Age and fasting blood sugar levels are associated factors for mindful eating among Type 2 diabetes mellitus patients during COVID-19 pandemic confinement

The COVID-19 pandemic has impacted the eating behaviours of many people, especially Type 2 Diabetes Mellitus (T2DM) patients. This study aimed to determine the level of mindful eating and its associated factors among T2DM patients at a primary care clinic near Kuala Lumpur. A cross-sectional study w...

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Bibliographic Details
Published in:	PloS one Vol. 17; no. 9; p. e0274327
Main Authors:	Chamhuri, Nurul Hayati, Mohd Tohit, Noorlaili, Azzeri, Amirah, Chamhuri, Norshamliza, M. Alias, Siti Rohani
Format:	Journal Article
Language:	English
Published:	San Francisco Public Library of Science 23-09-2022 Public Library of Science (PLoS)
Subjects:	Age factors in disease Analysis Biology and Life Sciences Blood pressure Blood sugar monitoring Body mass Body mass index Body size Care and treatment Coronaviruses COVID-19 Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diagnosis Disease transmission Eating Eating behavior Fasting Food Glucose monitoring Glycosylated hemoglobin Health aspects Health care Hemoglobin Laboratory testing Measurement Medicine and Health Sciences Mindfulness Pandemics Patients Primary care Questionnaires Random sampling Sample size Social Sciences Sociodemographics Statistical sampling Type 2 diabetes Malaysia
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Summary:	The COVID-19 pandemic has impacted the eating behaviours of many people, especially Type 2 Diabetes Mellitus (T2DM) patients. This study aimed to determine the level of mindful eating and its associated factors among T2DM patients at a primary care clinic near Kuala Lumpur. A cross-sectional study was conducted from 18th December 2020 to 5th March 2021 during the movement control order in Malaysia. Respondents were recruited using systematic random sampling via an electronic appointment system. They completed a questionnaire consisting of sociodemographic, clinical profiles, and a Malay-translated Mindful Eating Questionnaire (MEQ-M). Their blood pressure and body mass index were taken during the appointment day while the remaining clinical profiles such as fasting blood sugar (FBS) were obtained from the medical record. Two hundred respondents were recruited with a mean (SD) age of 57.0 (10.90) years. More than half of them were female (54%). Two-thirds of them had uncontrolled diabetes based on elevated FBS of >7 mmol/L (61.5%) and glycated haemoglobin (HbA1c) of >7% (67%), respectively. The mean (SD) score for mindful eating was 2.9 (0.25). Multiple logistic regression revealed that older respondents had a higher level of mindful eating [(AOR = 1.05, p-value 0.01, 95% CI = 1.01-1.09)]. In addition, elevated FBS level was also associated with a greater level of mindful eating [(AOR = 2.55, p-value 0.01, 95% CI = 1.28-5.07)]. Therefore, healthcare providers should promote mindful eating during the consultation, especially among younger patients. Blood glucose monitoring is also recommended to instil awareness of the importance of healthy eating habits.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0274327