Related Experiment Video
Updated: Sep 11, 2025
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Dietary Nonadherence and Its Determinants Among Diabetes Mellitus Patients in Comprehensive Specialized Hospitals,
Makda Abate Belew1, Rediet Akele Getu1, Sewunnet Azezew Getahun2
1Department of Nursing, School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus Debre Berhan University Debre Berhan Ethiopia.
Background And Aim:
Dietary nonadherence remains a significant challenge in diabetes management, compromising glycemic control and increasing the risk of complications. In Ethiopia, particularly in the Amhara region, adherence to dietary recommendations is influenced by cultural, economic, and educational factors. Despite the critical role of diet in diabetes management, there is limited evidence regarding dietary nonadherence and its determinants in this setting. This study assessed the prevalence and factors associated with dietary nonadherence among diabetes patients attending follow-up care in the Amhara region comprehensive specialized hospitals of Ethiopia.
Method And Materials:
A multistage sampling technique was used to conduct an institution-based cross-sectional study among 497 diabetes mellitus patients attending follow-up care at Debre Berhan, Debre Markos, Felege Hiwot, and Dessie Comprehensive Specialized Hospitals. The Perceived Dietary Adherence Questionnaire (PDAQ) was used to assess Dietary adherence. Multivariable binary logistic regression analysis was conducted to identify determinants of dietary nonadherence, and findings were reported using adjusted odds ratios (AOR) with 95% confidence intervals (CI).
Results:
Among the 497 individuals studied (mean age: 56.2 ± 12.3 years), 41.6% (95% CI: 37.4-46.0) failed to adhere to dietary recommendations. The identified factors were being single (AOR = 2.518; 95% CI: 1.248-5.083), being a farmer (AOR = 5.032; 95% CI: 1.772-14.293), rural residence (AOR = 0.307; 95% CI: 0.144-0.658), low family income (AOR = 3.707; 95% CI: 1.623-8.465), poor social support (AOR = 2.535; 95% CI: 1.456-4.412), and moderate social support (AOR = 1.861; 95% CI: 1.118-3.097).
Conclusion:
A high level of dietary nonadherence was observed among diabetic patients. To enhance dietary adherence, targeted nutritional education, community health promotion, and improved social support systems are recommended, especially in rural areas.
Related Concept Videos
01:15Diabetes: Symptoms, Diagnosis, and Complications
01:15Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
01:22Diabetes Mellitus: Type 2 and Gestational
01:22Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
01:20Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
01:36Carbohydrate Metabolism
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...