Eating Habits of People with Type 2 Diabetes Mellitus in Portugal: A Cross-Sectional Study

Authors

  • Beatriz Correia Rodriguez Faculdade de Medicina. Universidade de Coimbra.
  • Inês Rosendo Faculdade de Medicina. Universidade de Coimbra. Coimbra; Unidade de Saúde Familiar Coimbra Centro. Coimbra. https://orcid.org/0000-0001-8838-6021
  • Tânia Isabel Santos Coelho Unidade de Saúde Vita Saurium. Coimbra. https://orcid.org/0000-0002-4484-9909
  • Patrícia Duarte Mendes Unidade de Saúde Familiar Martingil. Leiria.
  • Gabriela dos Santos Rodrigues Unidade de Saúde Familiar Martingil. Leiria.
  • Ângela Faustino Francisco Unidade de Saúde Familiar Martingil. Leiria.
  • Ana Sofia Cerqueira Martins Unidade de Saúde Familiar Coimbra Sul. Coimbra.
  • Tânia Boto Unidade de Saúde Familiar Infante D. Henrique. Viseu.
  • Filipe Guerra Fernandes Unidade de Saúde Familiar Lusitana. Viseu.
  • Ângela Figueiredo Costa Unidade de Saúde Familiar Senhora de Vagos. Aveiro.
  • Cristina Lamarão Unidade de Sáude Pública Baixo Vouga. Aveiro.
  • Inês Miguéis Ferreira Unidade de Saúde Familiar Flor de Sal. Aveiro.
  • Joana Andrade Glória Unidade de Saúde Familiar Moliceiro. Aveiro.
  • Inês Vicente Osório Unidade de Saúde Familiar Moliceiro. Aveiro.
  • Tiago Daniel Couto Gonçalves Unidade de Saúde Familiar Esgueira Mais. Aveiro.
  • André Rosas Pereira Unidade de Saúde Familiar Cidade Jardim. Viseu.
  • Ana Salomé Almeida Guedes Unidade de Saúde Familiar Coimbra Sul. Coimbra.
  • Celine Fernandes Mendes Unidade de Cuidados de Saúde Personalizados Águeda V. Aveiro.
  • Susana Pires da Silva Unidade de Saúde Familiar D. Francisco de Almeida. Abrantes.
  • Afonso Carvalhal Unidade de Saúde Familiar Senhora de Vagos. Aveiro.
  • Patrícia Vasconcelos Costa Unidade de Saúde Familiar Marquês de Marialva. Coimbra.
  • Bruno Alves dos Reis Unidade de Cuidados de Saúde Personalizados Anadia I. Aveiro.

DOI:

https://doi.org/10.20344/amp.19738

Keywords:

Diabetes Mellitus, Type 2, Eating, Feeding Behavior

Abstract

Introduction: Nutrition is a cornerstone of diabetes mellitus prevention and management; therefore, it is essential to enable patients to adopt healthy eating habits. Previous studies have not yet documented the main errors in the eating habits of Portuguese people with type 2 diabetes mellitus. This study aims to identify the main errors in the eating habits of people living with type 2 diabetes mellitus in Portugal and to evaluate its associations with sociodemographic variables.
Methods: Cross-sectional multicentric study in a convenience sample of people with type 2 diabetes mellitus in Primary Health Care Units. The UK Diabetes and Diet Questionnaire (UKDDQ) – translated and adapted, was applied from July to October 2022. Descriptive and inferential statistical analyses were conducted.
Results: Of the 550 participants, 52.2% were female, 68.3% were 65 years or over, 55.8 % had an education level up to the fourth grade, 24.7% had economic deprivation, and the mean time since diagnosis was 10.60 ± 8.13 years. Only 36.2% of the sample had a healthy UKDDQ score. Less than 50% of the sample had healthy scores for the items “high-fiber rice or pasta”, “high-fiber bread”, “butter, margarine and vegetable oils” and “vegetables and pulses”. Only 8.9% of the sample had a healthy consumption of fiber. About 70.4% reported healthy scores for the consumption of “high-added-sugar foods” and 54.7% for “high-saturated fat”. A statistically significant weak positive correlation was found between the UKDDQ score and age (ρ = 0.201, p < 0.001) with a more frequent choice of healthy foods with increasing age. Female respondents reported healthier habits, particularly in the consumption of “high-saturated fat” and “high-fiber foods”.
Conclusion: The majority of our sample did not take advantage of the potential benefits of healthy eating habits. The main food groups whose consumption should be emphasized or discouraged were individualized, particularly the need to encourage the consumption of high-fiber foods. Targeted educational actions must focus especially on younger and/or male patients.

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References

International Diabetes Federation. IDF Diabetes Atlas | Tenth Edition. 2021. [consultado 2022 out 11]. Disponível em: https://diabetesatlas.org/.

Sociedade Portuguesa de Diabetologia. Diabetes: Factos e Números – O Ano de 2016, 2017 e 2018− Relatório Anual do Observatório Nacional da Diabetes. Lisboa: SPD; 2019.

Chatterjee S, Khunti K, Davies MJ. Type 2 diabetes [correções publicadas em Lancet. 2017;3:389(10085):2192]. Lancet. 2017;389:2239-51.

