Relationship between nutritional status, physical activity, macronutrient intake and glycemic profile of prediabetic women in rural areas of Indonesia

• Sefanadia PUTRI ^[1] ; Sri Anna MARLIYATI ^[2] ; Rimbawan RIMBAWAN ^[2]
  1. [1] Tanjungkarang Health Polytechnic Ministry of Health Republic of Indonesia, Bandar Lampung, Indonesia
  2. [2] Faculty of Human Ecology, IPB University, Bogor, Indonesia
• Localización: Nutrición clínica y dietética hospitalaria, ISSN 0211-6057, Vol. 44, Nº. 4, 2024, págs. 111-119
• Idioma: inglés
• DOI: 10.12873/444putri
• Enlaces
  • Texto completo
• Resumen

  • Prediabetes significantly raises the risk of progressing to type2 diabetes mellitus (T2DM). In rural areas, changes in lifestyleand diet influence the prevalence of prediabetes. This study evaluated the association of nutritional status, physical activity, and macronutrient intake with glycemic profile in prediabetic women in rural areas. The cross-sectional study included 26 women aged 40-64 years with prediabetes. Location in Pesawaran Regency, Lampung Province, Indonesia in 2023. Data were collected on demographics, food consumption, physical activity, anthropometric and clinical biomarkers. Statistical analysis used Pearson and Spearman tests. Physical activity showed a positive significant correlation with BMI (r = 0.41, p = 0.037), and BMI was significantly associated with HOMA-IR(r = 0.465, p = 0.021) and QUICKI (r = -0.429, p = 0.036). However, energy, carbohydrate, protein, fat, and fiber intake were not significantly correlated with glycemic indicators or plasma insulin. There is a significant relationship between physcal activity level and body mass index (BMI), with decreased physical activity associated with increased BMI values and affected insulin resistance and sensitivity. Macronutrient intakewas not significantly correlated with glycemic profile. Public health interventions need to focus on increasing physical activity to prevent T2DM

• Referencias bibliográficas
  • Dong Y, Zhang B, Sun W, Xing Y. Intervention of Prediabetes by Flavonoids From Oroxylum indicum [Internet]. 2nd ed. Bioactive Food as Dietary...
  • PDI dan PERKENI. Pedoman Pengelolaan dan Pencegahan Prediabetes DiIndonesia 2019. Surabaya: Airlangga University Press; 2020.
  • Echouffo-Tcheugui JB, Selvin E. Prediabetes and What It Means: The Epidemiological Evidence. Annu Rev Public Health. 2020;42:59–77.
  • K.A.M White, Daneshvari S, Lilyquist J, Luo L, Steffen L., Bivin A, et al. Prediabetes: The Variation between HbA1c and Fasting Plasma Glucose....
  • Wang B, Mu X-L, Zhao J, Jiang H-P, Li S-S, Yan G, et al. Effects of lifestyle interventions on rural patients with type 2 diabetes mellitus....
  • Vatcheva KP, Fisher-Hoch SP, Reininger BM, McCormick JB. Sex and age differences in prevalence and risk factors for prediabetes in Mexican-Americans....
  • World Health Organization. Definition and Diagnosis of Diabetes Mellitus and Intermediate Hyperglycemia. New Compr Biochem. 2006;1(C):161–214.
  • PERKENI. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021 [Internet]. Global Initiative for Asthma. PB....
  • Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and β-cell function...
  • Galicia-Garcia U, Benito-Vicente A, Jebari S, Larrea-Sebal A, Siddiqi H, Uribe KB, et al. Pathophysiology of type 2 diabetes mellitus. Int...
  • Saad R, Deschamps T, Bernard P. Physical activity and body mass index: A study on the correlation between physical activity and body mass...
  • Zhang X, Wang Y, Chen Y. Effect of physical activity on body mass index and waist circumference: A meta-analysis. Obes Rev. 2018;19(12):1670–81.
  • Hamasaki H. The Physical Activities in Obesity BT - Obesity: Clinical, Surgical and Practical Guide. In: Ahmad SI, editor. Cham: Springer...
  • Garcia R, Munoz L, Ruiz A. Impact of physical exercise on body composition and metabolic parameters: A review of recent evidence. Clin Nutr....
  • Kirk EP, McMahon M. Body Mass Index, Insulin Resistance, and Glucose Metabolism. J Clin Endocrinol Metab. 2022;107(4):1237–46.
  • Zhao Y, Wu X. Association of Body Mass Index with Insulin Sensitivity and Insulin Resistance. World J Diabetes. 2016;7(14):328–38.
  • Weyer C, Bogardus C. Obesity and insulin resistance: a review of the pathophysiology and therapeutic strategies. Clin Diabetes. 1999;17(1):10–8.
  • Katz A, Nambi SS, Mather K, Baron AD, Follmann DA, Sullivan G, et al. Quantitative insulin sensitivity check index: a simple, accurate method...