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Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals

INTRODUCTION: Dietary management is considered to be one of the cornerstones of diabetes care. Improvement of dietary practice alone can reduce glycosylated hemoglobin (HbA1c) by an absolute 1 to 2% with the greatest impact at the initial stages of diabetes. METHODS: Data from Hospital based cross s...

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Autores principales: Mohammed, Mohammed Akibu, Sharew, Nigussie Tadesse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814932/
https://www.ncbi.nlm.nih.gov/pubmed/31692826
http://dx.doi.org/10.11604/pamj.2019.33.260.14463
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author Mohammed, Mohammed Akibu
Sharew, Nigussie Tadesse
author_facet Mohammed, Mohammed Akibu
Sharew, Nigussie Tadesse
author_sort Mohammed, Mohammed Akibu
collection PubMed
description INTRODUCTION: Dietary management is considered to be one of the cornerstones of diabetes care. Improvement of dietary practice alone can reduce glycosylated hemoglobin (HbA1c) by an absolute 1 to 2% with the greatest impact at the initial stages of diabetes. METHODS: Data from Hospital based cross sectional study were used to assess the level of dietary adherence and its determinants among diabetic patients. The morisky 8 item medication adherence scale was used to develop 10 item tool for evaluation of dietary adherence. Multiple logistic regression was conducted to identify factors which affect dietary adherence and variables with P vale < 0.05 were considered statistically significant. RESULTS: More than half of 303 participants (55.7%) were found to be non-adherent to the recommended dietary approach. Gathering with family and friends and eating out were the major reasons for not being compliant with the recommended regimen. Attending diabetic nutrition education (AOR=2.8 95% C 1.97, 5.61) and having the disease for more than 10 years (AOR 2.9 95% CI 1.32, 5.84) were statistically significant with adherence to dietary recommendation. CONCLUSION: Non-adherence to recommended dietary practice was observed in more than fifty percent of patients; it is therefore a major public health problem. Attending diabetic nutrition education and length of diabetes greater than 10 years were the factors associated with adherence to dietary recommendation. This findings indicate that it is important to design strategies to help patients understand their dietary regimens and improve their adherence.
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spelling pubmed-68149322019-11-05 Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals Mohammed, Mohammed Akibu Sharew, Nigussie Tadesse Pan Afr Med J Research INTRODUCTION: Dietary management is considered to be one of the cornerstones of diabetes care. Improvement of dietary practice alone can reduce glycosylated hemoglobin (HbA1c) by an absolute 1 to 2% with the greatest impact at the initial stages of diabetes. METHODS: Data from Hospital based cross sectional study were used to assess the level of dietary adherence and its determinants among diabetic patients. The morisky 8 item medication adherence scale was used to develop 10 item tool for evaluation of dietary adherence. Multiple logistic regression was conducted to identify factors which affect dietary adherence and variables with P vale < 0.05 were considered statistically significant. RESULTS: More than half of 303 participants (55.7%) were found to be non-adherent to the recommended dietary approach. Gathering with family and friends and eating out were the major reasons for not being compliant with the recommended regimen. Attending diabetic nutrition education (AOR=2.8 95% C 1.97, 5.61) and having the disease for more than 10 years (AOR 2.9 95% CI 1.32, 5.84) were statistically significant with adherence to dietary recommendation. CONCLUSION: Non-adherence to recommended dietary practice was observed in more than fifty percent of patients; it is therefore a major public health problem. Attending diabetic nutrition education and length of diabetes greater than 10 years were the factors associated with adherence to dietary recommendation. This findings indicate that it is important to design strategies to help patients understand their dietary regimens and improve their adherence. The African Field Epidemiology Network 2019-07-26 /pmc/articles/PMC6814932/ /pubmed/31692826 http://dx.doi.org/10.11604/pamj.2019.33.260.14463 Text en © Mohammed Akibu Mohammed et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Mohammed, Mohammed Akibu
Sharew, Nigussie Tadesse
Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals
title Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals
title_full Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals
title_fullStr Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals
title_full_unstemmed Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals
title_short Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals
title_sort adherence to dietary recommendation and associated factors among diabetic patients in ethiopian teaching hospitals
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814932/
https://www.ncbi.nlm.nih.gov/pubmed/31692826
http://dx.doi.org/10.11604/pamj.2019.33.260.14463
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