Hasbullah Farah Yasmin, Fong Kim Yen, Ismail Amin, Mitri Joanna, Mohd Yusof Barakatun Nisak
Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Research Centre of Excellence for Nutrition and Non-Communicable Diseases, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Malays J Med Sci. 2021 Feb;28(1):75-86. doi: 10.21315/mjms2021.28.1.10. Epub 2021 Feb 24.
Genetic factors increase the risk of type 2 diabetes mellitus (T2DM). Thus, family history status may be a useful public health tool for disease prevention. This study compared the nutritional status, knowledge level, and T2DM risk among young adults with and without a family history of diabetes in Malaysia.
A total of 288 university students aged 18 to 29 years participated in this comparative cross-sectional study. We assessed dietary intake, level of physical activity, knowledge of diabetes and T2DM risk.
Respondents with a family history of diabetes had significantly higher weight ( = 0.003), body mass index ( < 0.001), waist circumference ( < 0.001), diabetes knowledge level ( < 0.005) and T2DM risk ( < 0.001). Ethnicity, fibre intake, T2DM risk score and knowledge about diabetes were significant contributors toward family history of diabetes ( = 0.025, 0.034, < 0.001 and 0.004, respectively).
Young adults with a family history of diabetes had suboptimal nutritional status. Despite being more knowledgeable about diabetes, they did not practice a healthy lifestyle. Family history status can be used to screen young adults at the risk of developing T2DM for primary disease prevention.
遗传因素会增加2型糖尿病（T2DM）的发病风险。因此，家族病史状况可能是一种有用的疾病预防公共卫生工具。本研究比较了马来西亚有和没有糖尿病家族史的年轻成年人的营养状况、知识水平和T2DM风险。
共有288名年龄在18至29岁的大学生参与了这项比较性横断面研究。我们评估了饮食摄入量、身体活动水平、糖尿病知识和T2DM风险。
有糖尿病家族史的受访者体重（=0.003）、体重指数（<0.001）、腰围（<0.001）、糖尿病知识水平（<0.005）和T2DM风险（<0.001）显著更高。种族、纤维摄入量、T2DM风险评分和糖尿病知识是糖尿病家族史的重要影响因素（分别为=0.025、0.034、<0.001和0.004）。
有糖尿病家族史的年轻成年人营养状况欠佳。尽管他们对糖尿病了解更多，但并未践行健康的生活方式。家族病史状况可用于筛查有患T2DM风险的年轻成年人，以进行原发性疾病预防。
