Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan
Dietary prescriptions or “therapeutic nutritional education” must be an integral part of the holistic care of diabetic patients. However, for various reasons, some patients go without it. The objective of this work was to determine the proportion of patients followed in a health center in Abidjan (Smires) who benefited from therapeutic nutritional education and to evaluate the effect of good compliance with this nutritional education on their parameters. morpho-anthropometric and metabolic. A cross-sectional study with a descriptive aim was carried out to do this, for 6 months including patients meeting the inclusion criteria and followed at the SMIRES center. In total, 30 patients were interviewed, among whom there were 50% obese people, the average age was 52.5 years, the average fasting blood sugar was 1.89 g/L and the average duration of discovery of diabetes was relatively low, 4.96 years. At least 80% of patients had benefited from therapeutic nutritional education, including 66.69% from a Nutritionist/Dietician at this center. At least 70.02% of patients reported rigorously following these dietary prescriptions. Generally, we noted a good evolution of the morpho-anthropometric and metabolic parameters of the patients. Indeed, a good part of the patients who had high values in terms of these parameters, particularly saw their waist circumferences (56.67%), BMI (50.01%), blood sugar (50%), glycated hemoglobin (40.01%) decrease. This study confirms the important role played by nutritional education in the therapy that diabetic patients should benefit from.
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. Diabetes in particular has become a true global epidemic for several years. Each year, more and more people develop this disease which can lead to life-altering complications. In 2015, in addition to 415 million adults with diabetes, 318 million had glucose intolerance, putting them at high risk of developing the disease in the future
. Available data show that nearly 80% of people with diabetes live in low- or middle-income countries, particularly in countries in Asia and sub-Saharan Africa
[4]
Popkin B., The shift in stages of the nutritional transition in the developing world differs from past experiences! Public Health Nutrition, 2002, 5: 205-214.
. In Ivory Coast in particular, the PREVADIA study (Prevalence of diabetes in Ivory Coast) carried out in 2017 showed that 6.2% of people aged 20 to 79 suffered from diabetes. Several strategies are used to slow down this galloping expansion of diabetes and improve its management. These are on the one hand raising awareness among populations and on the other hand, therapeutic nutritional education
[5]
Khaled M. B., Ménadi N., Boumediene A. Ktob, A., Halfaoui S., Boukhatmi F. Role of nutritional education in the care of type 2 diabetics during Ramadan, Diabetes & Metabolism, 2013, 39(1), Page 1-70.
[6]
Helary C., Regat-Bikoi M.-C. Culture shock between advanced practice nurses for the implementation of a diabetes 2 therapeutic education program in Cameroon, Diabetes & Metabolism, 2015, 41(1), Page 1-27.
[5, 6]
. These measures take into account recommendations for a good diet and regular physical activity. The present study was carried out in a medical center in Abidjan (SMIRES), and aimed to show the impact of well-conducted and well-monitored therapeutic nutritional education on the evolution of morpho-anthropometric and metabolic parameters of patients diabetics. Specifically, we described the socio-economic parameters and dietary habits of our study population, evaluated the monitoring of dietary prescriptions and determined the evolution of the morpho-anthropometric and metabolic parameters of the patients in the study.
2. Materials and Methods
2.1. Study Framework
The study took place within the consultation unit of the SMIRES medical center located in Cocody-ANGRE, Abidjan.
2.2. Type and Period of Study
This is a cross-sectional study with descriptive and analytical aims which took place over 5 months, from July 1 to December 30, 2020.
2.3. Study Population
The study population consisted of type 2 diabetic patients who came for consultation for the first time in the department. The inclusion criteria used were to be a type 2 diabetic patient, followed at the SMIRES center, to be at least 18 years old, to have had a biological assessment at entry and to have given oral consent. Excluded from the study were pregnant or breastfeeding women, diabetic patients suffering from nutritional pathologies (functional colopathy, gastroesophageal reflux), serious illnesses (cancer, tuberculosis, etc.) and having a pathological situation that could profoundly modify the diet. food (end-stage renal failure, heart failure, liver failure, etc.).
2.4. Conduct of the Study
We solicited patients seen in consultation in 2020. After explaining to them the interest of the study, we obtained their consent for the majority. For patients who agreed to participate in the study, we collected data using a questionnaire administered face-to-face.
