Kualitas diet dan kontrol glikemik pada orang dewasa dengan diabetes melitus tipe dua

https://doi.org/10.22146/ijcn.62815

Dodik Briawan(1*), Mahfuzhoh Fadillah Heryanda(2), Sudikno Sudikno(3)

(1) Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, Institut Pertanian Bogor
(2) Program Studi S1 Gizi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Cirebon
(3) Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia, Jakarta
(*) Corresponding Author

Abstract


Diet quality and glycemic control in adults with type two diabetes mellitus

Background: As assessed by Alternate Healthy Eating Index (AHEI), diet quality is correlated with glycemic control through its effect on glucose-insulin homeostasis. Studies are evaluating the diet quality index in Indonesia, especially its relation to glycemic control in those with type 2 diabetes mellitus (T2DM), are lacking. 

Objective: To analyze the association between diet quality and glycemic control T2DM in adults. 

Methods: This research was a cross-sectional study using data from "Cohort study of non-communicable disease risk factors" in 2016 by the Indonesia Ministry of Health. Hundred and five (105) subjects diagnosed with T2DM, aged 25-65, were recruited in this study. A 24-hour dietary recall was collected, and a diet quality index referred to the USA adapted AHEI-2010 was assessed. The portion of food components was modified based on the Indonesian Dietary Guidelines. Glycemic control was evaluated according to fasting blood glucose (FBG) and 2-hours-post-75-g glucose load (2h-PG). Spearman correlation test was applied in this analysis. 

Results: A mean age of subjects was 51 years, and 77.1% out of 105 subjects were women. Mean value of FBG 123.5 and 2h-PG 228.9 mg/dL. The total score of AHEI was 53.8. There was not a significant correlation between the total score of AHEI with FBG (r= -0.079) and 2h-PG (r= -0.069) (p>0.05). However, there was a significant association between the fruits score and 2h-PG (r= -0.224) (p<0.05). Most of the subjects consumed fruits containing low-moderate fructose, such as bananas, oranges, papayas. 

Conclusions: In T2DM, there was no significant association between the total score of current diet quality and poor glycemic control, except for the fruits component.


Keywords


adults; diabetes mellitus; diet quality; Indonesian healthy eating index

Full Text:

