Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates

Amena Sadiya, Rama MnlaLifestyle Clinic, Rashid Centre for Diabetes and Research, Sheikh Khalifa Medical City Ajman, Ajman, United Arab EmiratesBackground: Optimum nutrition has an integral role in glycemic control of diabetic patients. In this study, we intend to explore the frequency of food group...

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Autores principales:	Sadiya A, Mnla R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	diabetes dietary pattern United Arab Emirates food consumption glycemic control Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/0b86afda538c48d1961ca1766bd70efc
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spelling	oai:doaj.org-article:0b86afda538c48d1961ca1766bd70efc2021-12-02T00:05:17ZImpact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates1178-7007https://doaj.org/article/0b86afda538c48d1961ca1766bd70efc2019-07-01T00:00:00Zhttps://www.dovepress.com/impact-of-food-pattern-on-glycemic-control-among-type-2-diabetic-patie-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Amena Sadiya, Rama MnlaLifestyle Clinic, Rashid Centre for Diabetes and Research, Sheikh Khalifa Medical City Ajman, Ajman, United Arab EmiratesBackground: Optimum nutrition has an integral role in glycemic control of diabetic patients. In this study, we intend to explore the frequency of food group/item consumption and its association with the risk of poor glycemic control (HbA1c >7%) among type 2 diabetes (T2D) patients in the United Arab Emirates (UAE), since there are no data available in this region.Methods: In this retrospective cross-sectional study, data on frequency of food group/item consumption of 843 T2D patients aged ≥18 years were collected from records documented by dietitians in a tertiary care center in the UAE.Results: The trends of food consumption demonstrate that one-third of the participants consumed all five major food groups, and 10% adhered to the recommended “MyPlate” meal pattern with the optimum mix of food groups. Univariate analysis indicated that participants who adhered to the MyPlate meal pattern presented lower HbA1c (β=−0.78, 95% CI −1.22, −0.25; P<0.01). Daily intake of fresh fruit was shown to be protective (β=−0.64, 95% CI −1.26, −0.04; P=0.04) while fruit juice intake >1 time/day increased the risk of poor glycemic control (β=1.53, 95% CI 0.72, 2.35; P<0.001). Multiple logistic regression models (area under the receiver operating characteristics curve =0.67) showed consumption of fizzy drinks and fast food ≥1 time/week increased the odds of poor glycemic control by 2.05 (95% CI 1.16, 3.68; P=0.01) and 1.83 (95% CI 1.02, 3.3 P=0.04), respectively, while fresh fruit consumption indicated a clinically relevant protective effect  (OR=0.65, 95% CI 0.23, 1.79; P=0.4).Conclusion: Consuming food such as fizzy drinks and fast food ≥1 time/week could possibly serve as an independent predictor for poor glycemic control, while fresh fruit could have a protective effect on glycemic control among T2D patients.Clinical Trial Registry: ClinicalTrials.gov Identifier: NCT03388229Keywords: diabetes, food pattern, United Arab Emirates, food consumption, glycemic controlSadiya AMnla RDove Medical Pressarticlediabetesdietary patternUnited Arab Emiratesfood consumptionglycemic controlSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 1143-1150 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes dietary pattern United Arab Emirates food consumption glycemic control Specialties of internal medicine RC581-951
spellingShingle	diabetes dietary pattern United Arab Emirates food consumption glycemic control Specialties of internal medicine RC581-951 Sadiya A Mnla R Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates
description	Amena Sadiya, Rama MnlaLifestyle Clinic, Rashid Centre for Diabetes and Research, Sheikh Khalifa Medical City Ajman, Ajman, United Arab EmiratesBackground: Optimum nutrition has an integral role in glycemic control of diabetic patients. In this study, we intend to explore the frequency of food group/item consumption and its association with the risk of poor glycemic control (HbA1c >7%) among type 2 diabetes (T2D) patients in the United Arab Emirates (UAE), since there are no data available in this region.Methods: In this retrospective cross-sectional study, data on frequency of food group/item consumption of 843 T2D patients aged ≥18 years were collected from records documented by dietitians in a tertiary care center in the UAE.Results: The trends of food consumption demonstrate that one-third of the participants consumed all five major food groups, and 10% adhered to the recommended “MyPlate” meal pattern with the optimum mix of food groups. Univariate analysis indicated that participants who adhered to the MyPlate meal pattern presented lower HbA1c (β=−0.78, 95% CI −1.22, −0.25; P<0.01). Daily intake of fresh fruit was shown to be protective (β=−0.64, 95% CI −1.26, −0.04; P=0.04) while fruit juice intake >1 time/day increased the risk of poor glycemic control (β=1.53, 95% CI 0.72, 2.35; P<0.001). Multiple logistic regression models (area under the receiver operating characteristics curve =0.67) showed consumption of fizzy drinks and fast food ≥1 time/week increased the odds of poor glycemic control by 2.05 (95% CI 1.16, 3.68; P=0.01) and 1.83 (95% CI 1.02, 3.3 P=0.04), respectively, while fresh fruit consumption indicated a clinically relevant protective effect  (OR=0.65, 95% CI 0.23, 1.79; P=0.4).Conclusion: Consuming food such as fizzy drinks and fast food ≥1 time/week could possibly serve as an independent predictor for poor glycemic control, while fresh fruit could have a protective effect on glycemic control among T2D patients.Clinical Trial Registry: ClinicalTrials.gov Identifier: NCT03388229Keywords: diabetes, food pattern, United Arab Emirates, food consumption, glycemic control
format	article
author	Sadiya A Mnla R
author_facet	Sadiya A Mnla R
author_sort	Sadiya A
title	Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates
title_short	Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates
title_full	Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates
title_fullStr	Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates
title_full_unstemmed	Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates
title_sort	impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the united arab emirates
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/0b86afda538c48d1961ca1766bd70efc
work_keys_str_mv	AT sadiyaa impactoffoodpatternonglycemiccontrolamongtype2diabeticpatientsacrosssectionalstudyintheunitedarabemirates AT mnlar impactoffoodpatternonglycemiccontrolamongtype2diabeticpatientsacrosssectionalstudyintheunitedarabemirates
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Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates

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