American Diabetes Association. Standards of care in diabetes - 2023. Diabetes Care. 2023. [consultado 2023 jan 24]. Disponível em: https://diabetesjournal.org/care/issue/46/Supplement_1.

Davies MJ, Aroda VR, Collins BS, Gabbay RA, Green J, Maruthur NM, et al. Management of hyperglycaemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care. 2022;45:2753-86.

Direção-Geral da Saúde. Programa nacional para a promoção da alimentação saudável 2022-2030. Lisboa: DGS; 2022.

Fernandes T. Impacto da terapêutica nutricional individualizada no controlo glicémico de pessoas com diabetes mellitus. Acta Port Nutr. 2017;9:18-22.

Asaad G, Soria-Contreras DC, Bell RC, Chan CB. Effectiveness of a lifestyle intervention in patients with type 2 diabetes: the Physical Activity and Nutrition for Diabetes in Alberta (PANDA) trial. Healthcare. 2016;4:73.

Abdulah DM, Hassan AB, Saadi FS, Mohammed AH. Impacts of selfmanagement education on glycaemic control in patients with type 2 diabetes mellitus. Diabetes Metab Syndr. 2018;12:969-75.

Direção-Geral da Saúde. Plano Nacional de Saúde 2021-2030 Saúde Sustentável: de tod@s para tod@s. Lisboa: DGS; 2022.

Instituto Nacional de Estatística. Balança alimentar portuguesa: 2020. Lisboa: INE; 2021.

Lopes C, Torres D, Oliveira A, Severo M, Alarcão V, Guimar S, et al. Inquérito Alimentar Nacional e de Atividade Física, IAN-AF 2015-2016: Relatório de resultados. Porto: Universidade do Porto; 2017.

Lopes IL, Guimoar S, Fernandes A. O saber implica bons hábitos? Conhecimentos e hábitos alimentares do diabético. Porto: Universidade do Porto; 2007.

Raosoft. Sample size calculator. [consultado 2022 mai 25]. Disponível em: http://www.raosoft.com/samplesize.html.

England CY, Thompson JL, Jago R, Cooper AR, Andrews RC. Development of a brief, reliable and valid diet assessment tool for impaired glucose tolerance and diabetes: the UK Diabetes and Diet Questionnaire. Public Health Nutr. 2017;20:191-9.

Chan YH. Biostatistics 104: correlational analysis. Singapore Med J. 2003;44:614-9.

Szucs V, Guiné RP, Leal M, Ferreira M, Correia P, Duarte J. Fibra alimentar: práticas alimentares e conhecimentos em diferentes regiões do globo. Millenium. 2017;2:61-71.

Westenhoefer J. Age and gender dependent profile of food choice. Forum Nutr. 2005;57:44-51.

Madeira T, Peixoto-Plácido C, Sousa-Santos N, Santos O, Alarcão V, Goulão B, et al. Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study. Public Health Nutr. 2018:1-12.

Wardle J, Haase AM, Steptoe A, Nillapun M, Jonwutiwes K, Bellisle F. Gender differences in food choice: the contribution of health beliefs and dieting. Ann Behav Med. 2004;27:107-16.

Jin J, Sklar GE, Min Sen Oh V, Chuen Li S. Factors affecting therapeutic compliance: a review from the patient’s perspective. Ther Clin Risk Manag. 2008;4:269-86.

Fernandes A, Perelman J, Mateus C. Health and health care in Portugal: does gender matter? Instituto Nacional de Saúde Doutor Ricardo Jorge, editor. Lisboa: INSA; 2009.

England C, Leary S, Thompson C, Lorimer C, Andrews R. Sensitivity to change of the UK diabetes and diet questionnaire in a specialist weight management service. Proc Nutr Soc. 2020;79:e667.

Darmon N, Drewnowski A. Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: a systematic review and analysis. Nutr Rev. 2015;73:643-60.

Darmon N, Drewnowski A. Does social class predict diet quality? Am J Clin Nutr. 2008;87:1107-17.

Gregório MJ, Rodrigues AM, Graça P, de Sousa RD, Dias SS, Branco JC. Food insecurity is associated with low adherence to the mediterranean diet and adverse health conditions in ortuguese adults. Front Public Health. 2018;6:38.

Castro-Sánchez AE, Ávila-Ortíz MN. Changing dietary habits in persons living with type 2 diabetes. J Nutr Educ Behav. 2013;45:761-6.

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Published

2024-01-03

How to Cite

1.
Correia Rodriguez B, Rosendo I, Santos Coelho TI, Duarte Mendes P, dos Santos Rodrigues G, Faustino Francisco Ângela, Cerqueira Martins AS, Boto T, Guerra Fernandes F, Figueiredo Costa Ângela, Lamarão C, Miguéis Ferreira I, Andrade Glória J, Vicente Osório I, Couto Gonçalves TD, Rosas Pereira A, Almeida Guedes AS, Fernandes Mendes C, Pires da Silva S, Carvalhal A, Vasconcelos Costa P, Alves dos Reis B. Eating Habits of People with Type 2 Diabetes Mellitus in Portugal: A Cross-Sectional Study. Acta Med Port [Internet]. 2024 Jan. 3 [cited 2024 May 1];37(1):27-35. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/19738

Issue

Vol. 37 No. 1 (2024): January

Section

Original

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