Abstract

Background and Objectives: There is a paucity of literature on the dietary attitude (DA) of patients with type 2 diabetes in the Kingdom of Saudi Arabia (KSA). Although the prevalence of diabetes mellitus (DM) is high in Gulf countries, there remains a lack of understanding of the importance of dietary behavior in diabetes management among patients. Understanding the behavior of patients with diabetes towards the disease requires knowledge of their DA. Therefore, this study aimed to assess and evaluate the DA of type 2 diabetes patients, and it is the first of its kind in the KSA. Material and Methods: An analytical cross-sectional study was conducted among 350 patients with type 2 diabetes. A self-administered DA questionnaire was used to collect the data. Psychometric properties of the questionnaire were assessed by face validity, content validity, exploratory factor analysis, and internal consistency reliability. The data were collected using a systematic random sampling technique. Results: The overall DA of the patients was inappropriate (p = 0.014). Patients had an inappropriate DA towards food selection (p = 0.003), healthy choices (p = 0.005), food restraint (p < 0.001), health impact (p < 0.001), and food categorization (p = 0.033). A poor DA was also observed in relation to the consumption of red meat (p <0.001), rice (p < 0.001), soup and sauces (p = 0.040), dairy products (p = 0.015), and junk food (p < 0.001). Conclusions: It is highly recommended that patients with diabetes receive counseling with an empowerment approach, as this can bring about changes in their dietary behavior, which is deeply rooted in their daily routine. Healthcare providers should also be well-informed about patients’ attitudes and beliefs towards diabetes to design tailored educational and salutary programs for this specific community. Diabetes self-management educational programs should also be provided on a regular basis with a special emphasis on diet and its related components.

Highlights

  • Dietary attitude (DA) is defined as beliefs, thoughts, and feelings about, behaviors toward, and relationships with food

  • Our study showed that patients with type 2 diabetes had an overall inappropriate dietary attitude (DA)

  • Subgroup analysis showed an inappropriate DA of patients towards food selection, health impact of food, healthy choices, food restraint, and food categorization

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Summary

Introduction

Dietary attitude (DA) is defined as beliefs, thoughts, and feelings about, behaviors toward, and relationships with food. It can influence people’s food choices and their health status [1]. Local and international literature assessing the DA of patients with type 2 diabetes is very scarce. A study conducted in Egypt reported that the attitude of patients towards food, compliance with treatment, food control with and without drug use, and foot care was inadequate [6]. Of patients with type 2 diabetes in the Kingdom of Saudi Arabia (KSA). This study aimed to assess and evaluate the DA of type 2 diabetes patients, and it is the first of its kind in the KSA.

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