Nutritional status and dietary patterns of type 2 diabetes patients seen in TASH endocrine clinic during the month of October 2020.
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Date
2020-12
Authors
Journal Title
Journal ISSN
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Publisher
Addis Abeba University
Abstract
Background
Diabetes mellitus can be associated with different ranges of malnutrition. Even in the obese
patients who are labeled as such by calculating the BMI, can be undernourished when evaluated
using another nutritional assessment tool.
Method
This is a prospective cross sectional study conducted in the endocrine clinic of TASH on type 2
diabetic patients who came for their follow up in the month of October. A structured
questionnaire designed to assess their nutritional status and pattern was administered to the
patients through a health professional
Result
A total of 109 patients were studied. Among the participants 69.6% of them had a BMI of 25
Kg/M
2
or more and out of these 21.3% of them were found to have moderate malnutrition when
assessed using the subjective global assessment nutritional tool. The presence of GI symptoms
(P=0.000, 95% CI (3.9-78.4) AOR=17.5) , presence of diabetic complications (P=0.031, 95% CI
(1.2-19.7) AOR=4.8) and appetite loss (P=0.000, 95%CI (7.97-148) AOR=34.4) were found to
be risk factors for moderate malnutrition/ SGA level B
Conclusion and recommendations
In diabetic patients nutritional assessment tools other than the BMI should be in place to detect
under nutrition. The patients may also need to have frequent screening for appetite change and
gastrointestinal symptoms. Screening for and managing diabetic complications would also
contribute in prevention of under nutrition in diabetic patients. A locally customized and a
variety of options of meal plans incorporating the available food item may aid in directing these
patients toward the goal of medical nutritional therapy
Description
Keywords
Dietary patterns ,type 2 diabetes patients, endocrine clinic ,nutritional status