Diet and Carbohydrate Food Knowledge in Gestational Diabetes: Challenges and Opportunities for Lifestyle Interventions

Ali, Habiba I.; Papakonstantinou, Emilia; Mesmoudi, Najoua El

doi:10.1007/978-3-319-56440-1_32

Cited by 3 publications

(3 citation statements)

References 49 publications

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“…Since this was the first time an educational intervention of this nature was implemented in a community setting for Emirati patients with diabetes, it was particularly challenging to convince the participants of the need for more frequent follow-ups for educational purposes and re-assessments. Moreover, participants reported time constraints, transportation issues, unavailability of dietitians in the health centers, and difficulties in changing diet due to family preferences as previously reported [49]. The majority of the participants were women with childcare and other responsibilities at home.…”

Section: Plos Onementioning

confidence: 83%

Impact of Skills for Change Program on metabolic control, diet and physical activity levels in adults with type 2 diabetes: A cluster randomized trial

Ali,

Al Ketbi,

Platat

et al. 2024

PLoS ONE

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Background Type 2 diabetes mellitus is highly prevalent in the Arab Gulf countries. Despite this, limited culturally-adapted lifestyle intervention studies have been conducted in this region. Methods In this culturally adapted 12-month cluster randomized trial, 382 patients with type 2 diabetes, aged 20–70 years were recruited from 6 public healthcare centers (3 interventions and 3 controls) in Al Ain, United Arab Emirates. The primary outcome of this study was a change in hemoglobin A1c (HbA1c). The secondary outcomes were Body Mass Index (BMI), low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, total cholesterol, dietary intake, and physical activity levels. A diet and physical activity intervention, guided by the social cognitive theory, was delivered individually and in group format to the intervention group. The control group continued receiving only their usual diabetes management care. The data were collected at baseline and 1 year after participation. Results The mean baseline HbA1c levels of the control and the intervention groups were 7.45 ± 0.11% and 7.81 ± 0.11%, respectively. At the end of the 12-month intervention, there was no significant difference in the changes of mean HbA1c between the intervention and the control groups. On the other hand, BMI and daily caloric intake were significantly decreased in the intervention compared to the control group by 1.18 kg/m2 (95% CI: -1.78 − -0.60) and 246 kcal (95% CI: -419.52 − -77.21), respectively, after controlling for age, gender, education, marital status, duration since diabetes diagnosis, diabetes treatment, treatment clinic, and baseline values. Sitting time during the week-end was significantly lower, difference 52.53 minutes (95% CI: 93.93 − -11.14). Conclusions This community-based lifestyle intervention for patients with baseline HbA1c <8% did not result in a significant decrease of HbA1c but reduced caloric intake, body weight, and weekend inactivity after controlling for the covariates. Trial registration This trial was registered on February 11, 2020 with Clinicaltrials.gov (NCT04264793).

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Section: Plos Onementioning

confidence: 83%

Impact of Skills for Change Program on metabolic control, diet and physical activity levels in adults with type 2 diabetes: A cluster randomized trial

Ali,

Al Ketbi,

Platat

et al. 2024

PLoS ONE

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show abstract

“…Another study conducted among Emirati and Omani adults concluded that individuals have insufficient knowledge of carbohydrates. 23 Likewise, another Saudi study showed participants had poor knowledge about carbohydrates but had good dietary knowledge regarding other good groups, including fat and protein. 14 Most participants correctly identified the main carbohydrate source in the diabetic diet, but most did not know the food with the highest sugar content.…”

Section: Discussionmentioning

confidence: 99%

Dietary knowledge assessment among the patients with type 2 diabetes in Madinah: A cross-sectional study 

