Pre-post Analysis of Medical Nutrition Therapy on Nutritional Status among Type 2 Diabetes Patients with Obesity in Hospital Pengajar Universiti Putra Malaysia

Mohamed Hatta, Haziem (2022) Pre-post Analysis of Medical Nutrition Therapy on Nutritional Status among Type 2 Diabetes Patients with Obesity in Hospital Pengajar Universiti Putra Malaysia. [Project Paper] (Submitted)

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Abstract

Type 2 Diabetes Mellitus (T2DM) is prevalent among people in Malaysia. T2DM is known to be associated with other comorbidities such as obesity which can affect a person’s lifestyle behavior. One of the effective ways to deal with this disease is by treating them with Medical Nutrition Therapy (MNT). However, despite multiple studies done on the topic of MNT, a study that specifically focuses on managing T2DM with obesity in Malaysia is limited. Thus, this retrospective study aimed to determine the pre-post analysis of MNT on nutritional status among type 2 diabetes mellitus patients with obesity in Hospital Pengajar Universiti Putra Malaysia. Retrospective data collection was used as a sampling design. The existing data of the patients were checked and used for this study. A case report form (CRF) was used to collect the patients’ data and it was transferred to excel and SPSS IBM 2.6 for data analysis, as well as Nutritionist Pro to assess dietary intake. Twenty-five T2DM patients with obesity (72% female and 28% male) managed to be collected. The mean age of the patients was 49.04 ± 12.14 years old. Most of the samples were Malay (88%), and married (44%) but with unknown occupations (52%), have more than two comorbidities (76%), and did not take any medications (36%). The mean of gap visit was 3.64 ± 2.68. The average mean for fasting blood glucose (FBG) was 7.99 ± 4.80 mmol/L and HbA1c is 7.05 ± 1.89 %. Next, the average mean for height was 1.64 ± 0.09 cm, mean for weight was 107.57 ± 17.76 kg and BMI was 40.31 ± 5.56 kg/m2. Besides, the average mean for energy intake before initiation of MNT was 1924 ± 662 kcal/day, carbohydrate was 52 ± 8 %, protein intake was 14 ± 6 % and fat intake was 34 ± 9 %. After initiation of MNT, there were statistically significant changes in glycemic control (8.81 ± 7.73 to 5.89 ± 4.44 mmol/L, p=0.041), no significant changes in body weight, and statistically significant changes in energy intake (1954 ± 659 to 1337 ± 650 kcal/day, p<0.01) with no changes in carbohydrates, protein and fat intake. In conclusion, this retrospective analysis found significant improvement in nutritional status post-MNT which was valuable data for dietitians to further enhance their clinical practice, however no significant improvement was found in body weight, carbohydrates, protein and fat intake.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Mr Khoirul Asrimi Md Nor
Date Deposited:	15 Aug 2023 07:30
Last Modified:	15 Aug 2023 07:30
URI:	http://psaspb.upm.edu.my/id/eprint/960

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