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      Poor dietary practice and associated factors among type-2 diabetes mellitus patients on follow-up in Nigist Eleni Mohammed Memorial Teaching Hospital, Ethiopia

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          Abstract

          Introduction

          good dietary practice is one of the top pillars of self-care among patients of diabetes mellitus. However, the dietary practice of patients attending health institutions in the study area was not studied. Therefore, the prevalence and associated factors of poor dietary practice were determined among diabetic patients on follow-up in Nigist Eleni Mohammed Memorial Referral and Teaching Hospital, Southern Ethiopia.

          Methods

          facility-based cross-sectional study design was employed on type-2 diabetes mellitus adult patients. The study was conducted from March to April 2020. Total sample size was 322. Systematic random sampling method was used to select the study respondents. Odds ratio and their 95% confidence intervals together with P-value ≤0.05 were used to identify independent predictors of poor dietary practice during multivariable logistic regression.

          Results

          the prevalence of the poor dietary practice among type diabetes patients was 53.7% (n=168). Low wealth status AOR 3.34, 95% CI: 1.50-7.41; p-value=0.003 and absence of family and friends support AOR 4.80, 95% CI: 2.54-9.0 and P-value<0.001 were associated factors with poor dietary practice among type-2 diabetes patients.

          Conclusion

          the overall prevalence of poor dietary practice among type-2 diabetic adult patients was high that not going in line with international recommendations on dietary management of the diabetes mellitus. Integrated governmental and non-governmental activities should be in place to improve the economic status of type-2 diabetic patients. Support from the family members is found to be essential factor to promote dietary practice among type-2 diabetic adult patients.

          Most cited references22

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          • Article: not found

          2. Classification and Diagnosis of Diabetes.

          (2017)
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            • Article: not found

            Family interventions to improve diabetes outcomes for adults.

            Diabetes self-care is a critical aspect of disease management for adults with diabetes. Since family members can play a vital role in a patient's disease management, involving them in self-care interventions may positively influence patients' diabetes outcomes. We systematically reviewed family-based interventions for adults with diabetes published from 1994 to 2014 and assessed their impact on patients' diabetes outcomes and the extent of family involvement. We found 26 studies describing family-based diabetes interventions for adults. Interventions were conducted across a range of patient populations and settings. The degree of family involvement varied across studies. We found evidence for improvement in patients' self-efficacy, perceived social support, diabetes knowledge, and diabetes self-care across the studies. Owing to the heterogeneity of the study designs, types of interventions, reporting of outcomes, and family involvement, it is difficult to determine how family participation in diabetes interventions may affect patients' clinical outcomes. Future studies should clearly describe the role of family in the intervention, assess quality and extent of family participation, and compare patient outcomes with and without family involvement.
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              Barriers to following dietary recommendations in Type 2 diabetes.

              To evaluate barriers to following dietary recommendations in patients with Type 2 diabetes. We conducted focus groups and surveys in urban and suburban VA and academic medical centres. For the written survey, a self-administered questionnaire was mailed to a random sample of 446 patients with diabetes. For the focus groups, six groups of patients with diabetes (three urban, three suburban) were conducted, with 6-12 participants in each group. The focus groups explored barriers across various types of diabetes self-management; we extracted all comments relevant to barriers that limited patients' ability to follow a recommended diet. The written survey measured the burden of diabetes therapies (on a seven-point rating scale). Moderate diet was seen as a greater burden than oral agents (median 1 vs. 0, P = 0.001), but less of a burden than insulin (median 1 vs. 4, P < 0.001). A strict diet aimed at weight loss was rated as being similarly burdensome to insulin (median 4 vs. 4, P = NS). Despite this, self-reported adherence was much higher for both pills and insulin than it was for a moderate diet. In the focus groups, the most commonly identified barrier was the cost (14/14 reviews), followed by small portion sizes (13/14 reviews), support and family issues (13/14 reviews), and quality of life and lifestyle issues (12/14 reviews). Patients in the urban site, who were predominantly African-American, noted greater difficulties communicating with their provider about diet and social circumstances, and also that the rigid schedule of a diabetes diet was problematic. Barriers to adherence to dietary therapies are numerous, but some, such as cost, and in the urban setting, communication with providers, are potentially remediable. Interventions aimed at improving patients' ability to modify their diet need to specifically address these areas. Furthermore, treatment guidelines need to consider patients' preferences and barriers when setting goals for treatment.

                Author and article information

                Contributors
                https://orcid.org/0000-0002-8447-1672
                https://orcid.org/0000-0002-7833-281X
                Journal
                Pan Afr Med J
                Pan Afr Med J
                PAMJ
                The Pan African Medical Journal
                The African Field Epidemiology Network
                1937-8688
                23 February 2022
                2022
                : 41
                : 164
                Affiliations
                [1 ]Hadiya Zone Health Department, Hossana, Ethiopia,
                [2 ]Nutrition and Dietetics Department, Public Health Faculty, Jimma University, Jimma, Ethiopia,
                [3 ]Wachamo University, Department of Public Health, Hossana, Ethiopia
                Author notes
                [& ] Corresponding author: Tegegn Tadesse Arficho, Wachamo University, Department of Public Health, Hossana, Ethiopia. arfichotegegn@ 123456gmail.com
                Article
                PAMJ-41-164
                10.11604/pamj.2022.41.164.28675
                9120747
                35655687
                7e203b06-0ffe-49b5-ac31-64be43e7b126
                Copyright: Mulugeta Selassie Erkocho et al.

                The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 03 March 2021
                : 07 February 2022
                Categories
                Research

                Medicine
                practice,type-2 diabetes,diet,ethiopia
                Medicine
                practice, type-2 diabetes, diet, ethiopia

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