Association between Dietary Habits and Type 2 Diabetes Mellitus in Yangon, Myanmar: A Case–Control Study

In Myanmar, the escalating prevalence of type 2 diabetes mellitus (T2DM) and impaired glucose tolerance among adults was recently reported, with the highest prevalence in the Yangon Region. The aim of the present study was to identify the risk factors in dietary habits and their relationship with T2...

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Autores principales: Satomi Ueno, Myo Nyein Aung, Motoyuki Yuasa, Ahmad Ishtiaq, Ei Thinzar Khin, Tint Swe Latt, Saiyud Moolphate, Setsuko Sato, Takeshi Tanigawa
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/8491935a210e44a9b01f57a05c396db2
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spelling oai:doaj.org-article:8491935a210e44a9b01f57a05c396db22021-11-11T16:12:22ZAssociation between Dietary Habits and Type 2 Diabetes Mellitus in Yangon, Myanmar: A Case–Control Study10.3390/ijerph1821110561660-46011661-7827https://doaj.org/article/8491935a210e44a9b01f57a05c396db22021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11056https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601In Myanmar, the escalating prevalence of type 2 diabetes mellitus (T2DM) and impaired glucose tolerance among adults was recently reported, with the highest prevalence in the Yangon Region. The aim of the present study was to identify the risk factors in dietary habits and their relationship with T2DM in urban Myanmar residents. We conducted a case–control study recruiting 300 individuals aged 25–74 years living in the Yangon Region, consisting of 150 newly diagnosed cases attending a diabetes clinic, and 150 controls, who were community residents and free of diabetes. The case group had a significantly higher consumption of noodles, fish, beans, fermented food and pickles, dried food, topping seasonings, and non-dairy milk products than the control group, whereas they had a lower vegetable intake (more than three servings/day) and fruit intake (more than three servings/day) than the control group. Furthermore, the case group exhibited a higher frequency of some dietary behaviors than the control group, such as (1) having meals with family, (2) skipping breakfast, and (3) eating out. The final model showed that topping seasonings (adjusted odds ratio (aOR) 11.23, 95% confidence interval (CI) 3.08–40.90), more than three servings/day of vegetable intake (aOR 0.18, 95% CI 0.05–0.67), and having meals with family (aOR 2.23, 95% CI 1.05–4.71) were associated with diabetes. The study suggests that Myanmar’s characteristic dietary culture of topping their meals with salty seasonings and sauces and eating multiple dishes together as a family are risk factors associated with T2DM. Our findings may contribute recommendations and opportunities for the primary prevention of T2DM in urban Myanmar.Satomi UenoMyo Nyein AungMotoyuki YuasaAhmad IshtiaqEi Thinzar KhinTint Swe LattSaiyud MoolphateSetsuko SatoTakeshi TanigawaMDPI AGarticletype 2 diabetes mellitusnon-communicable diseasesglobal healthnutritionseasoninglifestyleMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11056, p 11056 (2021)
institution DOAJ
collection DOAJ
language EN
topic type 2 diabetes mellitus
non-communicable diseases
global health
nutrition
seasoning
lifestyle
Medicine
R
spellingShingle type 2 diabetes mellitus
non-communicable diseases
global health
nutrition
seasoning
lifestyle
Medicine
R
Satomi Ueno
Myo Nyein Aung
Motoyuki Yuasa
Ahmad Ishtiaq
Ei Thinzar Khin
Tint Swe Latt
Saiyud Moolphate
Setsuko Sato
Takeshi Tanigawa
Association between Dietary Habits and Type 2 Diabetes Mellitus in Yangon, Myanmar: A Case–Control Study
description In Myanmar, the escalating prevalence of type 2 diabetes mellitus (T2DM) and impaired glucose tolerance among adults was recently reported, with the highest prevalence in the Yangon Region. The aim of the present study was to identify the risk factors in dietary habits and their relationship with T2DM in urban Myanmar residents. We conducted a case–control study recruiting 300 individuals aged 25–74 years living in the Yangon Region, consisting of 150 newly diagnosed cases attending a diabetes clinic, and 150 controls, who were community residents and free of diabetes. The case group had a significantly higher consumption of noodles, fish, beans, fermented food and pickles, dried food, topping seasonings, and non-dairy milk products than the control group, whereas they had a lower vegetable intake (more than three servings/day) and fruit intake (more than three servings/day) than the control group. Furthermore, the case group exhibited a higher frequency of some dietary behaviors than the control group, such as (1) having meals with family, (2) skipping breakfast, and (3) eating out. The final model showed that topping seasonings (adjusted odds ratio (aOR) 11.23, 95% confidence interval (CI) 3.08–40.90), more than three servings/day of vegetable intake (aOR 0.18, 95% CI 0.05–0.67), and having meals with family (aOR 2.23, 95% CI 1.05–4.71) were associated with diabetes. The study suggests that Myanmar’s characteristic dietary culture of topping their meals with salty seasonings and sauces and eating multiple dishes together as a family are risk factors associated with T2DM. Our findings may contribute recommendations and opportunities for the primary prevention of T2DM in urban Myanmar.
format article
author Satomi Ueno
Myo Nyein Aung
Motoyuki Yuasa
Ahmad Ishtiaq
Ei Thinzar Khin
Tint Swe Latt
Saiyud Moolphate
Setsuko Sato
Takeshi Tanigawa
author_facet Satomi Ueno
Myo Nyein Aung
Motoyuki Yuasa
Ahmad Ishtiaq
Ei Thinzar Khin
Tint Swe Latt
Saiyud Moolphate
Setsuko Sato
Takeshi Tanigawa
author_sort Satomi Ueno
title Association between Dietary Habits and Type 2 Diabetes Mellitus in Yangon, Myanmar: A Case–Control Study
title_short Association between Dietary Habits and Type 2 Diabetes Mellitus in Yangon, Myanmar: A Case–Control Study
title_full Association between Dietary Habits and Type 2 Diabetes Mellitus in Yangon, Myanmar: A Case–Control Study
title_fullStr Association between Dietary Habits and Type 2 Diabetes Mellitus in Yangon, Myanmar: A Case–Control Study
title_full_unstemmed Association between Dietary Habits and Type 2 Diabetes Mellitus in Yangon, Myanmar: A Case–Control Study
title_sort association between dietary habits and type 2 diabetes mellitus in yangon, myanmar: a case–control study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/8491935a210e44a9b01f57a05c396db2
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