scholarly journals Nutritional Status of Diabetic Patients Attending to a District Level Diabetic Center

1970 ◽  
Vol 17 (2) ◽  
pp. 89-92
Author(s):  
FAM Anjuman-Ara Begum ◽  
Abdul Kalam Azad ◽  
M Abdul Alim ◽  
ARM Saifuddin Ekram

A total of 117 diabetic patients aged 20-65 years suffering from diabetes for at least one year were enrolled in this cross-sectional study. The study was conducted in Nawabganj Diabetic Center, a branch of Bangladesh Diabetic Association during the period from March 2001 to June 2001. The aim of the study is to assess the nutritional status of diabetic patients, which may contribute useful information for more comprehensive and intensive approach to diabetic patients care. Majority (64%) of the respondents were normal (BMI 18.5-24.99) in nutritional status followed by overweight (31%, BMI > 25) and underweight (4.3%, BMI < 18.5). Middle age group appeared to suffer more from diabetes with no sex difference irrespective of age (males: 50.4%, females: 49.6%). Diabetic care seeking behaviour by rural people and females (housewives) appeared encouraging emphasizing the need of decentralization of diabetic care center to periphery. More retired persons (50%) and housewives (32%) showed obesity (40%) and no underweight with high family income might be explained as an association of more calorie intake and less physical activities. Among the diabetic patients, retired persons and housewives appeared particularly vulnerable to become obese and on the other hand younger patients, poor education, lower income group and patients consuming low calorie were prone to develop under nutrition. So health education should be aimed to enhance awareness of particularly rural and illiterate people for regular visit to nearby diabetic center and to strictly adhere to dieticians' advice.   doi: 10.3329/taj.v17i2.3451 TAJ 2004; 17(2): 89-92

2020 ◽  
Vol 5 (3) ◽  
pp. 16-25
Author(s):  
Sadia Sartaz ◽  
Mahbuba Kawser ◽  
Md. Akhtaruzzaman ◽  
Sheikh Nazrul Islam

Aim This cross-sectional study assessed the nutritional status of ethnic reproductive women aged between 15-40 years, comprising 85 lactating women (LW) and 86 non-pregnant-non-lactating women (NPNLW) who lived in various parts of three hilly districts (Bandarban, Khagrachari and Rangamati) of the Chittagong Hill Tracts (CHTs) of Bangladesh. Materials and Method Research tool was pretested semi-structured questionnaire for this observational study. Anthropometric indices like weight, height and mid-upper-arm-circumference (MUAC) were used in assessing the nutritional status. Results Most (44.4%) of the ethnic women were Marma, followed by Chakma (39.8%), Bam (8.2%) and Tripura (5.8%). No significant (P>0.05) differences were observed in socio-economic variables between LW and NPNLW. Overall, mean age of the women was 28 (±7.2) years; mean family income was 18,822.2 (±3091) BDT and majority (86%-87%) were reported to be food secured throughout the year. Mean Dietary calorie (2631±798 kcal) intake of both groups were up to the mark according to the recommended dietary allowances (RDAs) and most (80.3%-86%) of them also possessed good nutritional knowledge. However, no significant (P>0.05) differences were observed in dietary calorie intake and nutritional knowledge score between two groups of women. Overall, most (68.4%) of the women had normal body max index (BMI kg/m2), 11.7% were found to be undernourished or thin and 19.9% were overweight. It was noticed that better nutritional status of LW and NPNLW were significantly associated with literacy (P<0.05), occupancy in household chores (P<0.05), better income (P<0.05), food security (P<0.05), recommended calorie intake level (P<0.05) and better nutritional knowledge score (P<0.05). Conclusion This study showed that vast majority of the ethnic reproductive women of CHTs are in better nutritional status with normal BMI (kg/m2) and daily calorie intake according to RDA. Most of them were food secured and their nutritional knowledge score was also up to the mark. Better socio-economic condition, nutritional knowledge and accurate calorie intake play a vital role in achieving healthy nutritional status of the two women groups of CHTs.


