Meal skipping among patients with type 2 diabetes mellitus (T2DM) and its associations with glycaemic control, eating out of home and binge eating
Meal skipping is a common way to restrict diet, but its practice by patients with type 2 diabetes mellitus (T2DM) remains undetermined due to the scarcity of the research. The main aim of this study was to assess how common patients with T2DM skipped meals. Its associations with sociodemograph...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2020
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| Online Access: | http://journalarticle.ukm.my/16284/1/22_ms0450_pdf_13048.pdf http://journalarticle.ukm.my/16284/ https://www.medicineandhealthukm.com/toc/15/2 |
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| Institution: | Universiti Kebangsaan Malaysia |
| Language: | English |
| Summary: | Meal skipping is a common way to restrict diet, but its practice by patients
with type 2 diabetes mellitus (T2DM) remains undetermined due to the scarcity
of the research. The main aim of this study was to assess how common patients
with T2DM skipped meals. Its associations with sociodemographic and clinical
characteristics, HbA1c, eating out of home and binge eating were examined too.
This cross-sectional study was conducted in 2015 among 203 patients at a public
healthcare clinic in Kuala Lumpur. A self-administered questionnaire including the
Malay-version Binge Eating Scale was used. The proportions of participants who
frequently skipped meals and ate out of home were 41.4% and 61.6%, respectively.
Only 2% of them had binge eating disorder. Multiple logistic regression showed
only Chinese was significantly associated with frequent meal skipping compared
to Malay (adjusted odds ratio: 0.36; 95% confidence interval: 0.16-0.77; p value=
0.009) after controlling for age, employment status, educational status, HbA1c,
presence of complication, type of treatment, eating out of home and binge eating.
In conclusion, meal skipping was a frequently practised eating behaviour. Eating
out of home was common too, but binge eating was rare. Meal skipping was
not influenced by both eating practices and it had insignificant associations with
glycaemic control. Cultural and religious factors may play an important role in
defining their eating practice. Further studies are needed to assess the safety
and acceptability of this practice, but clinically, its effects must be individually
examined to prevent unwanted consequences on their health. |
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