Department of Food Science and Human Nutrition, Michigan State University , East Lansing, Michigan, USA.
Department of Human Nutrition and Health, Lilongwe University of Agriculture and Natural Resources (LUANAR) , Lilongwe, Malawi.
J Community Health Nurs. 2020 Oct-Dec;37(4):233-243. doi: 10.1080/07370016.2020.1809855.
We elucidated diet and its association with glycemic status among adults clinically diagnosed with type 2 diabetes mellitus (T2DM) through across-sectional study in Malawi. Glycosylated hemoglobin (A1C) and dietary intakes were assessed. Consumption of cereals, roots, and tubers and sweet, sugary food, including sweetened beverages, was significantly higher among participants with A1C≥8%. Fruit and vegetable intake were disproportionately low overall. Consuming adiet high in carbohydrates (OR: 1.167; CI = 1.107-1.231; < .001) and having <3 meals/day (OR: 2.680; CI = 1.445-4.970; = .002) were both associated with A1C≥8%. Therefore, dietary interventions for T2DM focusing on carbohydrate counting, total dietary quality, and meal planning are needed in Malawi.
我们通过在马拉维进行的一项横断面研究，阐明了 2 型糖尿病患者的饮食及其与血糖状况的关系。评估了糖化血红蛋白 (A1C) 和饮食摄入量。在 A1C≥8%的参与者中，谷物、根茎和块茎以及甜食、含糖食品（包括甜饮料）的摄入量明显更高。总体而言，水果和蔬菜的摄入量不成比例地低。食用高碳水化合物饮食（OR：1.167；CI=1.107-1.231；<0.001）和每天<3 餐（OR：2.680；CI=1.445-4.970；=0.002）均与 A1C≥8%相关。因此，马拉维需要针对 2 型糖尿病患者进行以计算碳水化合物、整体饮食质量和膳食计划为重点的饮食干预。
