Mekonnen Chilot Kassa, Ferede Yohannes Mulu, Abate Hailemichael Kindie
Department of Medical, Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Diabetes Metab Syndr Obes. 2021 Mar 2;14:917-927. doi: 10.2147/DMSO.S297582. eCollection 2021.
People with diabetes are proving to be at higher risk of severe coronavirus infection than the general population. Non-adherence to dietary recommendation is a critical problem in individuals with type 2 diabetes; particularly, in the era of coronavirus. This study aimed to explore determinants that affect adherence to the recommendations of diet during coronavirus pandemic.
This study aimed to determine dietary adherence among diabetes type 2 patients aimed at coronavirus pandemic and its associated factors.
An institutional-based cross-sectional study was conducted among type 2 diabetes patients on follow-up. Systematic random sampling was employed to get representative study participants. Dietary adherence was dichotomized and with logistic regression analysis to assess the association between dependent and explanatory variables. The degree of association was interpreted by using both crude odds ratios and adjusted odds ratios with 95% confidence intervals and P-values <0.05 were considered statistically significant.
In this study, 576 participants took part with a 99.3% response rate. The dietary adherence was found to be 48.3% with [95% CI (44.1-52.4)]. The educational level of College and above was [AOR=3.64, 95% CI (1.59-8.34)], being a government-employed [AOR=2.38, 95% CI (1.13-4.99)], being urban [AOR=1.30, 95% CI (1.09-2.42)], family size of less than five [AOR=1.27, 95% CI (1.08-1.97)], medium level of wealth-status[AOR=2.26, 95% CI (1.67-4.54)], family history of diabetes [AOR=2.18, 95% CI (1.14-4.19)], duration of diabetes more than 15 years [AOR=5.39, 95% CI (1.57-18.52)], and knowledge related to coronavirus [AOR=4.33,95% CI (2.71-6.92)] were significantly associated with adherence to the dietary recommendation.
The dietary adherence was relatively low aimed at coronavirus pandemic. Knowledge about COVID-19 was found significantly associated with dietary adherence.
There has to be a strong commitment to aware the community to minimize the risk of coronavirus severity among diabetes patients. This could be through adherence to dietary recommendations of particularly in the era of coronavirus pandemic.
事实证明，糖尿病患者感染新冠病毒后出现重症的风险高于普通人群。不遵守饮食建议是2型糖尿病患者的一个关键问题；尤其是在新冠疫情时代。本研究旨在探讨在新冠疫情期间影响饮食建议依从性的决定因素。
本研究旨在确定2型糖尿病患者在新冠疫情期间的饮食依从性及其相关因素。
对2型糖尿病随访患者进行了一项基于机构的横断面研究。采用系统随机抽样方法选取具有代表性的研究参与者。将饮食依从性进行二分，并通过逻辑回归分析评估因变量和解释变量之间的关联。采用粗比值比和调整后的比值比以及95%置信区间来解释关联程度，P值<0.05被认为具有统计学意义。
在本研究中，576名参与者参与，回复率为99.3%。饮食依从性为48.3%[95%置信区间(44.1 - 52.4)]。大专及以上学历[AOR = 3.64，95%置信区间(1.59 - 8.34)]、为政府雇员[AOR = 2.38，95%置信区间(1.13 - 4.99)]、居住在城市[AOR = 1.30，95%置信区间(1.09 - 2.42)]、家庭规模小于5人[AOR = 1.27，95%置信区间(1.08 - 1.97)]、中等财富状况水平[AOR = 2.26，95%置信区间(1.67 - 4.54)]、有糖尿病家族史[AOR = 2.18，95%置信区间(1.14 - 4.19)]、糖尿病病程超过15年[AOR = 5.39，95%置信区间(1.57 - 18.52)]以及与新冠病毒相关的知识[AOR = 4.33，95%置信区间(2.71 - 6.92)]与饮食建议的依从性显著相关。
在新冠疫情期间，饮食依从性相对较低。发现对新冠病毒的了解与饮食依从性显著相关。
必须坚定致力于提高社区意识，以降低糖尿病患者感染新冠病毒后出现重症的风险。这可以通过遵守饮食建议来实现，尤其是在新冠疫情时代。
