马哈拉施特拉邦帕尔巴尼市糖尿病人群膳食结构研究

R. Shinde, A. Arya
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摘要

糖尿病是21世纪最具挑战性的非传染性健康问题之一。非传染性疾病(NCD),也称为慢性病,包括心血管疾病、糖尿病、中风、大多数形式的癌症和伤害。这些疾病主要是由与生活方式有关的因素造成的,如不健康的饮食、缺乏体育活动和吸烟。因此,本研究旨在确定糖尿病患者的社会经济状况、糖尿病信息以及食物和营养摄入情况。从马哈拉施特拉邦帕尔巴尼市选取30名非胰岛素依赖型糖尿病受试者(男性和女性)。收集患者的社会经济状况、糖尿病病程和病史、饮食习惯等信息。收集他们的饮食习惯、一天内不同食物种类的食用频率等信息。收集所选糖尿病受试者在过去24小时内的实际食物摄入量。然后使用食物成分表根据食物摄入量值计算每个选定受试者每天不同营养素的摄入量。食物和营养充足度分别是根据均衡饮食和推荐膳食量计算的。研究发现,50 ~ 60岁年龄组糖尿病患者占63.33%。性别方面的数据显示,男性糖尿病患者较多(53.33%)。大多数受试者来自核心家庭(60%)。从事服务的被试中糖尿病发生率较高(36.66%)。收入明智分配表明,随着收入的增加,受试者的数量也在增加。其中40%的人患有5年以上糖尿病,33.33%的人患有3 -5年糖尿病,少数人有糖尿病家族史。这些结果清楚地表明,在这两个受试者中,蛋白质、能量、铁和纤维的摄入量都低于ICMR的RDA。而脂肪消耗量则超过ICMR规定的RDA。可以得出结论,糖尿病不能治愈,但可以通过改变饮食和生活方式得到很好的控制。
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Studies on dietary pattern of seleceted dibetic subjects of Parbhani city in Maharashtra
Diabetes is one of the most challenging non-communicable health problems in the twenty first century. Non-communicable diseases (NCD), also known as chronic diseases include cardiovascular diseases, diabetes, stroke, most forms of cancers and injuries. Such diseases mainly result from lifestyle related factors such as unhealthy diet, lack of physical activity and tobacco use. Hence, study was conducted with an objective to determine the socio-economic status, information about diabetes and food and nutrient intake of diabetics. Thirty non-insulin dependent diabetic subjects (men and women) were selected from Parbhani city of Maharashtra state. Information regarding their socio-economic status, duration and history about diabetes and food consumption pattern etc. was collected. The information regarding their dietary habits, frequency of consumption of different food groups in a day etc. were collected. The actual food intake of the selected diabetic subjects was collected for the immediate past 24 hours. The intake of different nutrients per day by each selected subject was then calculated from the food intake values using food composition tables. Food and nutrient adequacy was calculated based on balanced diets and recommended dietary allowances, respectively. It was observed that subjects were more diabetic subjects from 50-60 years age group 63.33 per cent, respectively. Sex wise data indicated that more number of male were sufferers of diabetes (53.33 %). Maximum subjects were from nuclear families (60%). Diabetes was observed more among the subjects who were engaged in the service (36.66 %). The income wise distribution indicated that there was increase in the number of subjects as the income was increased. Among them forty per cent were suffering from more than five years and 33.33 per cent subjects were suffering from 3 -5 years and few of them having family history of diabetes. These results clearly show that protein, energy, iron and fibre intake was lower than the RDA of ICMR among both these subjects. While fat consumption exceeded than RDA given by ICMR. It can be concluded that diabetes cannot be cured but it can be well controlled by modification in the diet and lifestyle.
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