PDF


References

  1. Perkumpulan Endokrinologi Indonesia. Konsensus pengendalian dan pencegahan diabetes mellitus tipe 2 di Indonesia. Jakarta: PERKENI; 2015.
  2. World Health Organization (WHO). Global nutrition report on diabetes. Switzerland: Geneva; 2016.
  3. Guariguata L, Whiting D, Hambleton I, Beagley J, Linnenkamp U, et al. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137–49. doi: 10.1016/j.diabres.2013.11.002
  4. Badan Penelitian dan Pengembangan, Kementerian Kesehatan RI. Hasil utama riset kesehatan dasar [series online] 2018 [cited cited 2020 Aug 18]. Available from: URL: http://www.depkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf
  5. Riset Kesehatan Dasar Republik Indonesia. Laporan nasional riset kesehatan dasar tahun 2007. Jakarta: Kementerian Kesehatan RI; 2007.
  6. Riset Kesehatan Dasar Republik Indonesia. Laporan nasional riset kesehatan dasar tahun 2013. Jakarta: Kementerian Kesehatan RI; 2013.
  7. Badan Penelitian dan Pengembangan Kesehatan. Laporan studi kohor FRPTM tahun 2018. Jakarta: Kemenkes RI; 2018.
  8. Fowler MJ. Microvascular and macrovascular complications of diabetes. Clin Diabetes. 2008;26(2):77–82. doi: 10.2337/diaclin.26.2.77
  9. American Diabetes Association. Classification and diagnosis of diabetes: standards of medical care in diabetes-2020. Diabetes Care. 2020;43(Supp 1):S14–31. doi: 10.2337/dc20-S002
  10. Ley SH, Hamdy O, Mohan V, Hu FB. Prevention and management of type 2 diabetes: dietary components and nutritional strategies. Lancet. 2014;383(9933):1999–2007. doi: 10.1016/S0140-6736(14)60613-9
  11. Coppell K, Kataoka M, Williams S, Chisholm Al, Vorgers S, Mann J. Nutritional intervention in patients with type 2 diabetes who are hyperglycaemic despite optimised drug treatment--Lifestyle Over and Above Drugs in Diabetes (LOADD) study: randomised controlled trial. BMJ. 2010;341:c3337. doi: 10.1136/bmj.c3337
  12. Ley S, Pan A, Li Y, Manson J, Willett W, et al. Changes in overall diet quality and subsequent type 2 diabetes risk: three U.S. prospective cohorts. Diabetes Care. 2016;39(11):2011–8. doi: 10.2337/dc16-0574
  13. Chiuve S, Fung T, Rimm E, Hu F, Mccullough M, et al. Alternative dietary indices both strongly predict risk of chronic disease. J Nutr. 2012;142(6):1009–18. doi: 10.3945/jn.111.157222
  14. 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. Diabetes Metab Syndr Obes. 2019;12(6):1143–50. doi: 10.2147/DMSO.S209320
  15. Papier K, Este CD, Bain C, Banwell C, Seubsman S, et al. Consumption of sugar-sweetened beverages and type 2 diabetes incidence in Thai adults: results from an 8-year prospective study. Nutr Diabetes. 2017;7:e283. doi: 10.1016/j.orcp.2016.10.034
  16. Kim J, Cho Y, Park Y, Sohn C, Rha M, Lee M-K, et al. Association of dietary quality indices with glycemic status in Korean patients with type 2 diabetes. Clin Nutr Res. 2013;2(2):100–6. doi: 10.7762/cnr.2013.2.2.100
  17. Antonio JP, Sarmento RA, Almeida JC. Diet quality and glycemic control in patients with type 2 diabetes. J Acad Nutr Diet. 2019;119(4):652-8. doi: 10.1016/j.jand.2018.11.006
  18. Perkumpulan Endokrinologi Indonesia. Konsensus pengendalian dan pencegahan diabetes mellitus tipe 2 di Indonesia. Jakarta: PERKENI; 2011.
  19. Putri PA, Briawan D, Ekayanti I. Application of alternate healthy eating index to assess diet quality in male workers. Jurnal Gizi dan Pangan. 2018;13(12):39–46. doi: 10.25182/jgp.2018.13.1.39-46
  20. Kementerian Kesehatan Republik Indonesia. Pedoman gizi seimbang. Jakarta: Kemenkes RI; 2014.
  21. Australian Food and Nutrient Database. Food nutrient database. Australia: Food Standards Australia New Zealand; 2016.
  22. Judprasong K, Puwastien P, Rojroongwasinkul N, Nitithamyong A, Sridonpai P, Somjai A. Online Thai food composition database 2015 (THAI FCD 2015). [series online] 2018 [cited 2020 Jan 11]. Available from: URL: http://www.inmu.mahidol.ac.th/thaifcd
  23. United States Department of Agricultural. Healthy eating index (HEI) [series online] 2019 [cited 2019 Jul 21]. Available from: URL: https://www.fns.usda.gov/resource/healthy-eating-index-hei
  24. Riyadina W, Pradono J, Werdhasari A, Rahajeng E, Oemiati R, Sirait A, et al. Laporan akhir penelitian studi kohor tumbuh kembang anak dan faktor risiko penyakit tidak menular tahun 2012. Jakarta: Badan Litbangkes Kementerian Kesehatan RI; 2012.
  25. World Health Organization. Global recommendations on physical activity for health. Switzerland: Geneva; 2010.
  26. World Health Organization. Global physical activity questionnaire (GPAQ). Switzerland: Geneva; 2011.
