Bangladesh University of Health Sciences
Title: Pattern of macro and micro-nutrient intake among Bangladeshi type-2 diabetic and non diabetic subjects
Farida Jasmine has joined as Research Fellow in the Department of Health promotion and Health Education, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh, in April 01, 2010. She is dedicated to research and her input has enriched us. While working in the Department, she has shown keen interest and devotion in academic and development activities.
Background and Aims: Diet plays an important role in the management and preventing complication of Diabetes Mellitus and dietary intake of nutrients very substantially varies from population to population. Very little is known about intake of macroand micronutrients among non-diabetic and diabetic population in Bangladesh. The aim of this study was to assess the macro and micronutrient intake and compare those with a standard recommendation. Materials and Methods: A cross-sectional study was done among 18697 individuals (diabetic 11917, non-diabetic 6780) in 16 diabetic hospitals in the capital and northern part of Bangladesh. Data were collected using a pre-tested, semi structured questionnaire by face to face interview. Anthropometric measurement and biochemical analysis were done by standard techniques. Dietary data was collected using a 3 days food frequency questionnaire. Under-consumption, adequacy, and over consumption of nutrients were compared to the standard of the WHO reference intakes. Results: 42% of the subject was male and 58% were female. The mean age (±SD, years) of the non diabetic and diabetic subjects were 39±14 and 50±12, respectively. The corresponding BMI values were 23.7± 3.8 and 25.4±3.9. Mean Carbohydrate, protein and fat intake (in gram) of the diabetic subjects were 176 ±143, 76 ± 64, 67 ± 16, respectively and the corresponding values for non-diabetic subjects were 275 ±71, 115 ± 34, 38 ± 12. Regarding micronutrients intake, Mean Calcium, Iron, Thiamin, Riboflavin, Vitamin C, beta-carotene and Vitamin A intake( in gram) of the diabetic subject were 1748 ± 560, 70 ± 24, 2.3 ± 0.7, 2.3 ± 0.9, 511 ± 165, 31184± 12020, 6113 ± 2541, respectively. Carbohydrate and fat intake were higher than the recommended value in both groups. On the contrary, iron, calcium and fiber intake were lower than the recommended dietary allowances (RDA) amounts (56%, 40%, 46% of RDA, respectively). Conclusion: Although food habits of diabetic subjects differed from those of non-diabetic ones, these habits are not totally in line with nutritional recommendations. These results should be taken into account to adapt nutritional advice given to the diabetic population.