Dietary Diversity and Associated Health Status of Newly Diagnosed Type 2 Diabetic Patients in Jashore Region of Bangladesh

Sharmin Sultana,Md Tarek Hasan,Tanvir Ahmad,Nazia Nawshad Lina,Rajib Kanti Roy,Biplab Kumar Dash,Md Jannatul Ferdaus

doi:10.12944/crnfsj.8.2.09

Abstract

Lack of adequate dietary diversity may contribute to the deterioration of health and nutritional status of newly diagnosed type 2 diabetes mellitus (T2DM) patients. This cross-sectional study was designed to assess the dietary diversity and related health status of 110 newly diagnosed T2DM patients. The diabetes history of the subjects was collected from the hospital’s e-database. IDDS (individual dietary diversity score) was measured based on the FFQ (food frequency questionnaire) according to the FAO guidelines for measuring household and individual dietary diversity. BMI (body mass index), FBG (fasting blood glucose) level, 2h-PG (two-hour plasma glucose) level, serum creatinine level, and any signs of macro and microvascular diseases were recorded. The mean±SD of IDDS was moderate, 5.74±0.85. About half of the newly diagnosed diabetic patients consumed foods with high diversity. All respondents consumed starchy foods and about half of them did not consume any green leafy vegetables. Younger patients had a lower tendency to take high IDDS diets than the older. About half of individuals were overweight or obese. Higher IDDS and lower BMI, hypertension, serum creatinine, FBG, and 2-HPG were found among males than that of the females. Approximately 35% and 20% patients had microvascular and macrovascular complications respectively.The BMI and serum creatinine level of newly diagnosed diabetic patients were negatively affected by the IDDS. Dietary diversity and varied socio-demographic determinants were found to be related to the health status of diabetics.

Highlights

Diabetes is a major public health problem affecting millions of people worldwide thereby posing significant socioeconomic challenges.[1]
It is estimated that about 80% of all new incidence of diabetes will occur in developing countries by 2025.3 About 85-95% of diabetics in developing countries suffer from type 2 form.[4]
As diabetes frequently coexists with a bundle of risk factors related to cardiovascular diseases (CVD) and other metabolic syndromes, diabetic patients are highly likely to be affected with complications like diabetic retinopathy, nephropathy, neuropathy, and macrovascular problems.[7]

Summary

Introduction

Diabetes is a major public health problem affecting millions of people worldwide thereby posing significant socioeconomic challenges.[1]. Lack of adequate dietary diversity may contribute to the deterioration of health and nutritional status of newly diagnosed type 2 diabetes mellitus (T2DM) patients. This cross-sectional study was designed to assess the dietary diversity and related health status of 110 newly diagnosed T2DM patients. IDDS (individual dietary diversity score) was measured based on the FFQ (food frequency questionnaire) according to the FAO guidelines for measuring household and individual dietary diversity. About half of the newly diagnosed diabetic patients consumed foods with high diversity. Younger patients had a lower tendency to take high IDDS diets than the older. Higher IDDS and lower BMI, hypertension, serum creatinine, FBG, and 2-HPG were found among males than that of the females.

Objectives

Methods

Findings

Discussion

Conclusion