2018 ◽  
Vol 4 (1) ◽  
pp. 123-131
Author(s):  
Hasan Mahfuz Reza ◽  
Md Rezaul Karim ◽  
Md Abdus Samad

Diabetes mellitus, a chronic, debilitating disease, is associated with a range of severe complications which include cardiovascular disease, renal disease and blindness. Demographic and epidemiological evidences suggest that the incidence of diabetes is increasing worldwide. Diabetes mellitus in people of all ages is reaching epidemic proportions in Bangladesh. The main objective of this cross sectional study was carried out to evaluate that nutritional status of the diabetic patients influence by socio-economic level, dietary habits and physical activity.A total of 282 diabetic outpatients were recruited using Simple Random Sampling technique from three referral diabetic centers namely-Kushtia Diabetic Shomity, Bheramara Diabetic Shomity and Diabetic Shomity Kumarkhali, Kushtia, Bangladesh. The nutritional status of each participant was screened. Direct method of nutritional assessment including anthropometric measurement, biochemical measurement, clinical assessment and dietary method was carried out. Socio economic data were also collected. Data were analyzed using the computer program Statistical Package for Social Sciences (SPSS) version 22.The result reveals that51.1% (n=144) of the total participants were male and 48.9% (n=138) were female. About 28.4% population studied were between 51-60 years, 94.7% married, 44.7% were unemployed and 50.4% were resided in urban area. Based on Body Mass Index (BMI), mean BMI of male was 23.32 ± 3.47 and that of female was 25.83 ± 4.46, half of the respondents (48.9%) had an acceptable nutritional status with a BMI between 18.5-24.9 (62.3% male; 37.7% female) whilst 4.6% of the respondents were underweight with BIMs below 18.5. The female who were observed were 22 (88.0%) and the male were 3 (12.0%) showing a very great prevalence of obesity (BMI more than 30.0). Study showed that 98 (34.7%) respondents bear diabetes from their family and 147 (52.1%) respondents have family history of hypertension The mean blood hemoglobin level was 12.49±1.47g/dl, in which male hemoglobin level was 12.85±1.48g/dl and of female was 12.11±1.36g/dl. The result shows that about 29.8% (n=84) patients had no formal education; among them more were female 65.5% (n=55). More of the patient (50.7%) had family member of 4-6. About 33.0% of the studied patients were low-income level (25.9% were from upper-lower and 7.1% were from lower socio-economic status). Among 37.6% (n=106) overweight (BMI 25.0-29.9) diabetic patients more were female 56.6% (n=60) and 55.7% (n=59) were unemployed. So, female sex, lower educational status, more family member, low monthly family income group and unemployment are associated with malnutrition. Unemployed housewives represented to have both extremes of nutritional status- under nutrition and over nutrition. In the study, most of the patient 126 (44.7%) were unemployed, among them almost all the patient 124 (98.4%) were female. Diabetic care seeking by rural people and female appeared encouraging emphasizing the need of decentralization of diabetic care center to periphery.Asian J. Med. Biol. Res. March 2018, 4(1): 123-134


Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103


2006 ◽  
Vol 39 (5) ◽  
pp. 779-786 ◽  
Author(s):  
KAUSHIK BOSE ◽  
SAMIRAN BISAI ◽  
PRIYANKA DAS ◽  
SWAPAN DIKSHIT ◽  
SAMPA PRADHAN

