Atinafu Wabi Temesgen, Tilahun Kefyalew Naniye
Department of Public Health, College of Medicine and Health Science, Ambo University, Ambo, Ethiopia.
Front Nutr. 2025 Feb 10;11:1474445. doi: 10.3389/fnut.2024.1474445. eCollection 2024.
In Ethiopia, diabetes and its complications are significant causes of morbidity and mortality, with huge economic implications. Despite the high dietary non-adherence that has been reported in limited studies in Ethiopia. Moreover, there is a gap from the perspective of patients in the area of this topic.
This study aimed to assess adherence to dietary recommendations and associated factors among type 2 diabetic patients in Addis Ababa Selected Hospitals, Addis Ababa, Ethiopia, 2024.
An institution-based cross-sectional study was conducted in a 420 sampled population among four hospitals found in Addis Ababa, Ethiopia, from 24 June to 15 July 2024. Systematic random sampling was used to recruit individual study participants. The collected data were exported into SPSS version 25 software for analysis. A descriptive summary, including frequencies, percentages, and graphs, was used to present the study results. Binary logistic regression was used for statistical analysis. Finally, the results of bivariate and multivariable logistic regression analyses were presented using odds ratios with 95% confidence intervals. In the final model, a -value of <0.05 was taken as statistically significant.
A total of 406 participants were included, with a response rate of 96.7%. The study participants had an average age of 48 (± 11.4 years), and the overall adherence to dietary recommendations in this study was 62.8% among type 2 diabetic patients. Years of diagnosis of DM, having a family history of DM, having comorbidities, and having received diabetic nutrition education were significantly associated with adhering to diabetic dietary recommendations among type 2 diabetic patients.
The study found that overall adherence to dietary recommendations among type 2 diabetic patients was relatively high at 62.8%, suggesting the need to develop and implement tailored dietary education and counseling programs for this patient population.
在埃塞俄比亚，糖尿病及其并发症是发病和死亡的重要原因，具有巨大的经济影响。尽管在埃塞俄比亚的有限研究中报告了较高的饮食不依从性。此外，在这个主题领域，从患者的角度来看存在差距。
本研究旨在评估2024年埃塞俄比亚亚的斯亚贝巴选定医院中2型糖尿病患者对饮食建议的依从性及相关因素。
2024年6月24日至7月15日，在埃塞俄比亚亚的斯亚贝巴的四家医院对420名抽样人群进行了一项基于机构的横断面研究。采用系统随机抽样招募个体研究参与者。收集的数据被导入SPSS 25版软件进行分析。使用描述性总结，包括频率、百分比和图表，来呈现研究结果。采用二元逻辑回归进行统计分析。最后，使用具有95%置信区间的比值比呈现双变量和多变量逻辑回归分析的结果。在最终模型中，P值<0.05被视为具有统计学意义。
共纳入406名参与者，应答率为96.7%。研究参与者的平均年龄为48岁（±11.4岁），本研究中2型糖尿病患者对饮食建议的总体依从率为62.8%。糖尿病诊断年限、有糖尿病家族史、有合并症以及接受过糖尿病营养教育与2型糖尿病患者坚持糖尿病饮食建议显著相关。
研究发现，2型糖尿病患者对饮食建议的总体依从率相对较高，为62.8%，这表明需要为该患者群体制定和实施量身定制的饮食教育和咨询项目。
