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VOLUME 2 , ISSUE 1 ( January-June, 2019 ) > List of Articles

Original Article

Dietary and Lifestyle Modifications among Diabetic Patients at a Tertiary Care Hospital in Delhi: A Cross-sectional Study

Gurmeet Kaur, Priya Arora, Ashok Maan, Garima Monga, Rajesh Vaidya, Abhimanyu Kumar

Keywords : Awareness, Diabetes, Dietary Habits, Lifestyle modifications, Physical activity, Urbanization

Citation Information : Kaur G, Arora P, Maan A, Monga G, Vaidya R, Kumar A. Dietary and Lifestyle Modifications among Diabetic Patients at a Tertiary Care Hospital in Delhi: A Cross-sectional Study. Journal of Medical Academics 2019; 2 (1):20-24.

DOI: 10.5005/jp-journals-10070-0031

License: CC BY-NC 4.0

Published Online: 00-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Modern lifestyle changes combined with urbanization has led to increased prevalence of diabetes. To decrease the morbidity, mortality, and the complications of diabetes, comprehension of diet and physical exercise is a must. Objectives: To assess the degree of awareness of diet, physical exercise, and lifestyle modifications among type 2 diabetics among the urban population of Delhi. Materials and methods: The study was conducted using a pretested questionnaire among 100 type 2 diabetic patients attending the medicine outpatient department of a Tertiary Care Hospital, Delhi. Baseline parameters of the study participants were expounded and their awareness and practice regarding the lifestyle modifications were assessed. Results: The mean age of the study population was found to be 50 ± 9.64. An estimated 74% were well aware of foods to be eluded; 54% were familiar with the quantity of food in food plate. The awareness of lifestyle modifications was good among 29% and practice was followed by 15% of diabetic patients. Conclusion: Despite the clear attitudes of type 2 diabetes patients towards dietary pattern and healthy lifestyle modifications, the lifestyle awareness and practices were poor among the study group.