  27. Kementerian Kesehatan Republik Indonesia. Klasifikasi obesitas setelah pengukuran IMT [series online] 2018 [cited 2020 Aug 18]. Available from: URL: http://p2ptm.kemkes.go.id/infographic-p2ptm/obesitas/klasifikasi-obesitas-setelah-pengukuran-imt
  28. Nurayati L, Adriani M. Hubungan Aktifitas fisik dengan kadar gula darah puasa penderita diabetes melitus tipe 2. Amerta Nutr. 2017;1(2):80–7. doi: 10.20473/amnt.v1i2.2017.80-87
  29. Onofrio V, Galle F, Di Dio M, Belfiore P, Liguori G. Effects of nutrition motivational intervention in patients affected by type 2 diabetes mellitus: a longitudinal study in Naples, South Italy. BMJ Public Health. 2018;18(1):1181. doi: 10.1186/s12889-018-6101-6
  30. Murray AE, Mcmorrow AM, Connor EO, Kiely C, Ananey OM, et al. Dietary quality in a sample of adults with type 2 diabetes mellitus in Ireland ; a cross-sectional case control study. Nutr J. 2013;12(110). doi: 10.1186/1475-2891-12-110
  31. Jin C, Chen S, Vaidya A, Wu Y, Wu Z, et al. Longitudinal change in fasting blood glucose and myocardial infarction risk in a population without diabetes. Diabetes Care. 2017;40(11):1565–72. doi: 10.2337/dc17-0610
  32. Laakso M. Cardiovascular disease in type 2 diabetes from population to man to mechanisms: The Kelly West award lecture 2008. Diabetes Care. 2010;33(2):442–9. doi: 10.2337/dc09-0749
  33. Cavalot F, Pagliarino A, Valle M, Massucco P, Aneossi G, Trovati M. Postprandial blood glucose predicts cardiovascular events and all-cause mortality in type 2 diabetes in a 14-year follow-up: lessons from the San Luigi Gonzaga Diabetes Study. Diabetes Care. 2011;34(6):2237–43. doi: 10.2337/dc10-2414
  34. De P, Banu S, Muthukumar D. Predictors of poor glycemic control in type 2 diabetic patients in South Indian population. Int J Res Med Sci. 2018;6(2):545–50. doi: 10.18203/2320-6012.ijrms20180295
  35. Hu EA, Steffen LM, Coresh J, Appel LJ, Rebholz CM. Adherence to the healthy eating index-2015 and other dietary patterns may reduce risk of cardiovascular disease, cardiovascular mortality, and all-cause mortality. J Nutr. 2020;150(2):312–21. doi: 10.1093/jn/nxz218
  36. Direktor S, Ozer E. Evaluating dietary quality in diabetes by the Healthy Eating Index. Asia Pac J Clin Nutr. 2013;22(4):620–5. doi: 10.6133/apjcn.2013.22.4.03
  37. Ball L, Davmor R, Leveritt M, Desbrow B, Ehrlich C, Chaboyer W. Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focussed consultations. Aust J Prim Heal. 2016;22(5):416–22. doi: 10.1071/PY15063
  38. Waloya T, Rimbawan, Andarwulan N. Hubungan antara konsumsi pangan dan aktivitas fisik dengan kadar kolesterol darah pria dan wanita dewasa di bogor. Jurnal Gizi dan Pangan. 2013;8(1):9–16. doi: 10.25182/jgp.2013.8.1.9-16
  39. Mears M, Tussing HL, Cerwinske L, Tangney C, Hughes SL, et al. Associations between alternate healthy eating index-2010, body composition, osteoarthritis severity, and interleukin-6 in older overweight and obese African American females with self-reported osteoarthritis. Nutrients. 2018;11(1):26. doi: 10.3390/nu11010026
  40. Siddiqui S, Zainal H, Harun S, Ghahzi S. Diet quality and its association with glycemic parameters in different diabetes progression stages. A cross-sectional questionnaire study at a primary care clinic. Clin Nutr ESPEN. 2020;39:165–72. doi: 10.1016/j.clnesp.2020.06.022
  41. Daneshzad E, Larijani B, Azadbakht L. Diet quality indices and cardiovascular diseases risk factors among diabetic women. J Sci FoodAgric. 2019;99(13):5926–33. doi: 10.1002/jsfa.9867
  42. Onvani S, Haghighatdoost F, Surkan PJ, Larijani B, Azadbakht L. Adherence to the Healthy Eating Index and Alternative Healthy Eating Index dietary patterns and mortality from all causes, cardiovascular disease and cancer: a meta-analysis of observational studies. J Hum Nutr Diet. 2017;30(2):216–26. doi: 10.1111/jhn.12415
  43. Mertens E, Deforche B, Mullie P, Lefevre J, Charlier R, et al. Longitudinal study on the association between three dietary indices, anthropometric parameters and blood lipids. Nutr Metab (Lond). 2015;12:47. doi: 10.1186/s12986-015-0042-1
  44. Mcgrievy G, Barnard N, Cohen J, Gloede L, Green A. Changes in nutrient intake and dietary quality among participants with type 2 diabetes following a low fat vegan diet or a conventional diabetes diet for 22 weeks. J Am Diet Assoc. 2008;108(10):1636–45. doi: 10.1016/j.jada.2008.07.015



DOI: https://doi.org/10.22146/ijcn.62815

Article Metrics

Abstract views : 6022 | views : 6184

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2021 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats