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KMID : 1199120080320010068
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Korean Diabetes Journal
2008 Volume.32 No. 1 p.68 ~ p.76
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Analysis of Meal Habits from the Viewpoint of Regularity in Korean Type 2 Diabetic Patients
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Ahn Hee-Jung
Min Kyung-Wan
Han Kyung-Ah
Kim Hyo-Jeong
Kim Hyun-Jin
Park Kang-Seo
Koo Bo-Kyung
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Abstract
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Background: The regular meal pattern with consistent day-to-day calorie and carbohydrate intake is one of
the most important determinants of good glycemic control in diabetes. This study was aimed to investigate
the meal pattern and their relationships with total energy intake, nutrients intake and glycemic and lipid
profile in type 2 diabetes.
Methods: 1,084 subjects were divided according to glycemic status into three groups: the diabetes (DM),
dysglycemia (DG) and normal (N). The meal frequency (MF), meal interval (MI) and daily intake of total
energy, macronutrient and micronutrient were estimated with the 24 hours dietary recall from the Korean
National Health and Nutrition Examination Survey (KNHANES) in 2001 and Eulji hospital. For analysis of
meal pattern and it’s relations with the nutrients intake, we regrouped into meal skipper (G1), non-meal
skipper with unreasonable MI (G2), and non-meal skipper with reasonable MI (G3).
Results: 17.5% of DM, 21.8% of DG, 23.3% of N skipped at least one meal a day without significant
difference across the groups. 55.9% of non-meal skipper had unreasonable MI. Meal was more regular in
older age, lower educated person, employee, and female. G1 took higher fat, and more calories form snack
and less micronutrient density, compared with G3 (P < 0.05). HbA1c, total cholesterol and triglyceride values
were higher in G1 compared with other two groups (P < 0.05).
Conclusion: Many type 2 diabetics had the irregular meal patterns, which was associated with poor glycemic
control, lipid profiles and less micronutrient density. This suggested that another treatment strategy might be
required for those who had irregular lifestyle.
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KEYWORD
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Type 2 diabetes, Regular meal pattern, Nutrient density
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