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  1. Kaveeshwar SA, Cornwall J. The current state of diabetes mellitus in India. Australas Med J 2014;7:45–48. DOI: 10.4066/AMJ.2014.1979.
  2. Joshi SR, Parikh RM. India-diabetes capital of the world: Now heading towards hypertension. J Assoc Physicians India 2007;55:323–324.
  3. Anjana RM, Ali MK, Pradeepa R, et al. The need for obtaining accurate nationwide estimates of diabetes prevalence in India - rationale for a national study on diabetes. Indian J Med Res 2011;133:369–380.
  4. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2010;33(1):S62–S69. DOI: 10.2337/dc10-S062.
  5. Ranasinghe P, Pigera AS, Ishara MH, et al. Knowledge and perceptions about diet and physical activity among Sri Lankan adults with diabetes mellitus: a qualitative study. BMC Public Health 2015;15:1160. DOI: 10.1186/s12889-015-2518-3.
  6. Hu FB. Globalization of diabetes. Diabetes Care 2011;34:1249–1257. DOI: 10.2337/dc11-0442.
  7. Das SK, Sanyal K, Basu A. Study of urban community survey in India: Growing trend of high prevalence of hypertension in a developing country. Int J Med Sci 2005;2:70–78. DOI: 10.7150/ijms.2.70.
  8. Colberg SR. Exercise and Type 2 diabetes: The American college of sports medicine and the American diabetes association: Joint position statement. Diabetes Care 2010;33:e147–e167. DOI: 10.2337/dc10-9990.
  9. Colberg SR. Key points from the updated guidelines on exercise and diabetes. Front Endocrinol (Lausanne) 2017;8:33. DOI: 10.3389/fendo.2017.00033.
  10. Hayes L, White M, Unwin N, et al. Patterns of physical activity and relationship with risk markers for cardiovascular disease and diabetes in Indian, Pakistani, Bangladeshi and European adults in a UK population. J Public Health Med 2002;24:170–178. DOI: 10.1093/pubmed/24.3.170.
  11. Khunti K, Stone MA, Bankart J, et al. Physical activity and sedentary behaviours of south Asian and white European children in inner city secondary schools in the UK. Fam Pract 2007;24:237–244. DOI: 10.1093/fampra/cmm013.
  12. Saleem SM. Modified Kuppuswamy scale updated for Year 2018. Paripex Indian J Res March-2018;7(3):217–218.
  13. Kaiser BL, Baumann LC. Perspectives on healthy behaviors among low-income Latino and non-Latino adults in two rural counties. Public Health Nurs 2010;27:528–536. DOI: 10.1111/j.1525-1446.2010.00893.x.
  14. Villegas R, Liu S, Gao YT, et al. Prospective study of dietary carbohydrates, glycemic index, glycemic load, and incidence of Type 2 diabetes mellitus in middle-aged Chinese women. Arch Intern Med 2007;167:2310–2316. DOI: 10.1001/archinte.167.21.2310.
  15. Hu FB, Malik VS. Sugar-sweetened beverages and risk of obesity and Type 2 diabetes: Epidemiologic evidence. Physiol Behav 2010;100:47–54. DOI: 10.1016/j.physbeh.2010.01.036.
  16. Hu FB. Resolved: There is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases. Obes Rev 2013;14:606–619. DOI: 10.1111/obr.12040.
  17. Freeland-Graves J, Nitzke S. Position of the American dietetic association: Total diet approach to communication food and nutrition information. J Acad Nutr Dietetics 2007;107:1224–1232. DOI: 10.1016/j.jada.2007.05.025.
  18. Evert AB, Boucher JL, Cypress M, et al. Nutrition therapy recommenda-tions for the management of adults with diabetes. Diabetes Care 2013;36:3821–3842. DOI: 10.2337/dc13-2042.
  19. Tweed JO, Hsia SH, Lutfy K, et al. The endocrine effects of nicotine and cigarette smoke. Trends Endocrinol Metab 2012;23:334–342. DOI: 10.1016/j.tem.2012.03.006.
  20. Xie XT, Liu Q, Wu J, et al. Impact of cigarette smoking in Type 2 diabetes development. Acta Pharmacol Sin 2009;30:784–787. DOI: 10.1038/aps.2009.49.
  21. Kim SJ, Kim DJ. Alcoholism and diabetes mellitus. Diabetes Metab J 2012;36:108–115. DOI: 10.4093/dmj.2012.36.2.108.
  22. Owen N, Sparling PB, Healy GN, et al. Sedentary behavior: Emerging evidence for a new health risk. Mayo Clin Proc 2010;85:1138–1141. DOI: 10.4065/mcp.2010.0444.
  23. Venkatasamy VV, Pericherla S, Manthuruthil S, et al. Effect of physical activity on insulin resistance, inflammation and oxidative stress in diabetes mellitus. J Clin Diagn Res 2013;7:1764–1766. DOI: 10.7860/JCDR/2013/6518.3306.
  24. Perseghin G, Price TB, Petersen KF, et al. Increased glucose transport-phosphorylation and muscle glycogen synthesis after exercise training in insulin-resistant subjects. N Engl J Med 1996;335:1357–1362. DOI: 10.1056/NEJM199610313351804.
  25. Ceriello A, Motz E. Is oxidative stress the pathogenic mechanism underlying insulin resistance, diabetes, and cardiovascular disease? The common soil hypothesis revisited. Arterioscler Thromb Vasc Biol 2004;24:816–823. DOI: 10.1161/01.ATV.0000122852.22604.78.
  26. Leeuwenburgh C, Fiebig R, Chandwaney R, et al. Aging and exercise training in skeletal muscle: Responses of glutathione and antioxidant enzyme systems. Am J Physiol 1994;267:R439–R445. DOI: 10.1152/ajpregu.1994.267.2.R439.
  27. Taddei S, Galetta F, Virdis A, et al. Physical activity prevents age-related impairment in nitric oxide availability in elderly athletes. Circulation 2000;101:2896–2901. DOI: 10.1161/01.CIR.101.25.2896.
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