Caregivers’ Nutrition Knowledge and Dietary Intake of Type 1 Diabetic Children Aged 3–14 Years in Uganda
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Date
2021
Authors
Ndahura, Nicholas Bari
Munga, Judith
Kimiywe, Judith
Mupere, Ezekiel
Journal Title
Journal ISSN
Volume Title
Publisher
Taylor \& Francis
Abstract
Purpose: This study aimed to assess the association between caregiver’s level of type 1
diabetes (T1D) nutrition knowledge with children’s dietary diversity score (DDS), mean
intake of macronutrients, nutrient adequacy ratios (NARs) and mean adequacy ratio (MAR).
Research Design and Methods: A cross-sectional analytical study design was used. The
study was conducted at 6 diabetes clinics in Uganda among 59 caregivers and 61 children.
T1D nutrition knowledge survey (NKS) was used to assess the caregiver’s nutrition knowledge, and the 24-hour dietary recall and dietary diversity score (DDS) questionnaires were
used to collect data on the child’s dietary intake.
Results: Majority (93.2%) of the caregivers had low T1D nutrition knowledge.
Carbohydrate counting was the least performed nutrition knowledge domain. The children’s
mean DDS, calorie intake and MAR were 5.7 ± 1.6, 666.7 ± 639.8 kcal and 0.7 ± 0.3,
respectively. The mean NARs of carbohydrate, protein, and fat were 0.9 ± 0.3, 0.9 ± 0.4, 0.5
± 0.5, respectively. There was a significant association between DDS with NARs of carbohydrate, protein, fat, vitamins A, B2, B3, B5, B12, folic acid, zinc and MAR. No formal
education was significantly associated with a lower mean NKS score among caregivers (p =
0.039). Caregivers’ T1D nutrition knowledge, age and family size explained 14% of variation in the child’s dietary diversity (p = 0.041).
Conclusion: Despite poor nutrition knowledge among caregivers especially on carbohydrate
counting, dietary diversity among children with T1D remained favorable. Excess carbohydrate
intake was observed with inadequate intake of proteins, fats and micronutrients (vitamin A,
B vitamins and calcium). Caregivers with low education were more likely to register poor
nutrition knowledge; therefore, there is need to develop and tailor nutrition education programmes to enhance comprehensive learning among caregivers for improved outcomes.
Description
Article
Keywords
nutrition education, type 1 diabetes, nutrient intake, diabetes, adolescents
Citation
Ndahura, N. B., Munga, J., Kimiywe, J., & Mupere, E. (2021). Caregivers’ nutrition knowledge and dietary intake of type 1 diabetic children aged 3–14 years in uganda. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 127-137.