Association of dietary patterns with diabetes complications among type 2 diabetes patients in Gaza Strip, Palestine: a cross sectional study|
Bilbeisi, Abdel Hamid el; Hosseini, Saeed & Djafarian, Kurosh
Background: The prevalence of diabetes mellitus is rising worldwide. When diabetes is uncontrolled, it has dire
consequences for health and well-being. However, the role of diet in the origin of diabetes complications is not
understood well. This study identifies major dietary patterns among type 2 diabetes patients and its association
with diabetes complications in Gaza Strip, Palestine.
Methods: This cross sectional study was conducted among 1200 previously diagnosed type 2 diabetes mellitus
(both genders, aged 20–64 years), patients receiving care in primary healthcare centers in Gaza Strip, Palestine.
Dietary patterns were evaluated using a validated semi-quantitative food frequency questionnaire. Additional
information regarding demographic and medical history variables was obtained with an interview-based
questionnaire. Statistical analysis was performed using SPSS version 20.
Results: Two major dietary patterns were identified by factor analysis: Asian-like pattern and sweet-soft drinks-snacks
pattern. After adjustment for confounding variables, patients in the lowest tertile of the Asian-like pattern characterized
by a high intake of whole grains, potatoes, beans, legumes, vegetables, tomatoes and fruit had a lower odds for (High
BP, kidney problems, heart problems, extremities problems and neurological problems), (OR 0.710 CI 95% (.506–.997)),
(OR 0.834 CI 95% (.700–.994)), (OR 0.730 CI 95% (.596–.895)), (OR 0.763 CI 95% (.667–.871)) and (OR 0.773 CI 95% (.602–.
991)) respectively, (P value <0.05 for all). No significant association was found between the sweet-soft drinks snacks
pattern with diabetes complications.
Conclusion: The Asian-like pattern may be associated with a lower prevalence of diabetes complications among type
2 diabetes patients.
Dietary patterns; Factor analysis; Palestine; Type 2 diabetes mellitus