TY - JOUR
T1 - Dietary habits of Saharawi type II diabetic women living in Algerian refugee camps
T2 - Relationship with nutritional status and glycemic profile
AU - Leone, Alessandro
AU - Battezzati, Alberto
AU - Di Lello, Sara
AU - Ravasenghi, Stefano
AU - Mohamed-Iahdih, Babahmed
AU - Saleh, Saleh Mohamed Lamin
AU - Bertoli, Simona
N1 - Funding Information:
This research was funded by Agenzia Italiana per la Cooperazione allo Sviluppo (AICS), grant number AID 10925, and the APC (Article Processing Charges) was funded by ICANS internal grant.
Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/2
Y1 - 2020/2
N2 - Diabetes is one of the main health problems among Saharawi refugees living in Algerian camps, especially for women. As is known, diet plays an important role in the management of diabetes. However, the dietary habits of Saharawi diabetic women are unknown. Therefore, we investigated the dietary habits and established their relationship with the nutritional status and glycemic profile of such women. We recruited 65 Saharawi type II diabetic women taking orally glucose-lowering drugs only. Dietary habits were investigated using qualitative 24 h recall carried out over three non-consecutive days. Anthropometric measurements were taken and blood parameters were measured. About 80% of the women were overweight and about three out of four women had uncompensated diabetes and were insulin resistant. The Saharawi diet was found to mainly include cereals, oils, sugars, vegetables (especially onions, tomatoes, and carrots), tea, and meat. Principal component analysis identified two major dietary patterns, the first one “healthy” and the second one “unhealthy”. Women in the higher tertile of adherence to the unhealthy dietary pattern had a higher homeostatic model assessment for insulin resistance (HOMA) index (b = 2.49; 95% CI: 0.41–4.57; p = 0.02) and circulating insulin (b = 4.52; 95% CI: 0.44–8.60; p = 0.03) than the women in the lowest tertile. Food policies should be oriented to improve the quality of diet of Saharawi diabetic women.
AB - Diabetes is one of the main health problems among Saharawi refugees living in Algerian camps, especially for women. As is known, diet plays an important role in the management of diabetes. However, the dietary habits of Saharawi diabetic women are unknown. Therefore, we investigated the dietary habits and established their relationship with the nutritional status and glycemic profile of such women. We recruited 65 Saharawi type II diabetic women taking orally glucose-lowering drugs only. Dietary habits were investigated using qualitative 24 h recall carried out over three non-consecutive days. Anthropometric measurements were taken and blood parameters were measured. About 80% of the women were overweight and about three out of four women had uncompensated diabetes and were insulin resistant. The Saharawi diet was found to mainly include cereals, oils, sugars, vegetables (especially onions, tomatoes, and carrots), tea, and meat. Principal component analysis identified two major dietary patterns, the first one “healthy” and the second one “unhealthy”. Women in the higher tertile of adherence to the unhealthy dietary pattern had a higher homeostatic model assessment for insulin resistance (HOMA) index (b = 2.49; 95% CI: 0.41–4.57; p = 0.02) and circulating insulin (b = 4.52; 95% CI: 0.44–8.60; p = 0.03) than the women in the lowest tertile. Food policies should be oriented to improve the quality of diet of Saharawi diabetic women.
KW - Diabetes
KW - Dietary habits
KW - Dietary pattern
KW - Food consumption
KW - Glucose
KW - HbA1c
KW - Insulin
KW - Nutritional status
KW - Obesity
KW - Saharawi refugee camps
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U2 - 10.3390/nu12020568
DO - 10.3390/nu12020568
M3 - Article
C2 - 32098332
AN - SCOPUS:85079847679
VL - 12
JO - Nutrients
JF - Nutrients
SN - 2072-6643
IS - 2
M1 - 568
ER -