SynthesisPloS one2022
Level of dietary adherence and determinants among type 2 diabetes population in Ethiopian: A systemic review with meta-analysis.
Synthesis in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Association between nutrition knowledge and Mediterranean diet adherence in Israeli adults with type 2 diabetes.European journal of clinical nutrition · 2026Article
- Barriers to diabetes self-management in the North Shoa Zone, Ethiopia: a qualitative study with patients and healthcare providers.BMC public health · 2026Article
- Lived experiences of diabetes self-management in North Shoa, Ethiopia: A phenomenological inquiry.PloS one · 2026Article
- Dietary Nonadherence and Its Determinants Among Diabetes Mellitus Patients in Comprehensive Specialized Hospitals, Amhara Region, Ethiopia: A Cross-Sectional Study.Health science reports · 2025Article
- Article
- Psychometrics properties of type 2 diabetes treatment adherence questionnaire (DTAQ): a study based on Pender's health promotion model.BMC endocrine disorders · 2024Article
- Dietary compliance and its determinants among type 2 diabetes patients in Tamale Metropolis, Ghana.Journal of health, population, and nutrition · 2024Article
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Authors and funding
10 authors.
Funding
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Abstract
backgroundThe beneficial effect of the dietary practice is significant reduction in the risk of developing diabetes related complication. Dietary practice among type 2 diabetes is not well-implemented in Ethiopia. Up to now, in the nation, several primary observational studies have been done on dietary adherence level and its determinants among type 2 diabetes. However, a comprehensive review that would have a lot of strong evidence for designing intervention is lacking. So, this review with a meta-analysis was conducted to bridge this gap.
methodsA systematic review of an observational study is conducted following the PRISMA checklist. Three reviewers have been searched and extracted from the World Health Organization- Hinari portal (SCOPUS, African Index Medicus, and African Journals Online databases), PubMed, Google Scholar and EMBASE. Articles' quality was assessed using the Newcastle-Ottawa Scale by two independent reviewers, and only studies with low and moderate risk were included in the final analysis. The review presented the pooled proportion dietary adherence among type2 diabetes and the odds ratios of risk factors favor to dietary adherence after checking for heterogeneity and publication bias. The review has been registered in PROSPERO with protocol number CRD42020149475.
resultsWe included 19 primary studies (with 6, 308 participants) in this meta-analysis. The pooled proportion of dietary adherence in the type 2 diabetes population was 41.05% (95% CI: 34.86-47.24, I2 = 93.1%). Educational level (Pooled Odds Ratio (POR): 3.29; 95%CI: 1.41-5.16; I2 = 91.1%), monthly income (POR: 2.50; 95%CI: 1.41-3.52; I2 = 0.0%), and who had dietary knowledge (POR: 2.19; 95%CI: 1.59-2.79; I2 = 0.0%) were statistically significant factors of dietary adherence.
conclusionThe overall pooled proportion of dietary adherence among type 2 diabetes in Ethiopia was below half. Further works would be needed to improve dietary adherence in the type 2 diabetes population. So, factors that were identified might help to revise the plan set by the country, and further research might be required to health facility fidelity and dietary education according to diabetes recommended dietary guideline.
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