Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal
Background: Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent Non Communicable Diseases (NCD) in Nepal. Nutrition plays a significant role in creating barriers to the development of NCDs like diabetes. The main objective of this study is to identify the factors that influence the dietary...
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Elsevier
2024-12-01
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| Series: | Human Nutrition & Metabolism |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666149724000501 |
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| author | Anish Sharma Upreti Bhagwan Aryal Jyoti Kuikel Mohan Kumar Sharma |
| author_facet | Anish Sharma Upreti Bhagwan Aryal Jyoti Kuikel Mohan Kumar Sharma |
| author_sort | Anish Sharma Upreti |
| collection | DOAJ |
| description | Background: Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent Non Communicable Diseases (NCD) in Nepal. Nutrition plays a significant role in creating barriers to the development of NCDs like diabetes. The main objective of this study is to identify the factors that influence the dietary behaviors and practices among T2DM patients. Methods: The study used quantitative method and a cross-sectional research design. The study was carried out in two centers: one in diabetes and another in thyroid care centers at the Lalitpur district, Nepal. A survey questionnaire based on Pender Health Promotion Model (PHPM) was developed, piloted, and administrated directly to 450 T2DM patients aged 40–65. Validity and reliability of the tools was ensured through reviewing panel of experts and using the coefficient and Cronbach's alpha test, respectively. Three sorts of statistical analysis; univariate, bivariate, and multivariate analysis were done using SPSS version 25. Results: Respondents belonged to a joint family, no alcohol consumption, positive attitude towards a healthy diet (P < 0.05), no smoking habit, reminders for healthy food, and engaging in physical activity (P < 0.001) were significantly associated with good dietary practice. Higher odds of sufficient dietary practice were found in respondents who were from joint families (adjusted Odds Ratio (aOR = 2.332; 95 % Confidence Level (CI): 1.958–2.989, p < 0.01), literate (aOR = 1.783; 95 % CI: 1.256–2.531, p < 0.01), no smoking history (aOR = 0.935; 95 % CI: 0.609–1.434, p < 0.05), alcohol consumption history (aOR = 0.615, 95 % CI: 0.412–2.346, p < 0.05), had family support (aOR = 1.824, 95 % CI: 1.265–2.630, p < 0.01), availability of healthy foods (aOR = 2.26; 95 % CI: 1.453–3.517, p < 0.001), and those who preferred daily physical activities (aOR = 1.982, 95 % CI: 1.369–2.364, p < 0.001). Conclusion: Nuclear family, illiteracy, lower income, smoking and consumption of alcohol, poor family support, poor access in healthy food, and low engagement in physical activities influenced dietary behavior among T2DM patients. Thus, PHPM based educational intervention needs essential to the T2DM patients and family members to ensure better life. |
| format | Article |
| id | doaj-art-85ae7f35fbd047d7b35c0f019e471ff9 |
| institution | OA Journals |
| issn | 2666-1497 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
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| series | Human Nutrition & Metabolism |
| spelling | doaj-art-85ae7f35fbd047d7b35c0f019e471ff92025-08-20T02:27:47ZengElsevierHuman Nutrition & Metabolism2666-14972024-12-013820028810.1016/j.hnm.2024.200288Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, NepalAnish Sharma Upreti0Bhagwan Aryal1Jyoti Kuikel2Mohan Kumar Sharma3Nobel College, Kathmandu, NepalCentral Department of Education, Tribhuvan University, Kathmandu, NepalCentral Department of Population Studies, Tribhuvan University, Kathmandu, NepalGraduate School of Education (GSE), Tribhuvan University, Kathmandu, Nepal; Corresponding author. Graduate School of Education (GSE), Tribhuvan University, Kathmandu, NepalBackground: Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent Non Communicable Diseases (NCD) in Nepal. Nutrition plays a significant role in creating barriers to the development of NCDs like diabetes. The main objective of this study is to identify the factors that influence the dietary behaviors and practices among T2DM patients. Methods: The study used quantitative method and a cross-sectional research design. The study was carried out in two centers: one in diabetes and another in thyroid care centers at the Lalitpur district, Nepal. A survey questionnaire based on Pender Health Promotion Model (PHPM) was developed, piloted, and administrated directly to 450 T2DM patients aged 40–65. Validity and reliability of the tools was ensured through reviewing panel of experts and using the coefficient and Cronbach's alpha test, respectively. Three sorts of statistical analysis; univariate, bivariate, and multivariate analysis were done using SPSS version 25. Results: Respondents belonged to a joint family, no alcohol consumption, positive attitude towards a healthy diet (P < 0.05), no smoking habit, reminders for healthy food, and engaging in physical activity (P < 0.001) were significantly associated with good dietary practice. Higher odds of sufficient dietary practice were found in respondents who were from joint families (adjusted Odds Ratio (aOR = 2.332; 95 % Confidence Level (CI): 1.958–2.989, p < 0.01), literate (aOR = 1.783; 95 % CI: 1.256–2.531, p < 0.01), no smoking history (aOR = 0.935; 95 % CI: 0.609–1.434, p < 0.05), alcohol consumption history (aOR = 0.615, 95 % CI: 0.412–2.346, p < 0.05), had family support (aOR = 1.824, 95 % CI: 1.265–2.630, p < 0.01), availability of healthy foods (aOR = 2.26; 95 % CI: 1.453–3.517, p < 0.001), and those who preferred daily physical activities (aOR = 1.982, 95 % CI: 1.369–2.364, p < 0.001). Conclusion: Nuclear family, illiteracy, lower income, smoking and consumption of alcohol, poor family support, poor access in healthy food, and low engagement in physical activities influenced dietary behavior among T2DM patients. Thus, PHPM based educational intervention needs essential to the T2DM patients and family members to ensure better life.http://www.sciencedirect.com/science/article/pii/S2666149724000501Diabetes self-managementDietary patternHealth promotion modelPender's health promotion model (PHPM)Type 2 diabetes mellitus (T2DM) |
| spellingShingle | Anish Sharma Upreti Bhagwan Aryal Jyoti Kuikel Mohan Kumar Sharma Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal Human Nutrition & Metabolism Diabetes self-management Dietary pattern Health promotion model Pender's health promotion model (PHPM) Type 2 diabetes mellitus (T2DM) |
| title | Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal |
| title_full | Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal |
| title_fullStr | Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal |
| title_full_unstemmed | Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal |
| title_short | Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal |
| title_sort | dietary practices of type 2 diabetes mellitus patients concerning pender s health promotion model in lalitpur district nepal |
| topic | Diabetes self-management Dietary pattern Health promotion model Pender's health promotion model (PHPM) Type 2 diabetes mellitus (T2DM) |
| url | http://www.sciencedirect.com/science/article/pii/S2666149724000501 |
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