SummaryA cross-sectional study of 212 adult (>18 years) male slum dwellers (mean age=34·6±14·4 years) of Midnapore town, West Bengal, India, was undertaken to study the inter-relationships of chronic energy deficiency (CED), monthly family income (MFI), self-reported morbidity and hospitalization due to severe illness. The mean height, weight and body mass index (BMI) of the subjects were 160·0 cm, 50·8 kg and 19·9 kg/m2, respectively. The overall frequencies of CED (BMI<18·5 kg/m2), morbidity and hospitalization were 38·2%, 34·4% and 13·7%, respectively. Based on the WHO classification, the prevalence of CED among this population was high (20–39%), indicating a serious situation. Overall, MFI was significantly (p<0·01) positively correlated with BMI (r=0·21). Linear regression analyses showed that MFI had a significant impact (t=3·08; p<0·002) on BMI. Overall, MFI explained 3·9% variation in BMI. Subjects belonging to the lowest family income group (FIG I) had the lowest mean BMI (19·1 kg/m2) and the highest rate of CED (46·3%) and morbidity (36·6%). Those in the highest family income group (FIG III) had the largest mean BMI (20·8 kg/m2) and lowest rate of CED (30·2%) and morbidity (30·2%). The highest rate (18·9%) of hospitalization was found in this group. There were significant family income group differences in mean BMI (F=3·134, p<0·05). The frequency of morbidity (24·6%) and hospitalization (11·9%) was lowest among normal BMI individuals. Morbidity was significantly higher (χ2=11·92, p=0·0026) among CED (48·2%) subjects compared with normal BMI individuals (OR=2·85; CI=1·49–5·46). Similarly, compared with normal BMI subjects, morbidity was higher (38·5%; OR=1·92; 95% CI=0·50–7·18) among overweight subjects. Hospitalization was more common among CED subjects (16·1%; OR=1·42; CI=0·58–3·45) compared with normal BMI subjects. Similarly, the frequency of hospitalization was more among overweight individuals (15·4%; OR=1·35; 95% CI=0·0–7·59). In conclusion, this study provides evidence that the frequency of CED among this population is high, indicating a serious situation. Moreover there exists strong inter-relationships between BMI, CED, MFI and morbidity.


2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Eba’a Hafi ◽  
Ro’ya Soradi ◽  
Sarah Diab ◽  
Ahmad M. Samara ◽  
Marah Shakhshir ◽  
...  

Abstract Background End-stage renal disease (ESRD) is a leading cause of death and morbidity worldwide. Malnutrition is a common problem among hemodialysis (HD) patients that negatively impacts their prognosis and is linked to an increase in morbidity and mortality in these patients, as well as a decrease in their quality of life (QOL). In this study, we aimed to evaluate the QOL and to investigate factors that can influence it, including nutritional status, as well as socio-demographic factors, among Palestinian diabetic patients on HD therapy. Methods This was a cross-sectional study that occurred at a large hemodialysis center in Palestine. Malnutrition was assessed by the malnutrition-inflammation scale (MIS), and the quality of life was evaluated by using the EuroQoL five-dimensional instrument (EQ-5D). Multivariable linear regression analysis was carried out to look at the effect of multiple variables on QOL. Results A total of 118 diabetic patients on HD were included. Of these, 66.9% were male, and 60.2% were aged 60 years or higher. Having multiple comorbid diseases (p=0.004) and having been on HD for >4 years (p=0.003) were significantly associated with a higher MIS score, whereas living alone (p=0.037) and having been on HD for >4 years (p=0.002) was significantly associated with lower EQ-5D score. We also observed a significant association between the MIS score and the EQ-5D score(r=−0.616, p<0.001). Multiple linear regression analysis demonstrated that diabetic hemodialysis patients who lived within a family household were positively correlated with the QOL score (standardized coefficient, 0.178; 95% confidence interval (CI), 0.042 to 0.372; p = 0.015), and MIS score was significantly and negatively correlated with QOL scores (standardized coefficient, −0.587; 95% CI, −0.047 to −0.028; p < 0.001). Conclusions We found that malnutrition was associated with a lower QOL score among diabetic patients on HD. We recommend general practitioners, dietitians, nephrologists, and nurses to make plans that pay more attention to this group of patients who show evidence of malnutrition. Patients on dialysis for ≥ 4 years, patients who live alone, and those suffering from multiple co-morbid diseases should receive special care due to their higher risk of being impacted by this problem.


2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Danjuma Shehu Uba ◽  
Md. Rabiul Islam ◽  
Md. Imdadul Haque ◽  
ABM Alauddin Chowdhury ◽  
Sheikh Mohammed Shariful Islam ◽  
...  

