Scientific Journal Of King Faisal University
Basic and Applied Sciences

ع

Scientific Journal of King Faisal University / Basic and Applied Sciences

Dietary Intake and Health Status in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

(Muneera Al-Mssallem and Sehad Al-Arifi)

Abstract

Despite the positive effects of physical activity on type 2 diabetes mellitus (T2DM) management, the lack of adequate evidence on the effects of dietary intake has raised concerns. This study aimed to assess dietary intake and its effect on glycaemic control among active and inactive patients with T2DM. A cross-sectional observational study was conducted on patients with T2DM. Dietary food intake and physical activity were assessed using a validated questionnaire through face-to-face interviews. The daily consumption of fruit and vegetables was significantly higher in active patients compared with inactive patients (p = 0.00). Significantly higher daily rice consumption (p = 0.00) and lower dietary non-starch polysaccharide (NSP) intake (p < 0.01) were reported among inactive patients compared with active patients. The results also revealed a significantly higher glycated haemoglobin (HbA1c) level (8.37 1.51% vs 8.015 1.50%; p=0.02) and BMI (34.956.06 kg/m2 vs 31.725.62 kg/m2; p = 0.00) among inactive patients compared with active patients. A positive correlation was found between physical activity and NSP intake. The study found that a variety of lifestyle modifications, including increased physical activity and fruit and vegetable consumption, could help manage glycaemic control in patients. The study further found that carbohydrate-rich NSPs may help lower BMI levels in patients with T2DM.
KEYWORDS
Dietary intake, glycaemic control, lifestyle, physical activity

