Assessment of Dietary Habits on Risk Profiles and Complications among Type 2 Diabetic Patients at Al-Remal Clinic in Gaza Strip

Kuhail, Mohamed (2013) Assessment of Dietary Habits on Risk Profiles and Complications among Type 2 Diabetic Patients at Al-Remal Clinic in Gaza Strip. Masters thesis, Al Azhar University Gaza.

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Abstract

Dietary habits are one of the most risk factor for development of chronic micro and macro-vascular complications among type 2 diabetes mellitus (T2DM). This study aimed to assessing the effect of dietary habits and socio-demography on glycemic control (HbA1c) and diabetes risk profiles; cholesterol, triglycerides, LDL-C, HDL-C, blood pressure and body mass index. In addition, it examining these risk factors on long term complications of T2DM. Descriptive analytic cross-sectional design was used in this study; carried out on 206 patients diagnosed with T2DM, both gender at the age of 30 years and above. A structured interviewed questionnaire was used to collect the data from participants with regard to the socio-demographic, long-term complications of T2DM, body mass index, biochemical investigation and dietary habits tool, as well as the dietary habits total score and food frequency (FFQ). The main result illustrated that T2DM was more prevalent among females, poor people, and low educated and unemployed ones. Uncontrolled hemoglobin A1c, cholesterol, triglyceride, LDL-C levels, body mass index and blood pressure were associated with increasing of age and low educational level. Poor dietary habits were found positively correlated with overall glycemic control and diabetic risk profiles. Uncontrolled HbA1c was found to be positively and statistically associated with frequent intake of carbohydrates. Hypercholesterolemia and hypertriglyceridemia were also found to be positively and statistically associated with carbohydrates, milk and milk products and inversely with vegetables. LDL-C level was positively and statistically associated with carbohydrates and inversely associated with vegetable. HDL was inversely associated with carbohydrates and positively associated with vegetables. Regarding micro and macro-vascular complications of T2DM, retinopathy was positively and statistically associated with uncontrolled HbA1c, low HDL-C, and obesity. Nephropathy was positively associated with uncontrolled HbA1c, hypercholesterolemia, hypertriglyceridemia, low HDL-C and obesity. Neuropathy was a positively and statistically associated with uncontrolled HbA1c, hypercholesterolemia, hypertriglyceridemia and low HDL-C. Coronary heart disease was positively and statistically associated with uncontrolled HbA1c, hypercholesterolemia, hypertriglyceridemia, low HDL-C and high LDL. Hypertension was positively and statistically associated with uncontrolled HbA1c, hypercholesterolemia, hypertriglyceridemia, low HDL-C, high LDL and BMI. Cerebrovascular accident was positively and statistically associated only with uncontrolled HbA1c. In conclusion, this study indicated that dietary habits and socio-economic factors could play an important role in the alteration of glycemic control (HbA1c) and diabetic risk profiles among T2DM. KEY WORDS: Type 2 Diabetes mellitus, Dietary Habits, Glycemic Control, Diabetic Risk Profiles, Complications

Item Type: Thesis (Masters)
Subjects: Q Science > Q Science (General)
Depositing User: أ. طارق زياد عبد حنونة
Date Deposited: 18 Aug 2020 08:47
Last Modified: 18 Aug 2020 08:47
URI: http://scholar.alaqsa.edu.ps/id/eprint/2041

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