Background: Adolescence is the most critical period of human life when transitioning occurs from childhood to adulthood. Malnutrition is one of the major global health problems faced by many developing countries across the globe. Objectives: This study aimed to investigate the nutritional status of adolescent girls in a selected secondary school in Nigeria. Methods: A cross-sectional study was conducted on 250 adolescent girls who were available during the study period. A nutrition expert, together with an epidemiologist, gathered anthropometric information and measured the height, weight, and body mass index (BMI) of the participants. The BMI was calculated, and the dietary habits of the participants were reported based on their usual food habits. It is part of our limitations and has been addressed under the limitations. Data were collected using a self-administered and semi-structured questionnaire. Results: The mean age of the adolescent girls was 15.9 ± 0.9 years, and more than half (53.2%) were students of senior secondary class 1 (SS-1). More than half (54.4%) of the adolescent girls had average body weight, 36.0% were underweight, and only 9.6% were overweight. The following socio-demographic factors were significantly associated with the BMI of adolescent girls: Age, class of the students, monthly family income, mothers’ educational status, and area of residence. Close to four-fifths (78.4%) of the participants consumed rice more than twice in a week; more than eight-tenths (88.8%) of the participants consumed milk/milk products at least ≤ 2 in a week. About 84.4% of the participants took red meat at least ≤ 2 in a week; more than half (55.2%) of the participants consumed vegetables and fruits more than twice a week. Most (84.8%) of the participants took lunch regularly, and 91.6% of the adolescent girls took breakfast regularly. Conclusions: The study revealed that nearly one-third of the adolescent girls were underweight, indicating a severe public health concern. Early nutritional screening and interventions are recommended to improve the nutritional status of the adolescent girl school in Nigeria.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257055
Author(s):  
Md. Kamruzzaman ◽  
Shah Arafat Rahman ◽  
Sharmin Akter ◽  
Humaria Shushmita ◽  
Md. Yunus Ali ◽  
...  

Background Early life nutrition plays a critical role in the development of better health and nutrition in adulthood. However, assessing the nutritional status of Bangladeshi children and adolescents through measurement of body composition using skinfold thickness is barely studied. The current study aims to determine children’s body composition and nutritional status, and contributing factors among children aged 2 to 15 years in the northern part of Bangladesh. Methods This is a descriptive cross-sectional study done in Bangladesh. Anthropometric methods, including multiple skinfold thickness and basic anthropometric and socio-demographic characteristics, were used. Body composition was calculated from multiple skinfold thicknesses using the standard regression equation. Nutritional status was measured using Z score according to WHO 2007 reference standard. A total of 330 children from Naogaon, Bogra and Kurigram districts in Bangladesh were examined from April 2019 to September 2019. Results The Nutritional status of 2–15 years old child is exceedingly poor in the northern part of Bangladesh. Fat mass and fat-free mass were higher among children from Kurigram district than from Bogra and Naogaon district. Body fat percentages and arm fat area were greater among female children than males. The overall prevalence of stunting, underweight and wasting was around 25%, 32% and 29%, respectively, and the rate was higher among girls and children aged 2–5 years. The average SD score for weight-for-age, height-for-age, and BMI-for-age was -1.295, -0.937 and -1.009. The median weight-for-age and height-for-age Z scores of boys and girls were below the WHO reference percentile rank. Girls were twice (OR:1.951, CI:1.150–3.331) as likely to suffer from being underweight than boys. Children who don’t practice handwashing are three times (OR:3.531, CI:1.657–7.525) more likely to be underweight. Children become underweight and stunted when their family income is not sufficient to maintain their nutritional requirements. Conclusions The children of the three northern districts had a poor nutritional status, and family income was the potential contributing factor. Therefore, interventions like the promotion of income-generating activities and integrated approaches to ensuring food diversification could be an option to address the nutritional problem of children of the three northern districts of Bangladesh.


