Development and Acceptance of Healthy and Balanced Diet for Diabetes Mellitus Patients among UKM Staff Using Linear Programming
DOI:
https://doi.org/10.3923/pjn.2019.571.578Keywords:
Balanced diet, diet management, healthy diet, linear programming, type 2 diagetes millitusAbstract
Background and Objective: It is established that nutrition and diet management is a significant aspect of managing diabetes. The aim of this study was to construct a balanced, palatable and affordable diet that helps diabetics in Malaysia to manage their disease. Linear programming techniques were employed to develop a menu plan that takes into account not only nutritional guidelines but also palatability and budget constraints. Materials and Methods: A cross-sectional study involving 120 UKM staff aged 30-59 years old diagnosed with Type 2 Diabetes Mellitus (T2DM) was conducted. Socio-demographic, anthropometry, dietary intake and food security and the subjects' glucose level (HbA1c) were taken in the first phase. Three diet models were produced: Model 1 is 1391.419 kcal day–1 costing RM 9.94; Model 2 is 1523.500 kcal day–1 at RM9.23 and Model 3 is 1713.500 kcal day–1 at the lowest cost of RM 9.17. These three diabetes diet management models were tried out among ten randomly selected subjects. All data collected were analysed using the Statistical Package for Social Sciences (SPSS) program version 22.0. Results: No significant difference was found between groups within each socio-demographic characteristic, comparing HbA1c levels among the subjects but significant differences were found in the nutrient intakes between male and female subjects in the mean daily intakes of energy, carbohydrates, fat and sucrose but not in crude fibre and protein. These data were needed to develop a healthy and balanced menu at a minimum cost via linear programming for the second phase. Results showed a significant improvement in both weight loss (p = 0.029) and HbA1c control (p = 0.028) as evidenced by data collected pre and post-diet implementation. Conclusion: Linear programming can be an effective tool in helping to produce an optimised healthy and balanced diet at minimal cost by interpreting and translating dietary recommendations into a nutritional model, based on local market prices.
References
Chen, L., D.J. Magliano and P.Z. Zimmet, 2012. The worldwide epidemiology of type 2 diabetes mellitus-present and future perspectives. Nat. Rev. Endocrinol., 8: 228-236.
IPH., 2011. Non-communicable diseases. National health and morbidity survey 2011. Ministry of Health, Institute for Public Health, Malaysia, Vol.2, pp: 1-188.
IDF., 2018. Statistical data on diabetes patient in Malaysia in 2017. International Diabetes Federation, Malaysia.
Soares, N.P., K.K.D. Campos, K.B. Pena, A.C.B. Bandeira, A. Talvani, M.E. Silva and F.S. Bezerra, 2016. The effects of the combination of a refined carbohydrate diet and exposure to hyperoxia in mice. Oxidat. Med. Cell. Longevity, Vol. 2016.
Ley, S.H., O. Hamdy, V. Mohan and F.B. Hu, 2014. Prevention and management of type 2 diabetes: Dietary components and nutritional strategies. Lancet, 383: 1999-2007.
Asif, M., 2014. The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. J. Educ. Health Promorion, Vol. 3.
MDA., 2013. Medical Nutrition Therapy Guidelines for Type 2 Diabetes. 2nd Edn., Ministry of Health Malaysia, Malaysian Dietitians' Association, Putrajaya.
Lee, A., C.N. Mhurchu, G. Sacks, B. Swinburn and W. Snowdon et al., 2013. Monitoring the price and affordability of foods and diets globally. Obesity Rev., 14: 82-95.
Darmon, N. and A. Drewnowski, 2015. Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: A systematic review and analysis. Nutr. Rev., 73: 643-660.
Parker, G., N.A. Gibson, H. Brotchie, G. Heruc, A.M. Rees and D. Hadzi-Pavlovic, 2006. Omega-3 fatty acids and mood disorders. Am. J. Psychiat., 163: 969-978.
Ferguson, E.L., N. Darmon, A. Briend and I.M. Premachandra, 2004. Food-based dietary guidelines can be developed and tested using linear programming analysis. J. Nutr., 134: 951-957.
NCCFN., 2017. Recommended nutrient intakes for Malaysia: A report of the technical working group on nutritional guidelines. Ministry of Health Malaysia, National Coordinating Committee on Food and Nutrition, Putrajaya, Malaysia.
MoH., 2010. Malaysian dietary guidelines. Ministry of Health Malaysia (MoH), Malaysia, pp: 1-27. http://www.moh.gov.my/images/gallery/Garispanduan/diet/introduction.pdf.
MIT., 2013. Optimization methods in management science. Massachusetts Institute of Technology, MIT OpenCourseWare, Massachusetts.
Norman, J., 2017. Treatment of diabetes: The diabetic diet. https://www.endocrineweb.com/conditions/diabetes/treatment-diabetes.
WHO., 2016. World health statistics 2016. World Health Organization, Geneva.
Rajikan, R., N.I.A. Zaidi, S.M. Elias, S. Shahar, Z.A. Manaf and N.A.M. Yusoff, 2017. Construction of healthy and palatable diet for low socioeconomic female adults using linear programming. Int. J. Adv. Sci. Eng. Inform. Technol., 7: 125-131.
Sun, Q., D. Spiegelman, R.M. van Dam, M.D. Holmes, V.S. Malik, W.C. Willett and F.B.Hu, 2010. White rice, brown rice and risk of type 2 diabetes in US men and women. Arch. Internal Med., 170: 961-969.
Wang, Q., W. Xia, Z. Zhao and H. Zhang, 2015. Effects comparison between low glycemic index diets and high glycemic index diets on HbA1c and fructosamine for patients with diabetes: A systematic review and meta-analysis. Primary Care Diabetes, 9: 362-369.
Agustina, T., 2009. Gambaran sikap pasien diabetes melitus di poli penyakit dalam rsud dr. moewardi surakarta terhadap kunjungan ulang konsultasi gizi. Ph.D. Thesis, Universitas Muhammadiyah Surakarta.
Astuti, C.M. and A. Setiarini, 2013. Faktor-faktor yang berhubungan dengan pengendalian kadar glukosa darah pasien diabetes melitus tipe 2 rawat jalan di poliklinik penyakit dalam RSJ Prof. Dr. Soerojo Magelang. Soerojo Magelang. Artikel Penelitian. Program Studi Gizi Fakultas Kesehatan Masyarakat Universitas Indonesia.
Abdurrachim, R. and R.D. Annisa, 2017. Fiber intake and physical excercise contributed to blood glucose level in outpatients with type 2 diabetes mellitus. Indonesian J. Nutr. Dietet., 5: 66-76.
Muraki, I., F. Imamura, J.E. Manson, F.B. Hu, W.C. Willett, R.M. van Dam and Q. Sun, 2013. Fruit consumption and risk of type 2 diabetes: Results from three prospective longitudinal cohort studies. Br. Med. J., Vol. 347.
Asmaa, A.A., W. Zzaman and A.Y. Tajul, 2015. Effect of superheated steam cooking on fat and fatty acid composition of chicken sausage. Int. Food Res. J., 22: 598-605.
Choi, Y.S., K.E. Hwang, T.J. Jeong, Y.B. Kim and K.H. Jeon et al., 2016. Comparative study on the effects of boiling, steaming, grilling, microwaving and superheated steaming on quality characteristics of marinated chicken steak. Korean J. Food Sci. Anim. Resour., 36: 1-7.
Hretcanu, C.E. and C.I. Hretcanu, 2010. A linear programming model for a diet problem. J. Food Environ. Safety Suceava Univ., 9: 56-63.
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