Abstract
Background Diabetic patients' dietary practice is critical to improve glycemic, lipid, and blood pressure control. However, a significant number of patients had poor dietary practice. In Ethiopia, more than half of diabetic patients were not practicing a healthy dietary approach. Therefore, this study assessed variables that were hardly addressed in previous studies. The aim of this study was to assess dietary practice and associated factors among patients with type 2 diabetes. Methods A facility-based cross-sectional study was performed among patients with type 2 diabetes in Arba Minch General Hospital from April 21 to May 20, 2020. A systematic sampling technique was used to select 352 patients. The data were entered into EpiData version 3.1 and exported to SPSS version 21 for cleaning and analysis. Descriptive statistics were performed. All variables in bivariate analysis with p-value <0.25 were entered into a multivariable logistic regression model, and statistical significance was declared at a p-value of less than 0.05. Results The prevalence of poor dietary practice was found to be 40.6% (95%CI (35.7–46.0)). After adjusting for other variables in multivariable analysis, not attending formal education (AOR = 3.0; 95%CI (1.6–5.5)), being at primary education level (AOR = 2.2; 95%CI (1.1–4.4)), being moderately food insecure (AOR = 5.3; 95%CI (2.8–9.9)), having depression (AOR = 5.9; 95%CI (3.0–11.4)), and not having nutrition education (AOR = 2.2; 95% (1.1–4.6)) were factors associated with poor dietary practice. Conclusions A significant proportion of patients had poor dietary practice. The poor dietary practice was significantly higher among those with no formal education, at the primary education level, from the moderately food-insecure household, having depression, and not having nutrition education. The results imply the need for strengthening health information dissemination concerning healthy dietary practice in the form of a package.
Highlights
Type 2 diabetes accounts for 90–95% of those with diabetes, previously referred to as noninsulin-dependent diabetes or adult-onset diabetes and encompasses individuals who have insulin resistance and usually have relative insulin deficiency
Motorized ways of life and mechanization contribute to an increased prevalence of nutrition-related noncommunicable diseases. ere are limited pieces of evidence on effective strategies to prevent the onset of poor nutritional status in low- and middleincome countries (LMICs) [4,5,6]
Ere were extensive works that had been performed by governments of low-income countries addressing the increasing prevalence of type 2 diabetes via various health strategies and policies. e second Ethiopian National Nutrition Program (NNP-II) has given a place for noncommunicable disease (NCD) through numerous initiatives
Summary
Type 2 diabetes accounts for 90–95% of those with diabetes, previously referred to as noninsulin-dependent diabetes or adult-onset diabetes and encompasses individuals who have insulin resistance and usually have relative (rather than absolute) insulin deficiency It is a metabolic disorder manifested by increased blood glucose level and caused by a complex interaction of genetics and environmental factors. Diabetic patients’ dietary practice is the key to the management of type 2 diabetes and the prevention of complications related to hyperglycemia [12, 19]. Ere were extensive works that had been performed by governments of low-income countries addressing the increasing prevalence of type 2 diabetes via various health strategies and policies. Erefore, this study assessed variables that were hardly addressed in previous studies performed both in Ethiopia and the study area, concerning dietary practice among patients with type 2 diabetes It was agreed that dietary management had a central role in diabetic management, but little is known about the dietary practice and associated factors in Ethiopia, in general, and in the study area, in particular, and very crucial variables were not addressed in the past studies regarding their dietary practice. erefore, this study assessed variables that were hardly addressed in previous studies performed both in Ethiopia and the study area, concerning dietary practice among patients with type 2 diabetes
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
