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Association of Dietary Patterns With Diabetes Complications Among Type 2 Diabetes Patients in Gaza Strip, Palestine: A Cross Sectional Study Publisher Pubmed



El Bilbeisi AH1 ; Hosseini S1 ; Djafarian K1
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Authors Affiliations
  1. 1. School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Department of Clinical Nutrition, International Campus (TUMS- IC), Tehran, Iran

Source: Journal of Health# Population and Nutrition Published:2017


Abstract

Background: The prevalence of diabetes mellitus is rising worldwide. When diabetes is uncontrolled, it has dire consequences for health and well-being. However, the role of diet in the origin of diabetes complications is not understood well. This study identifies major dietary patterns among type 2 diabetes patients and its association with diabetes complications in Gaza Strip, Palestine. Methods: This cross sectional study was conducted among 1200 previously diagnosed type 2 diabetes mellitus (both genders, aged 20-64 years), patients receiving care in primary healthcare centers in Gaza Strip, Palestine. Dietary patterns were evaluated using a validated semi-quantitative food frequency questionnaire. Additional information regarding demographic and medical history variables was obtained with an interview-based questionnaire. Statistical analysis was performed using SPSS version 20. Results: Two major dietary patterns were identified by factor analysis: Asian-like pattern and sweet-soft drinks-snacks pattern. After adjustment for confounding variables, patients in the lowest tertile of the Asian-like pattern characterized by a high intake of whole grains, potatoes, beans, legumes, vegetables, tomatoes and fruit had a lower odds for (High BP, kidney problems, heart problems, extremities problems and neurological problems), (OR 0.710 CI 95% (.506-.997)), (OR 0.834 CI 95% (.700-.994)), (OR 0.730 CI 95% (.596-.895)), (OR 0.763 CI 95% (.667-.871)) and (OR 0.773 CI 95% (.602-.991)) respectively, (P value <0.05 for all). No significant association was found between the sweet-soft drinks snacks pattern with diabetes complications. Conclusion: The Asian-like pattern may be associated with a lower prevalence of diabetes complications among type 2 diabetes patients. © 2017 The Author(s).
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