2.5. Statistical Analysis
Data were entered into Microsoft Office Excel 2007, then processed and analyzed using GraphPad Prism 7 software.
3. Results
3.1. Patient Characteristics Surveys
3.1.1. Anthropometric and Socio-economic Characteristics of Patients
The BMI (body mass index) of the patients surveyed was divided into people with a normal BMI (20.58%), overweight people (30%) and obese people (49.42%) with a majority of people among the obese who presented moderate obesity (36.66%) The average age was 52.5 years. Among the patients, there were 16.12% with an age between 30 and 39 years old, 32.25% between 40 and 49 years old, 32.25% between 50 and 59 years old, 19.38% greater than or equal to 60 years old. (Table1). These patients surveyed belonged to all ethnic groups in Côte d'Ivoire (Akan: 48.38%, Gur: 16.16%, Krou: 12.90%, Mandé du Nord: 16.12%, Mandé du Sud: 06.44%). The majority resided in Abidjan (90%), were civil servants or workers (67.74%), had an average socio-economic level (74.19%) and a higher level of education (70.98%) (Table2).
Table 1. General characteristics of patients surveyed.
Proportion (%)
BMI
Normal
20.58
Overweight
30
Obesity
Moderate
36.66
Morbid
09.76
Age groups
[30 à 40 years old]
16.12
[40 à 50 years old]
32.25
≥ 60 years old
51.63
Avarage
52.5 years ± 12,47
Sex
Male
53.33
Female
46.66
Level of stady
None
03.22
Primary
06.45
Secondary
19.35
Superior
70.98
Table 2. Socio-economic and demographic characteristics of patients surveyed.
Proportion (%)
ethnic groups
Akan
48.38
Gur
16.16
Krou
12.90
Northern Mande
16.12
South Mande
06.44
Place of residence
Abidjan
90
outside Abidjan
10
Occupation
Housewife/Trader
12.90
Civil servant/Worker
67.74
Retirees
12.90
Others
03.22
Socio-économic level
Pupil
25.81
Avarage
74.19
3.1.2. Characteristics of Diabetes in the Patients Surveyed
The average duration of discovery of diabetes was 4.93 years (Table 3). The average fasting blood sugar of the patients surveyed was 1.89 g/L with extremes of 0.56 g/L and 3.16 g/L. The patients had an average glycated hemoglobin (HbA1c) of 8.88%. Patients whose reason for consultation in the SMIRES center was to monitor their diabetes represented 38.7% of the study population. Patients on dietary prescription alone (diet) represented 3.22%, those on insulin 12.9% and those on Oral Anti Diabetics (OAD) 83.88%. Among the patients on OAD, there were 22.58% on Metformin, 3.22% on Glimepiride, 19.36% on DPP4 inhibitors, 9.67% on Gliclazide and 38.72% on other OAD. The majority of patients regularly practiced physical activity (83.87%), had a personal history of obesity (53.21%), had a family history of diabetes (70.96%) and did not present complications of diabetes (61.30%). The complications of diabetes which were found in those who presented it (38.70%) were micro-angiopathies (19.35%), macro-angiopathies (41.93%), infections (09.67%) and acute-metabolic complications (29.05%).
Table 3. Characteristics of diabetes.
Proportion (%)
Duration of discovery of diabetes
< 5 years old
67.74
[5 à 10 years old [
09.67
≥ 10 years old
22.59
Reason for consultation
Chance discovery
19.31
Cardinal signs of diabetes
29.03
Diabetes monitoring
38.70
Complications
12.96
Traitment
Diet alone
03.22
OAD/Metformine
22.58
OAD /Glimépiride
03.22
OAD /I-DPP4
19.36
OAD /Gliclazide
09.67
OAD /Others
38.72
Insulin
12.90
Regular practice
physical activity
Yes
83.87
No
16.13
Personal history
Diabetes
98.37
Blood presure
45.16
Obesity
53.21
Familial history
Yes
70.96
No
29.04
Complications
Yes
38.70
No
61.30
Type of complications
Microangiopathies
19.35
Macroangiopathies
41.93
Infections
09.67
Acutes métabolic
29.05
3.2. Therapeutic Nutritional Education of Surveyed Patients
Out of 30 people surveyed, there were 24 patients (80%) having benefited from therapeutic nutritional education and six 06 patients (20%) not having benefited from it, i.e. more people made aware of the new eating habits to adopt since the disease (Table 4). Out of 24 people who benefited from therapeutic nutritional education, there were 7 (23.3%) who had benefited from group therapeutic nutritional education and 17 (76.6%) from personalized therapeutic nutritional education. We especially note that the majority of patients (16 people) who benefited from therapeutic nutritional education had received it from the center's Dietitian/Nutritionist, i.e. 66.69%.
