Dietary Practices Observed by Type 1 Diabetic Subjects Reporting at a Tertiary Care Unit of Karachi, Pakistan
DOI:
https://doi.org/10.3923/pjn.2015.164.169Keywords:
Children and young adults, dietary intake, food guide pyramid, glycemic control, recommended servings, type 1 diabetesAbstract
This study was conducted to assess the common dietary practices among children with Type 1 Diabetes Mellitus (T1 DM). This is a sub study of another study conducted among type 1 diabetic subjects from July 2011-June 2012 at Baqai Institute of Diabetology and Endocrinology (BIDE) and Diabetic Association of Pakistan (DAP). Children with Type 1 DM aged 10-20 yrs registered in these centers were selected to record their dietary intake through pre-designed questionnaire based on the 24 h dietary recall interview. Food Guide Pyramid was used to assess and compare the dietary intake of these patients with recommendations. The dietary record showed that all 103 Type 1 DM subjects were consuming bread and cereal in which 53.9% were taking recommended servings. Seventy nine were taking meat group in which 44.3% were taking recommended serving, Fifty Nine were consuming milk group in which only 11.9% consumed recommended servings of milk daily. Fifty two patients were taking vegetable group in which only 11.5% were taking recommended serving. Twenty eight patients were consuming fruits in which 25% were taking recommended servings of fruits while rests of them were taking below the recommendations. Majority of type 1 DM patients were taking the bread and cereals group according to the recommended servings while meat, milk, fruits and vegetable groups were not consumed according to the recommended guidelines of Food Guide Pyramid. Mothers need to concentrate on planning for their children’s meals and snacks and they must encourage their child in making the healthy food choices.
References
Ahola, A.J., V. Mikkila, S. Makimatilla, C. Forsblom, R. Freese and P.H. Groop, 2012. Energy and nutrient intakes and adherence to dietary guidelines among finnish adults with type 1 diabetes. Ann. Med., 44: 73-81.
Badruddin, N., A. Basit, M.Z.I. Hydrie and R. Hakeem, 2002. Knowledge, attitude and practices of patients visiting a diabetes care unit. Pak. J. Nutr., 1: 99-102.
Brown, J.L. and E. Pollitt, 1996. Malnutrition, poverty and intellectual development. Sci. Am., 274: 38-43.
Ensminger, M.E. and A.H. Ensminger, 1993. Foods and Nutrition Encyclopedia. 2nd Edn., CRC Press, USA., Pages: 990.
Gortmaker, S.L. and W. Sappenfield, 1984. Chronic childhood disorders: Prevalence and impact. Pediatr. Clin. North Am., 31: 3-18.
Hakeem, R., A. Fawwad, A. Siddiqui, M.Y. Ahmadani and A. Basit, 2008. Efficacy of dietetics in low resource communities: Dietary intake and BMI of type 2 diabetics living in Karachi before and after receiving dietician's guidance. Pak. J. Biol. Sci., 11: 1324-1329.
Hakeem, R. and A. Fawwad, 2010. Diabetes in Pakistan: Epidemiology, determinants and prevention. J. Diabetol., Vol. 3.
Hydrie, M.Z.I., A. Basit, A.S. Shera, R. Hakeem and A. Hussain, 2010. Dietary patterns associated with risk for metabolic syndrome in urban community of Karachi defined by cluster analysis. Pak. J. Nutr., 9: 93-99.
Insel, P.M., R.E. Turner and D. Ross, 2004. Nutrition. Jones and Bartlett Publishers, Canada, pp: 30-32.
Irwin, T., 2002. New dietary guidelines from the American diabetes association. Diab. Care, 25: 1262-1263.
Khalil, J.K., 2000. Food composition activities in developing countries: SAARCFOODS perspective. J. Food Composit. Anal., 13: 669-684.
Kylberg, E., U. Ewald, T. Tuvemo and M. Gebremedhin, 1985. Dietary intake in Swedish diabetic children. Acta Pediatr Scand, 320: 32-37.
Laakso, M. and K. Pyorala, 1985. Age of onset and type of diabetes. Diabetes Care, 8: 114-117.
Larson, N. and S.N. Sztainer, 2009. Adolescent nutrition. Pediatrics Rev., 30: 494-496.
Magrath, G. and B.V. Harlan, 1993. Dietary recommendations for children and adolescents with diabetes: An implementation paper. British Diabetic Association's Professional Advisory Committee. Diabet. Med., 10: 874-885.
Mayer-Davis, E.J., M. Nichols, A.D. Liese, R.A. Bell and D.M. Dabelea et al., 2006. Dietary intake among youth with diabetes: The SEARCH for diabetes in youth study. J. Am. Diet. Assoc., 106: 689-697.
Mehta, S.N., L.K. Volkening, B.J. Anderson, T. Nansel and J. Weissberg-Benchell et al., 2008. Dietary behaviors predict glycemic control in youth with type 1 diabetes. Diabetes Care, 31: 1318-1320.
Muntoni, S., P. Cocco, G. Aru, F. Cucca and S. Muntoni, 2000. Nutritional factors and worldwide incidence of childhood type 1 diabetes. Am. J. Nutr., 7: 1525-1529.
Munoz, K.A., S.M. Krebs-Smith, R. Ballard-Barbash and L.E. Cleveland, 1997. Food intakes of US children and adolescents compared with recommendations. Pediatrics, 100: 323-329.
Nuttall, F.Q., 1993. Carbohydrate and dietary management of individuals with insulin-requiring diabetes. Diabetes Care, 16: 1039-1042.
Onkamo, P., S. Vaananen, M. Karvonen and J. Tuomilehto, 1999. Worldwide increase in incidence of type I diabetes-the analysis of the data on published incidence trends. Diabetologia, 42: 1395-1403.
Patton, S.R., L.M. Dolan and S.W. Powers, 2007. Dietary adherence and associated glycemic control in families of young children with type 1 diabetes. J. Am. Diet. Assoc., 107: 46-52.
Pinelli, L., R. Mormile, E. Gonfiantini, A. Busato, P. Kaufman, R. Piccoli and F. Chiarelli, 1998. Recommended Dietary Allowances (RDA) in the dietary management of children and adolescents with IDDM: an unfeasible target or an achievable cornerstone? J. Pediatr. Endocrinol. Metab., 11: 335-346.
Stang, J., C.T. Bayerl and American Dietetic Association, 2010. Position of the American Dietetic Association: Child and adolescent nutrition assistance programs. J. Am. Dietetic Assoc., 110: 791-799.
Rafique, G., S.I. Azam and F. White, 2006. Diabetes knowledge beliefs and practices among people with diabtes attending a university hospital in Karachi Pakistan. Eastern Med. Health J., 12: 590-598.
Riaz, M., A. Baist, A. Fawwad, M.Y. Ahmedani and Z.A. Rizvi, 2014. Factors associated with non-adherence to insulin in patients with type 1 diabetes. Pak. J. Med. Sci., 30: 233-239.
Shera, A.S., Z. Miyan, A. Basit, A. Maqsood, M.Y. Ahmadani, A. Fawwad and M. Riaz, 2008. Trends of type 1 diabetes in Karachi, Pakistan. Pediatr. Diabet., 9: 401-406.
Silverstein, J., G. Klingensmith, K. Copeland, L. Plotnick and F. Kaufman et al., 2005. Care of children and adolescents with type 1 diabetes: A statement of the American diabetes association. Diabet. Care, 28: 186-212.
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