain Med Bull. 2013;158(749):1-6.
2. Rivellese A, Boemi M, Cavalot F, Costagliola L, De Feo P, MiccoliR, et al. Dietary habits in type II diabetes mellitus: how is adherence to dietary recommendations? Eur J Clin Nutr. 2008; 62(5);660-4.
3. 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.
4. EkoreR, Ajayi I, Ekore J. Dietary management of diabetes: a practical approach for primary care physicians in Nigeria. Diabetes. 2008;16;13-4.
5. Buscemi S, Nicolucci A, Mattina A, Rosafio G, Massenti F, Lucisano G, et al. Association of dietary patterns with insulin resistance and clinically silent carotid atherosclerosis in apparently healthy people. Eur J Clin Nutr. 2013;67(12);1284-90.
6. Midhet FM, Al-Mohaimeed AA, Sharaf FK. Lifestyle related risk factors of type 2 diabetes mellitus in Saudi Arabia. Saudi Med J. 2010;31(7);768-74.
7. Guerrero RT, Chong M, Novotny R, Wilkens LR, Badowski G, Blas-Laguana M, et al. Relative validity and reliability of a quantitative food frequency questionnaire for adults in Guam. J Food Nutr Res. 2015;59;26276: DOI: 10.3402/fnr.v59.26276.
8. American Diabetes Association. Nutrition recommendations and principles for people with diabetes mellitus. Diabetes Care. 1997, 1, S14-7.
9. Musaiger AO, Hassan AS, Obeid O. The paradox of nutrition-related diseases in the Arab countries: the need for action. Int J Environ Res Public Health. 2011;8(9);3637-71.
10. Mohamed BA, Almajwal AM, Saeed AA, Bani IA. Dietary practices among patients with type 2 diabetes in Riyadh, Saudi Arabia. J Food Agric Environ. 2013;11(2);110-4.
11. Alsulaiman TA, Al-Ajmi HA, Al-Qahtani SM, Fadlallah IM, Nawar NE, Shukerallah RE, et al. Control of type 2 diabetes in King Abdulaziz Housing City (Iskan) population, Saudi Arabia. J Fam Community Med. 2016;23(1);1.
12. Sami W, Ansari T, Butt N, Ab Hamid M. Psychometric evaluation of dietary habits questionnaire for type 2 diabetes mellitus. J Phys Conf. 2017;890;012151;https://doi.org/10.1088/1742-6596/890/1/012151.
13. Kuhail ME. Assessment of Dietary Habits on Risk Profiles and Complications among Type 2 Diabetic Patients at Al-Remal Clinic in Gaza Strip (Masters), Al-Azhar University Deanship of postgraduate Studies and scientific Research Pharmacy College 2013.
14. Tong X, Dong J, Wu Z, Li W, Qin L. Dairy consumption and risk of type 2 diabetes mellitus: a meta-analysis of cohort studies. Eur J Clin Nutr. 2011;65(9);1027-31.
15. Babio N, Balanza R, Basulto J, Bulló M, Salas-Salvadó J. Dietary fibre: influence on body weight, glycemic control and plasma cholesterol profile. Nutr Hosp. 2010;25(3);327-40.
16. Aune UG, Veierod M. Meat consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies. Diabetologia. 2009;52(11);2277-87.
17. Shadman Z, Khoshniat M, Poorsoltan N, Akhoundan M, Omidvar M, Larijani B, et al. Association of high carbohydrate versus high fat diet with glycated hemoglobin in high calorie consuming type 2 diabetics. J Diab Metab Disor. 2013;12(1);27.
18. Lee K-L, Yoon E-H, Lee H-M, HwangH-S, Park H-K. Relationship between food-frequency and glycated hemoglobin in Korean diabetics: using data from the 4th Korea National Health and Nutrition Examination Survey. Korean J Fam Med. 2012;33(5);280-6.
19. Ferland A, Brassard P, Lemieux S, Bergeron J, Bogaty P, Bertrand F, et al. Impact of high‐fat/low‐carbohydrate, high‐, low‐glycaemic index or low‐caloric meals on glucose regulation during aerobic exercise in Type 2 diabetes. Diabet Med. 2009;26(6);589-95.
20. Wallin A, Di GD, Orsini N, Patel PS, Forouhi NG, Wolk A. Fish Consumption, Dietary Long-Chain n-3 Fatty Acids, and Risk of Type 2 Diabetes Systematic review and meta-analysis of prospective studies. Diabetes Care. 2012;35(4);918-29.
21. Djoussé L, Gaziano JM, Buring JE, Lee I-M. Dietary omega-3 fatty acids and fish consumption and risk of type 2 diabetes. Am J Clin Nutr. 2011;93(1);143-50.
22. Ibrahim NKR, Iftikhar R, Murad M, Fida H, Abalkhaeil B, Al-Ahmadi J. Energy drinks consumption amongst medical students and interns from three colleges in Jeddah, Saudi Arabia. J Food Nutr Res. 2014;2(4);174-9.
23. Bawazeer NA, AlSobahi NA. Prevalence and side effects of energy drink consumption among medical students at Umm Al-Qura University, Saudi Arabia. Int J Med Students. 2013;1(3);104-8.
24. Sun Y, You Wen, Almeida F, EstabrooksP, Davy B. The effectiveness and cost of lifestyle interventions including nutrition education for diabetes prevention: a systematic review and meta-analysis. J Acad Nutr Diet. 2017;117(3);404-21.
25. Ouyang CM. Dietary education for patients with type 2 diabetes: failure or success? Diabetes Management. 2017;7(5);377-82.
26. Sarant L, Savoca M, Miller C. Food selection and eating patterns: themes found among people with type 2 diabetes mellitus. J Nutr Educ. 2001;33(4);224-33.