Diabetes and associated dietary intake among urban adults: COPEN (Colombian Nutritional Profiles)-a cross-sectional study.

Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE

Original Publication: [London] : BMJ Publishing Group Ltd, 2011-

Diabetes Mellitus*/epidemiology ; Energy Intake*; Adult ; Colombia/epidemiology ; Cross-Sectional Studies ; Diet ; Eating ; Female ; Humans ; Male

Objectives: Diabetes is increasing rapidly in low-income and middle-income countries. We aimed to estimate the prevalence of diabetes, describe its correlates and its associated dietary intake in urban adults from Colombia.
Setting: The Colombian Study of Nutritional Profiles was a population-based, cross-sectional, multi-stage probabilistic sampling survey designed to represent the five main Colombian cities.
Participants: Between June and November 2018, we studied 736 non-pregnant participants aged 18 or older. Diabetes was defined as a random plasma glucose ≥200 mg/dL, self-reported prior diagnosis of diabetes or use of any oral or injectable antidiabetic medication(s). Participants also fulfilled a detailed 157-item food-frequency questionnaire.
Primary and Secondary Outcome Measures: Prevalence of diabetes, dietary intake of key nutrients, achievement of dietary goals among individuals with diabetes.
Results: The overall estimated prevalence of diabetes was 10.1%, with no difference by sex (9.6% in women, 10.8% in men, p=0.43). The association between diabetes and education level depended on sex, diabetes was more prevalent among more educated men and less educated women. Abdominal obesity was associated with a 65% increase in diabetes prevalence among men, and a 163% increase in women. Individuals with diabetes reported lower mean consumption of all nutrients, but after adjustment by sex, age, socioeconomic level (SEL) and body mass index, only their lower sodium consumption remained significant (p=0.013). The proportion of non-achievement of dietary intake goals among participants with diabetes was 94.4% for saturated fats, 86.7% for sodium, 84.4% for fibre and 80% for trans fats. In multivariate logistic regression models, age was the strongest independent correlate of diabetes.
Conclusions: Diabetes by self-report, random plasma glucose or medication use was highly prevalent among Colombian adults. There were large differences by abdominal obesity status, region of residence, SEL and educational level. The proportion of individuals with diabetes meeting dietary recommendations was alarmingly low.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Diabetes Metab Syndr Obes. 2020 Jun 03;13:1887-1898. (PMID: 32581563)
N Engl J Med. 2006 Apr 13;354(15):1601-13. (PMID: 16611951)
BMC Public Health. 2012 May 30;12:392. (PMID: 22646095)
Lancet. 2016 Oct 8;388(10053):1659-1724. (PMID: 27733284)
Clin Diabetes Endocrinol. 2017 Jan 18;3:1. (PMID: 28702255)
J Womens Health (Larchmt). 2009 Aug;18(8):1145-51. (PMID: 19630551)
Am J Public Health. 2010 Apr 1;100 Suppl 1:S186-96. (PMID: 20147693)
Nutr Hosp. 2011 Nov-Dec;26(6):1333-44. (PMID: 22411380)
Lancet Diabetes Endocrinol. 2014 Apr;2(4):321-332. (PMID: 24703050)
J Epidemiol Community Health. 2014 Aug;68(8):705-11. (PMID: 24683177)
Arch Public Health. 2015 Feb 16;73(1):12. (PMID: 25780562)
Nature. 2019 May;569(7755):260-264. (PMID: 31068725)
Salud Publica Mex. 2010;52 Suppl 1:S19-26. (PMID: 20585724)
Lancet. 2011 Jul 2;378(9785):31-40. (PMID: 21705069)
Eur J Cardiovasc Prev Rehabil. 2006 Oct;13(5):769-75. (PMID: 17001217)
Nat Rev Endocrinol. 2018 Feb;14(2):88-98. (PMID: 29219149)
J Nutr Educ Behav. 2012 Nov-Dec;44(6):609-13. (PMID: 21737352)
Diabetes Care. 2006 Dec;29(12):2726-7. (PMID: 17130213)
Diabetes Res Clin Pract. 2014 Feb;103(2):238-43. (PMID: 24439209)
Int J Equity Health. 2014 Jan 31;13:10. (PMID: 24479581)
J Epidemiol Glob Health. 2020 Mar;10(1):107-111. (PMID: 32175717)
Nutr Rev. 2013 Dec;71(12):790-801. (PMID: 24180564)
J Nutr. 2001 Mar;131(3):881S-886S. (PMID: 11238779)
Diabetes Metab Res Rev. 2002 Sep-Oct;18 Suppl 3:S27-31. (PMID: 12324982)
BMC Public Health. 2012 Jun 22;12:474. (PMID: 22726343)
Diabetes Care. 2016 May;39(5):780-7. (PMID: 26965719)
Soc Sci Med. 2007 Oct;65(7):1372-85. (PMID: 17618717)
Int J Endocrinol. 2015;2015:946419. (PMID: 26494999)
Diabetes Res Clin Pract. 2019 Nov;157:107843. (PMID: 31518657)
Ann Glob Health. 2015 Nov-Dec;81(6):742-53. (PMID: 27108142)
Int J Epidemiol. 2012 Aug;41(4):1162-73. (PMID: 22736421)
Int J Environ Res Public Health. 2019 Apr 23;16(8):. (PMID: 31018480)
Br J Gen Pract. 2004 Mar;54(500):177-82. (PMID: 15006122)
Am J Med. 2008 Jan;121(1):58-65. (PMID: 18187074)
BMJ. 2015 Aug 11;351:h3978. (PMID: 26268692)
Int J Epidemiol. 2011 Jun;40(3):804-18. (PMID: 21335614)
Am J Public Health. 2011 Feb;101(2):294-301. (PMID: 21164095)
Diabetes Res Clin Pract. 2010 Jan;87(1):15-9. (PMID: 19914728)
Diabetes Care. 2012 Feb;35(2):434-45. (PMID: 22275443)
J Immigr Minor Health. 2015 Aug;17(4):1002-9. (PMID: 24781780)
Diabetes Care. 2014 Jan;37 Suppl 1:S120-43. (PMID: 24357208)
J Aging Health. 2019 Sep;31(8):1479-1502. (PMID: 29916766)
Sci Rep. 2016 Apr 22;6:24780. (PMID: 27101929)
Diabetes Res Clin Pract. 2011 Aug;93(2):243-247. (PMID: 21632141)
J Glob Health. 2018 Dec;8(2):020409. (PMID: 30140435)
J Glob Health. 2017 Dec;7(2):020410. (PMID: 29163935)
PLoS One. 2014 Apr 03;9(4):e92245. (PMID: 24699429)
Prev Med. 2013 Jan;56(1):30-4. (PMID: 23142534)
Am J Epidemiol. 1988 Jan;127(1):188-99. (PMID: 3337073)
Am J Med Sci. 2016 Apr;351(4):374-9. (PMID: 27079343)
Int J Epidemiol. 2003 Jun;32(3):381-5. (PMID: 12777423)

Keywords: epidemiology; general diabetes; nutrition & dietetics; preventive medicine

Dryad 10.5061/dryad.sqv9s4n2n

Date Created: 20210618 Date Completed: 20210624 Latest Revision: 20210702

20240104

PMC8212409

10.1136/bmjopen-2020-042050

34140339