2011 ◽  
Vol 6 (1) ◽  
pp. 66
Author(s):  
Hadi Riyadi ◽  
Drajat Martianto ◽  
Dwi Hastuti ◽  
Evy Damayanthi ◽  
Kukuh Murtilaksono

<p class="MsoNormal" style="margin: 0cm 5.65pt 6pt 14.2pt; text-align: justify; text-indent: 1cm;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">This </span><span style="font-size: 10pt;">research</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> aim</span><span style="font-size: 10pt;">s</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> to analyze underlying factors affecting child malnutrition at Timor Tengah Utara district, NTT. </span><span style="font-size: 10pt;">The</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> design was a cross-sectional study. Sample of this study was household that have underfive years old children residing in the areas of Plan International. Data was collected by using structured questionnaire, focus group discussion and in-depth interview. Nutritional status was measured using anthropometric measurement with weight and height indicators and child consumption was recorded using 24 hours food’s recall. Result showed that in three villages prevalence of malnourished children was high, which were 6</span><span style="font-size: 10pt;">.</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">0% classified as severe underweight, 15</span><span style="font-size: 10pt;">.</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">3% severe stunting and 0</span><span style="font-size: 10pt;">.</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">7% severe wasting. There was no significant difference in term of nutritional status. Child malnutrition was influenced by low access to nutrition and health information</span><span style="font-size: 10pt;">,</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> low nutrition knowledge and practices</span><span style="font-size: 10pt;">,</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> and low family income</span><span style="font-size: 10pt;" lang="en" xml:lang="en">.</span></p>


2014 ◽  
Vol 8 (1) ◽  
pp. 12-15 ◽  
Author(s):  
VC Punitha ◽  
P Sivaprakasam

ABSTRACT The objective Of this study was to assess the association of nutritional status and socio economic status in dental caries among rural children. Methods Children of age 6 – 10 yrs (n = 120) from government schools in two villages of Kanchipuram district were the study subjects. The children's nutritional status was assessed by means of anthropometric measurements. Body Mass Index using weight and height of children was evaluated using the reference standard of the WHO 2007. The socioeconomic status was assessed based on education, occupation and material possession. The children's oral cavity was screened for decayed and filled teeth (dft index) Results Nutritional assessment showed that 66.7% were malnourished. Female children (71.7%) were more malnourished than males (62.2%) with no significant difference between them. Children belonging to the low income group were more malnourished (74.7%) than children of middle income group (53.3%) (p = 0.01). The prevalence of caries in this population was 60% with mean dft index score of 1.7. Caries occurrence was more in the low income group (61.3%) than middle income group (57.8%) with no significant difference between the two groups (p=0.70). Comparing the caries occurrence between the malnourished children and the normal weight children it was seen that the caries occurrence was less in the malnourished children (p=0.23) Conclusion This cross sectional study concludes that malnutrition is not associated with dental caries and socioeconomic status influences nutritional status of a child in this rural population.


2018 ◽  
Vol 27 (1) ◽  
pp. 36-40
Author(s):  
Razia Sultana ◽  
Syeda Rumana Hoque ◽  
Umme Jamila Akter Manni ◽  
Md Motlabur Rahman ◽  
Pankaj Kanti Datta ◽  
...  

Background/context: Dietary diversity (DD) is universally recognized as a key component of healthy diets. Healthy diet is one of the most important determinants that can influence nutritional status of women of reproductive age. Materials and Methods: This cross sectional study was conducted in Shitpara village of Sreepur Upazila under Gazipur district during February to June 2013 to assess the dietary diversity and nutritional status of women of reproductive age. Convenient sampling technique was adopted to select 181 women. Interview schedule & checklist used as research instrument. Results: The mean(+/-s.d.)age of the respondents was 27.45+/-9.38 years, 133(80%) of them were married and 176(97.2%) are literate. Mean family size was 5.34+/- 2.386 persons and mean family income was 9611.05 Taka per month. Among 133 married women, 68(51%) have 2 or less than two children. Their mean(+/-s.d.) dietary diversity score was 5.13+/- 1.19 and majority 149(82%) of them having medium dietary diversity tercile (4-6). All of them ate carbohydrate types of food, 174(96.1%) protein rich foods & 83(45.9%) vit.A rich vegetables & fruits. Their mean BMI was 22.35 +/- 3.71 kg/ m2. Majority 118 (65%) of them having normal BMI and 22(12%) are under weight. Only 6(3%) of them are obese. Thoughdietary diversity was medium (4-6); relationship between dietary diversity and nutritional status could not be established. Conclusion:The qualitative measurement of dietary diversity is not sufficient enough to identify women at risk of under- or over nutrition. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 36-40


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