Alharbi,

Surrati

et al. 2024

F1000Res

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Background There is a huge burden of nutrition-related non-communicable diseases, and diabetes is one of the leading chronic nutrition-related diseases affecting more than 500 million people globally. Collecting information regarding the awareness of dietary and nutrition knowledge among diabetic patients is the first step to developing a disease prevention program. Thus, this study primarily aims at assessing the dietary awareness of diabetes patients attending the diabetic centre in Madinah governorate, Saudi Arabia. Methods The study was started in November 2020 and ended in October 2021. The study participants (315) were type 2 diabetes mellitus (T2DM) patients attending a diabetic centre in Madinah, Saudi Arabia. A self-prepared dietary knowledge questionnaire (DKQ) was used in this research. The variables include balanced diet, food type, food choice, carbohydrate, protein, and fat. Knowledge score was, and the total score was levelled/categorized into ‘good’, ‘average’, and ‘poor’. Data were analysed by SPSS v.26. Results The study results identified the current knowledge of T2DM patients about different dietary items. The knowledge score of 62.2% of participants showed an average level of dietary knowledge, which is statistically significant. When we separately evaluated their understanding of different dietary components, we found that T2DM patients had poor knowledge of carbohydrates (30.15%), fat, food choices (47.7%), and type (34.6%). However, they had acceptable knowledge of proteins (56.5%). Conclusion Our participants exhibited acceptable knowledge about proteins but poorer knowledge of other food groups. A healthy, well-balanced diet is essential for excellent glycaemic control. Educating and arranging a health education program regarding dietary knowledge is recommended, specially designed for diabetic patients so that patients can opt for a healthier lifestyle

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“…Another study conducted among Emirati and Omani adults concluded that individuals have insufficient knowledge of carbohydrates. 23 Likewise, another Saudi study showed participants' poor knowledge about carbohydrates but had good dietary knowledge regarding other good groups, including fat and protein. 14 Most participants correctly identified the main carbohydrate source in the diabetic diet, but most did not know the food with the highest sugar content.…”

Section: Discussionmentioning

confidence: 99%

Dietary knowledge assessment among the patients with type 2 diabetes in Madinah: A cross-sectional study 

Alharbi

Surrati

et al. 2023

F1000Res

View full text Add to dashboard Cite

Background: There is a huge burden of nutrition-related non-communicable diseases, and diabetes is one of the leading chronic nutrition-related diseases affecting more than 500 million people globally. Collecting information regarding the awareness of dietary and nutrition knowledge among diabetic patients is the first step to developing a disease prevention program. Thus, this study primarily aims at assessing the dietary awareness of diabetes patients attending the diabetic centre in Madinah governorate, Saudi Arabia. Methods: The study was started in November 2020 and ended in October 2021. The study participants (315) were type 2 diabetes mellitus (T2DM) patients attending a diabetic centre in Madinah, Saudi Arabia. A self-prepared dietary knowledge questionnaire (DKQ) was used in this research. The variables include balanced diet, food type, food choice, carbohydrate, protein, and fat. Knowledge score was, and the total score was leveled/categorized into ‘good’, ‘average’, and ‘poor’. Data were analyzed by SPSS v.26. Results: The study results identified the current knowledge of T2DM patients about different dietary items. The knowledge score of 62.2% of participants showed an average level of dietary knowledge, which is statistically significant. When we separately evaluated their understanding of different dietary components, we found that T2DM patients had poor knowledge of carbohydrates (30.15%), fat, food choices (47.7%), and type (34.6%). However, they had acceptable knowledge of proteins (56.5%). Conclusion: Our participants exhibited acceptable knowledge about proteins but poorer knowledge of other food groups. A healthy, well-balanced diet is essential for excellent glycaemic control. It is recommended to educate and arrange a health education program regarding dietary knowledge, specially designed for diabetic patients so that patients can opt for a healthier lifestyle.

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Diet and Carbohydrate Food Knowledge in Gestational Diabetes: Challenges and Opportunities for Lifestyle Interventions

Cited by 3 publications

References 49 publications

Impact of Skills for Change Program on metabolic control, diet and physical activity levels in adults with type 2 diabetes: A cluster randomized trial

Impact of Skills for Change Program on metabolic control, diet and physical activity levels in adults with type 2 diabetes: A cluster randomized trial

Dietary knowledge assessment among the patients with type 2 diabetes in Madinah: A cross-sectional study

Dietary knowledge assessment among the patients with type 2 diabetes in Madinah: A cross-sectional study

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