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Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus

Studies on diet quality among individuals with type 2 diabetes mellitus (T2DM) are scarce. This crosssectional study aimed to assess the diet quality and to determine its associated factors among individuals with T2DM at the Medical Outpatients Department, Serdang Hospital, Selangor, Malaysia, from...

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Main Authors: Tiew, Kee Fong, Chan, Yoke Mun, Lye, Munn Sann, Loke, Seng Cheong
Format: Article
Language:English
Published: International Center for Diarrhoeal Disease Research 2014
Online Access:http://psasir.upm.edu.my/id/eprint/37622/1/37622.pdf
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spelling oai:psasir.upm.edu.my:37622 http://psasir.upm.edu.my/id/eprint/37622/ Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus Tiew, Kee Fong Chan, Yoke Mun Lye, Munn Sann Loke, Seng Cheong Studies on diet quality among individuals with type 2 diabetes mellitus (T2DM) are scarce. This crosssectional study aimed to assess the diet quality and to determine its associated factors among individuals with T2DM at the Medical Outpatients Department, Serdang Hospital, Selangor, Malaysia, from July 2010 to March 2011. Subjects were interviewed for sociodemographic data. Diabetes history was retrieved from the hospital’s e-database. Usual dietary intake was measured using a food frequency questionnaire, from which a dietary diversity score was obtained with two measures: Food Group Score and Serving Score were constructed based on the Malaysian Dietary Guidelines. Food Group Score was computed from the number of food groups consumed from five major food groups (grains, vegetables, fruits, meat, and dairy products) whereas Serving Score was computed from the number of servings consumed from the various food groups. Anthropometric measures, including weight, height, waist- and hip-circumference were examined. For data analyses, descriptive statistics, simple and multiple linear regression were conducted using IBM SPSS Statistics 20.0. A total of 113 subjects (50.4% female), with mean±SD age of 54.05±10.30 years and duration of diabetes of 11.25±9.05 years were studied. The mean Food Group Score and Serving Score were 4.12±0.79 and 12.75±3.50 respectively. Slightly more than one-third of the subjects achieved five food groups a day while less than 2% consumed a desirable number of servings from all food groups. Among the five food groups, dairy, and fruits were the least-frequently consumed foods. Lower education, lower personal income, working, non-insulin, overweight and obese subjects had significantly lower Food Group Score than their counterparts [F (6,106)=4.924, p<0.0001] whereas lower education, lower waist-to-hip ratio, overweight and obese subjects had significantly lower Serving Score than their counterparts [F (4,108)=7.520, p<0.0001]. There was a high proportion of individuals with T2DM, who failed to adhere to the national dietary guidelines. The importance of taking a well-balanced diet in accordance with the guidelines should be emphasized, especially among those with lower educational level through a simple and easy-to-understand approach. International Center for Diarrhoeal Disease Research 2014-12 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37622/1/37622.pdf Tiew, Kee Fong and Chan, Yoke Mun and Lye, Munn Sann and Loke, Seng Cheong (2014) Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus. Journal of Health, Population and Nutrition, 32 (4). pp. 665-676. ISSN 1606-0997; ESSN: 2072-1315 http://www.jhpn.net/index.php/jhpn/article/view/3023
institution UPM IR
collection UPM IR
language English
description Studies on diet quality among individuals with type 2 diabetes mellitus (T2DM) are scarce. This crosssectional study aimed to assess the diet quality and to determine its associated factors among individuals with T2DM at the Medical Outpatients Department, Serdang Hospital, Selangor, Malaysia, from July 2010 to March 2011. Subjects were interviewed for sociodemographic data. Diabetes history was retrieved from the hospital’s e-database. Usual dietary intake was measured using a food frequency questionnaire, from which a dietary diversity score was obtained with two measures: Food Group Score and Serving Score were constructed based on the Malaysian Dietary Guidelines. Food Group Score was computed from the number of food groups consumed from five major food groups (grains, vegetables, fruits, meat, and dairy products) whereas Serving Score was computed from the number of servings consumed from the various food groups. Anthropometric measures, including weight, height, waist- and hip-circumference were examined. For data analyses, descriptive statistics, simple and multiple linear regression were conducted using IBM SPSS Statistics 20.0. A total of 113 subjects (50.4% female), with mean±SD age of 54.05±10.30 years and duration of diabetes of 11.25±9.05 years were studied. The mean Food Group Score and Serving Score were 4.12±0.79 and 12.75±3.50 respectively. Slightly more than one-third of the subjects achieved five food groups a day while less than 2% consumed a desirable number of servings from all food groups. Among the five food groups, dairy, and fruits were the least-frequently consumed foods. Lower education, lower personal income, working, non-insulin, overweight and obese subjects had significantly lower Food Group Score than their counterparts [F (6,106)=4.924, p<0.0001] whereas lower education, lower waist-to-hip ratio, overweight and obese subjects had significantly lower Serving Score than their counterparts [F (4,108)=7.520, p<0.0001]. There was a high proportion of individuals with T2DM, who failed to adhere to the national dietary guidelines. The importance of taking a well-balanced diet in accordance with the guidelines should be emphasized, especially among those with lower educational level through a simple and easy-to-understand approach.
format Article
author Tiew, Kee Fong
Chan, Yoke Mun
Lye, Munn Sann
Loke, Seng Cheong
spellingShingle Tiew, Kee Fong
Chan, Yoke Mun
Lye, Munn Sann
Loke, Seng Cheong
Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus
author_facet Tiew, Kee Fong
Chan, Yoke Mun
Lye, Munn Sann
Loke, Seng Cheong
author_sort Tiew, Kee Fong
title Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus
title_short Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus
title_full Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus
title_fullStr Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus
title_full_unstemmed Factors associated with dietary diversity score among individuals with type 2 diabetes mellitus
title_sort factors associated with dietary diversity score among individuals with type 2 diabetes mellitus
publisher International Center for Diarrhoeal Disease Research
publishDate 2014
url http://psasir.upm.edu.my/id/eprint/37622/1/37622.pdf
_version_ 1819295996004270080
score 13.4562235

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