Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study

<i>Background and Objectives:</i> There is a paucity of literature on the dietary attitude (DA) of patients with type 2 diabetes in the Kingdom of Saudi Arabia (KSA). Although the prevalence of diabetes mellitus (DM) is high in Gulf countries, there remains a lack of understanding of the...

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Main Authors: Waqas Sami, Khalid M Alabdulwahhab, Mohd Rashid Ab Hamid, Tariq A. Alasbali, Fahd Al Alwadani, Mohammad Shakil Ahmad
Format: Article
Language:English
Published: MDPI AG 2020-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/2/91
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author Waqas Sami
Khalid M Alabdulwahhab
Mohd Rashid Ab Hamid
Tariq A. Alasbali
Fahd Al Alwadani
Mohammad Shakil Ahmad
author_facet Waqas Sami
Khalid M Alabdulwahhab
Mohd Rashid Ab Hamid
Tariq A. Alasbali
Fahd Al Alwadani
Mohammad Shakil Ahmad
author_sort Waqas Sami
collection DOAJ
description <i>Background and Objectives:</i> There is a paucity of literature on the dietary attitude (DA) of patients with type 2 diabetes in the Kingdom of Saudi Arabia (KSA). Although the prevalence of diabetes mellitus (DM) is high in Gulf countries, there remains a lack of understanding of the importance of dietary behavior in diabetes management among patients. Understanding the behavior of patients with diabetes towards the disease requires knowledge of their DA. Therefore, this study aimed to assess and evaluate the DA of type 2 diabetes patients, and it is the first of its kind in the KSA. <i>Material and Methods:</i> An analytical cross-sectional study was conducted among 350 patients with type 2 diabetes. A self-administered DA questionnaire was used to collect the data. Psychometric properties of the questionnaire were assessed by face validity, content validity, exploratory factor analysis, and internal consistency reliability. The data were collected using a systematic random sampling technique. <i>Results:</i> The overall DA of the patients was inappropriate (<i>p</i> = 0.014). Patients had an inappropriate DA towards food selection (<i>p</i> = 0.003), healthy choices (<i>p</i> = 0.005), food restraint (<i>p</i> &lt; 0.001), health impact (<i>p</i> &lt; 0.001), and food categorization (<i>p</i> = 0.033). A poor DA was also observed in relation to the consumption of red meat (<i>p</i> &lt;0.001), rice (<i>p</i> &lt; 0.001), soup and sauces (<i>p</i> = 0.040), dairy products (<i>p</i> = 0.015), and junk food (<i>p</i> &lt; 0.001). <i>Conclusions:</i> It is highly recommended that patients with diabetes receive counseling with an empowerment approach, as this can bring about changes in their dietary behavior, which is deeply rooted in their daily routine. Healthcare providers should also be well-informed about patients&#8217; attitudes and beliefs towards diabetes to design tailored educational and salutary programs for this specific community. Diabetes self-management educational programs should also be provided on a regular basis with a special emphasis on diet and its related components.
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spelling doaj.art-708a263316cf477980659eddce6332f42023-09-02T03:15:17ZengMDPI AGMedicina1010-660X2020-02-015629110.3390/medicina56020091medicina56020091Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional StudyWaqas Sami0Khalid M Alabdulwahhab1Mohd Rashid Ab Hamid2Tariq A. Alasbali3Fahd Al Alwadani4Mohammad Shakil Ahmad5Department of Community Medicine and Public Health, College of Medicine, Majmaah University, Al-Majmaah 11952, Saudi ArabiaDepartment of Ophthalmology, College of Medicine, Majmaah University, Al-Majmaah 11952, Saudi ArabiaCentre for Mathematical Sciences, Universiti Malaysia Pahang, Lebuhraya Tun Razak, Gambang, Kuantan, Pahang 26300, MalaysiaDepartment of Ophthalmology, College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University, Riyadh 7544, Saudi ArabiaDepartment of Ophthalmology, College of Medicine, King Faisal University, Hofuf 31982, Saudi ArabiaDepartment of Community Medicine and Public Health, College of Medicine, Majmaah University, Al-Majmaah 11952, Saudi Arabia<i>Background and Objectives:</i> There is a paucity of literature on the dietary attitude (DA) of patients with type 2 diabetes in the Kingdom of Saudi Arabia (KSA). Although the prevalence of diabetes mellitus (DM) is high in Gulf countries, there remains a lack of understanding of the importance of dietary behavior in diabetes management among patients. Understanding the behavior of patients with diabetes towards the disease requires knowledge of their DA. Therefore, this study aimed to assess and evaluate the DA of type 2 diabetes patients, and it is the first of its kind in the KSA. <i>Material and Methods:</i> An analytical cross-sectional study was conducted among 350 patients with type 2 diabetes. A self-administered DA questionnaire was used to collect the data. Psychometric properties of the questionnaire were assessed by face validity, content validity, exploratory factor analysis, and internal consistency reliability. The data were collected using a systematic random sampling technique. <i>Results:</i> The overall DA of the patients was inappropriate (<i>p</i> = 0.014). Patients had an inappropriate DA towards food selection (<i>p</i> = 0.003), healthy choices (<i>p</i> = 0.005), food restraint (<i>p</i> &lt; 0.001), health impact (<i>p</i> &lt; 0.001), and food categorization (<i>p</i> = 0.033). A poor DA was also observed in relation to the consumption of red meat (<i>p</i> &lt;0.001), rice (<i>p</i> &lt; 0.001), soup and sauces (<i>p</i> = 0.040), dairy products (<i>p</i> = 0.015), and junk food (<i>p</i> &lt; 0.001). <i>Conclusions:</i> It is highly recommended that patients with diabetes receive counseling with an empowerment approach, as this can bring about changes in their dietary behavior, which is deeply rooted in their daily routine. Healthcare providers should also be well-informed about patients&#8217; attitudes and beliefs towards diabetes to design tailored educational and salutary programs for this specific community. Diabetes self-management educational programs should also be provided on a regular basis with a special emphasis on diet and its related components.https://www.mdpi.com/1010-660X/56/2/91dietary attitudetype 2 diabetes mellitusdiabetes self-managementempowerment approachdietary behavior
spellingShingle Waqas Sami
Khalid M Alabdulwahhab
Mohd Rashid Ab Hamid
Tariq A. Alasbali
Fahd Al Alwadani
Mohammad Shakil Ahmad
Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study
Medicina
dietary attitude
type 2 diabetes mellitus
diabetes self-management
empowerment approach
dietary behavior
title Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study
title_full Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study
title_fullStr Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study
title_full_unstemmed Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study
title_short Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study
title_sort dietary attitude of adults with type 2 diabetes mellitus in the kingdom of saudi arabia a cross sectional study
topic dietary attitude
type 2 diabetes mellitus
diabetes self-management
empowerment approach
dietary behavior
url https://www.mdpi.com/1010-660X/56/2/91
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