PDF

References

Alarifi, S., Bell, A. and Walton, G. (2018). In vitro fermentation of gum acacia – Impact on the faecal microbiota. International Journal of Food Sciences and Nutrition, 69(6), 696–704. DOI: 10.1080/09637486.2017.1404970
Al-Kaabi, J., Al-Maskari, F., Saadi, H., Afandi, B., Parkar, H. and Nagelkerke, N. (2008). Assessment of dietary practice among diabetic patients in the United Arab Emirates. The Review of Diabetic Studies, 5(2), 110–5. DOI: 10.1900/rds.2008.5.110
Al-Mssallem, M.Q. (2018). Consumption of dates among Saudi adults and its association with the prevalence of type 2 diabetes. Asian Journal of Clinical Nutrition, 10(2), 58–64. DOI: 10.3923/ajcn.2018.58.64
Al-Mssallem, M., Elmulthum, N. and Elzaki, R. (2019). Nutritional security of date palm fruit: An empirical analysis for Al-Ahsa region in Saudi Arabia. Scientific Journal of King Faisal University, Basic and Applied Sciences, 20(2), 47–54.
Al-Nozha, M.M., Al-Hazzaa, H.M., Arafah, M.R., Al-Khadra, A., Al-Mazrou, Y. Y., Al-Maatouq, M.A., Khan, N.B., Al-Marzouki, K., Al-Harthi, S.S., Abdullah, M. and Al-Shahid, M.S. (2007). Prevalence of physical activity and inactivity among Saudis aged 30–70 years. A population-based cross-sectional study. Saudi Medical Journal, 28(4), 559–568.
Al-Qahtani, A. (2020). Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia. Based on diabetes self-management questionnaire. Saudi Medical Journal, 41(9), 955–64. DOI: 10.15537/smj.2020.9.25339
Alramadan, M.J., Magliano, D.J., Almigbal, T.H., Batais, M.A., Afroz, A., Alramadhan, H.J., Mahfoud, W.F., Alragas, A.M. and Billah, B. (2018). Glycaemic control for people with type 2 diabetes in Saudi Arabia – an urgent need for a review of management plan. BMC Endocrine Disorders, 18(1). DOI: 10.1186/s12902-018-0292-9
Alzaheb, R. and Altemani, A. (2018). The prevalence and determinants of poor glycemic control among adults with type 2 diabetes mellitus in Saudi Arabia. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 11(n/a), 15–21. DOI: 10.2147/dmso.s156214
American Diabetes Association. (2017). Standards of medical care in diabetes – 2017 abridged for primary care providers. Clinical Diabetes, 35(1), 5–26. DOI: 10.2337/cd16-0067
Ansari, R.M. (2009). Effect of physical activity and obesity on type 2 diabetes in a middle-aged population. Journal of Environmental and Public Health, 2009(n/a), 1–5. DOI: 10.1155/2009/195285
Badedi, M., Solan, Y., Darraj, H., Sabai, A., Mahfouz, M., Alamodi, S. and Alsabaani, A. (2016). Factors associated with long-term control of type 2 diabetes mellitus. Journal of Diabetes Research, 2016(n/a), 1–8. DOI: 10.1155/2016/2109542
Boutayeb, A., Boutayeb, W., Lamlili, M.E.N. and Boutayeb, S. (2014). Estimation of the direct cost of diabetes in the Arab region. Mediterranean Journal of Nutrition and Metabolism, 7(1), 21–32. DOI: 10.3233/mnm-140002
Du, H., Li, L., Bennett, D., Guo, Y., Turnbull, I., Yang, L., Bragg, F., Bian, Z., Chen, Y., Chen, J., Millwood, I. Y., Sansome, S., Ma, L., Huang, Y., Zhang, N., Zheng, X., Sun, Q., Key, T.J., Collins, R., Peto, R. and Chen, Z. (2017). Fresh fruit consumption in relation to incident diabetes and diabetic vascular complications: A 7-y prospective study of 0.5 million Chinese adults. PLoS Medicine, 14(4), e1002279. DOI: 10.1371/journal.pmed.1002279
Evans, P.L., McMillin, S.L., Weyrauch, L.A. and Witczak, C.A. (2019). Regulation of skeletal muscle glucose transport and glucose metabolism by exercise training. Nutrients, 11(10), 2432. DOI: 10.3390/nu11102432
Glasgow, R.E., Ruggiero, L., Eakin, E.G., Dryfoos, J. and Chobanian, L. (1997). Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes Care, 20(4), 562–7. DOI: 10.2337/diacare.20.4.562
Hobden, M.R., Guérin-Deremaux, L., Rowland, I., Gibson, G.R. and Kennedy, O.B. (2015). Potential anti-obesogenic properties of non-digestible carbohydrates: Specific focus on resistant dextrin. The Proceedings of the Nutrition Society, 74(3), 258–67. DOI: 10.1017/S0029665115000087
Honkala, S.M., Motiani, P., Kivelä, R., Hemanthakumar, K.A., Tolvanen, E., Motiani, K.K., Eskelinen, J.-J., Virtanen, K.A., Kemppainen, J., Heiskanen, M.A., Löyttyniemi, E., Nuutila, P., Kalliokoski, K.K. and Hannukainen, J.C. (2020). Exercise training improves adipose tissue metabolism and vasculature regardless of baseline glucose tolerance and sex. BMJ Open Diabetes Research and Care, 8(1), e000830. DOI: 10.1136/bmjdrc-2019-000830
Khan, A., Al-Abdul Lateef, Z., Al Aithan, M., Bu-Khamseen, M., Al Ibrahim, I. and Khan, S. (2012). Factors contributing to non-compliance among diabetics attending primary health centers in the Al Hasa district of Saudi Arabia. Journal of Family and Community Medicine, 19(1), 26. DOI: 10.4103/2230-8229.94008
Lovegrove, A., Edwards, C.H., De Noni, I., Patel, H., El, S.N., Grassby, T., Zielke, C., Ulmius, M., Nilsson, L., Butterworth, P.J., Ellis, P.R. and Shewry, P.R. (2017). Role of polysaccharides in food, digestion and health. Critical Reviews in Food Science and Nutrition, 57(2), 237–53. DOI: 10.1080/10408398.2014.939263
Memish, Z.A., El Bcheraoui, C., Tuffaha, M., Robinson, M., Daoud, F., Jaber, S., Mikhitarian, S., Al Saeedi, M., AlMazroa, M.A., Mokdad, A.H. and Al Rabeeah, A.A. (2014). Obesity and associated factors – Kingdom of Saudi Arabia, 2013. Preventing Chronic Disease, 11. DOI: 10.5888/pcd11.140236
Mohamed, B.A., Mahfouz, M.S. and Badr, M.F. (2020). Physical activity and its associated factors in females with type 2 diabetes in Riyadh, Saudi Arabia. PLOS ONE, 15(10), e0239905. DOI: 10.1371/journal.pone.0239905
Nakanishi, S., Hirukawa, H., Shimoda, M., Tatsumi, F., Kohara, K., Obata, A., Okauchi, S., Katakura, Y., Sanada, J., Fushimi, Y., Nishioka, M., Kan, Y., Tomita‐Mizoguchi, A., Isobe, H., Iwamoto, H., Takahashi, K., Mune, T., Kaku, K. and Kaneto, H. (2020). Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetes. Journal of Diabetes Investigation, 11(3), 633–639. DOI: 10.1111/jdi.13185
Ogurtsova, K., da Rocha Fernandes, J.D., Huang, Y., Linnenkamp, U., Guariguata, L., Cho, N.H., Cavan, D., Shaw, J.E. and Makaroff, L.E. (2017). IDF diabetes atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Research and Clinical Practice, 128, 40–50. DOI: 10.1016/j.diabres.2017.03.024
Seshasai, R.K., Kaptoge,S., Thompson, A., Di Angelantonio, E., Gao, P., Sarwar, N., Whincup, P.H., Mukamal, K.J., Gillum, R.F., Holme, I., Njølstad, I., Fletcher, A., Nilsson, P., Lewington, S., Collins, R., Gudnason, V., Thompson, S.G., Sattar, N., Selvin, E., HU, F.B. and Danesh, J. (2011). Diabetes mellitus, fasting glucose and risk of cause-specific death. The New England Journal of Medicine, 364(9), 829–41. DOI: 10.1056/NEJMoa1008862
Sami, W., Alabdulwahhab, K.M., Hamid, M.R.A., Alasbali, T.A., Alwadani, F. A. and Ahmad, M.S. (2020). Dietary habits of type 2 Diabetes patients: Frequency and diversity of nutrition intake – Kingdom of Saudi Arabia. Progress in Nutrition, 22(2), 521–7. DOI: 10.23751/pn.v22i2.9239
Sampath Kumar, A., Maiya, A.G., Shastry, B.A., Vaishali, K., Ravishankar, N., Hazari, A., Gundmi, S. and Jadhav, R. (2019). Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis. Annals of Physical and Rehabilitation Medicine, 62(2), 98–103. DOI: 10.1016/j.rehab.2018.11.001
Whiting, D.R., Guariguata, L., Weil, C. and Shaw, J. (2011). IDF diabetes atlas: Global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Research and Clinical Practice, 94(3), 311–21. DOI: 10.1016/j.diabres.2011.10.029