Table 4. Nutritional education.
Proportion (%)
Carrying out nutritional education
80
Type of nutrition education
Personnalized
77
Group
23
Source of nutrition éducation
The media
04
Knowledge
04
Health personnel
04
Nutritionist/dietician
67
Diabétologist
08
General practitioner
13
Effective monitoring of nutritional education
70
3.3. Evolution of Morpho-anthropometric and Metabolic Parameters of Surveyed Patients
(i). Evolution of waist circumference, BMI and blood pressure
Figure 1 shows the evolution of waist circumference, BMI and blood pressure after monitoring drug and dietary prescriptions by the patients surveyed.
Dietary prescriptions contributed to the reduction in BMI (50.01%) and waist circumference (56.67%) of at least half of the patients. A certain number of patients had a waist circumference (10%), BMI (20%) and blood pressure (86.66%) that remained normal before, during and after nutritional education due to personalized medication prescriptions. However, a small number of patients experienced an increase in waist circumference (13.33%) and BMI (23.33%) or even an increase in these morpho-anthropometric parameters.
Figure 1. Changes in waist circumference, BMI and blood pressure of the patients surveyed.
(ii). Evolution of blood sugar and glycated hemoglobin
Figure 2 shows the evolution of blood sugar and glycated hemoglobin after monitoring drug and dietary prescriptions by the patients surveyed. A total of twelve (12) patients (40%) had normal blood sugar levels before, during and after nutritional education due to personalized medication prescriptions. Three (3) patients (10%) had consistently high blood sugar levels since their treatment. Dietary prescriptions contributed to a drop in blood sugar levels in 15 patients (50%). No increase in blood sugar levels was noted in the patients in our study population since the start of their treatment. Ten (10) patients (33.33%) had glycated hemoglobin that remained normal before, during and after nutritional education. There were eight (8) patients (26.66%) who had a consistently high HbA1C during their treatment. Dietary prescriptions contributed to a drop in blood sugar levels in 12 patients (40.01%). There was no increase in HbA1C of patients in our study population since the start of their treatment.
Figure 2. Evolution of blood sugar and glycated hemoglobin of the patients surveyed.
4. Discussion
With the aim of evaluating the effect of good compliance with nutritional education on the morpho-anthropometric and metabolic parameters of patients, the socio-economic characteristics of patients, eating habits and the evolution of morpho-anthropometric parameters and metabolic disorders of the patients were studied. In terms of socio-economic characteristics of the study population, the results showed that the patients surveyed belonged to all ethnic groups in Côte d'Ivoire with many more patients belonging to the Akan ethnic group. This shows that type 2 diabetes affects all populations, without distinction. Indeed, according to the WHO, diabetes is a cosmopolitan condition
[7]
WHO (World Health Organization), World Diabetes Report, 2016, 88 p.
[7]
. Also, a sociodemographic reason could explain this predominance of the Akan ethnic group. Indeed, this study was carried out in Abidjan, a city located in the south of Côte d'Ivoire which is an area of origin of many Akan peoples, housing a large concentration of people from this ethnic group. This observation is confirmed by the results of various surveys carried out during the General Population and Housing Census
[8]
RGPH (General Population and Housing Census), Main preliminary results. Permanent Technical Secretariat of the RGPH Technical Committee, 2014, 23 p.
[8]
. Type 2 diabetes affects both sexes but with a slight male predominance (53.3% men and 46.7% women). These data are corroborated by those of LOUIS in France who also found a male predominance in their study
[9]
Louis C. J., Impact of a brief intervention on changing eating behavior in type 2 diabetic patients, Doctoral Thesis, Mixed Faculty of Medicine and Pharmacy of Rouen, Rouen, 2014, 95 p.
[9]
. This could be explained by the fact that the medical center where the investigation took place was private. However, men often have higher purchasing power than women, so they could take care of themselves more easily by attending private medical centers. The majority of patients were workers (66.7%), had an average social level (73.3%) and a higher education level (70%). These good levels (social and intellectual) could be advantageous for patients. Indeed, this not only allows them to better understand the therapeutic education messages addressed to them in general, but also the dietary advice in particular. In addition, their purchasing power allows them to meet the numerous expenses associated with the daily management of the disease
[10]
Morel A., Lecoq G., Jourdain-Menninger D., Evaluation of diabetes care, General Inspectorate of Social Affairs RM2012-033P France, 2012, 64p.
[10]
. All patients were aged over 30 years. This could be explained by the fact that type 2 diabetes most often occurs in adulthood. Our results are consistent with those of many other authors
[11]
Douzan A. E. J., Knowledge and dietary practices of diabetic patients followed at the Antidiabetic Center of Abidjan (CADA), Doctoral thesis Faculty of Medicine, Abidjan-Cocody University, Abidjan, 2015, 175 p.
[9]
Louis C. J., Impact of a brief intervention on changing eating behavior in type 2 diabetic patients, Doctoral Thesis, Mixed Faculty of Medicine and Pharmacy of Rouen, Rouen, 2014, 95 p.
[11, 9]
. In terms of diabetes characteristics, the results showed that the majority of patients had diabetes that had been present for less than five years (66.7%) and were treated with OADs (93.3%). Similar results have also been obtained by different authors in many other countries
[12]
Ziza Ngaila N. P., Evaluation of the knowledge of type 2 diabetic patients on diabetes in the endocrinology-diabetology department of Chu de Yopougon, Abidjan, Diploma of specialized studies (D.E.S) in endocrinology, metabolism Medical Abidjan and nutrition, Félix Houphouët Boigny University, UFR Des Sciences, Abidjan, 2019, 97 p.
[9]
Louis C. J., Impact of a brief intervention on changing eating behavior in type 2 diabetic patients, Doctoral Thesis, Mixed Faculty of Medicine and Pharmacy of Rouen, Rouen, 2014, 95 p.
[13]
IDF (International Diabetes Federation), The Diabetes Atlas, 8th edition, 2017, 150 p.
[12, 9, 13]
. More than half of the patients had not yet presented complications related to diabetes. This could be explained on the one hand by the fact that the average duration of discovery of diabetes was relatively short (4.93 years). On the other hand, the good socio-economic (73.3%) and intellectual (70%) level of patients predisposed them to better cope with the demands of the disease. In terms of eating habits, the results showed that the majority of patients ate three meals/day (93.3%) and did not eat snacks (66.7%). This is in accordance with the recommendations made to type 2 diabetes patients on OAD and diets
[14]
Gbakayoro J. B., Dietary prescriptions for diabetics, Abidjan, AODCI, 2020, 4 p.
[14]
. Regarding nutritional education, a good portion (80%) had received it, much more in a personalized way (70.8%) and through a Nutritionist (66.7%). This is due to the fact that the SMIRES Center has a resident Nutritionist/Dietician. Regarding the monitoring of dietary prescriptions, the majority of patients measured foods before consumption (68.9%), avoided the consumption of foods with a high glycemic index (67.3%), favored the consumption of foods rich in fiber. (90%), followed dietary advice even outside the home (84.7%). All these prescriptions are part of the nutritional recommendations aimed at achieving a balanced diet, the cornerstone of treatment in diabetic patients. Following these dietary prescriptions by the majority of patients could be of great benefit to them. This could have a favorable effect in avoiding glycemic disorders
[15]
Gbakayoro J. B., Study of eating behaviors and their implications in the appearance of diabetes mellitus in the Baoulé, Malinké and Agni populations, Unique doctoral thesis in nutrition and food security, Nangui Abrogoua University, Abidjan, June 15, 2016, 187 pp.
[15]
.
In terms of the evolution of morpho-anthropometric and metabolic parameters, the results showed that in more than half of the patients, a regression in both waist circumference (56.7%) and BMI (50%). after at least three months of following dietary prescriptions. This loss of weight and waist circumference could be explained by the correct following of dietary prescriptions by the majority (70%) of these patients
[11]
Douzan A. E. J., Knowledge and dietary practices of diabetic patients followed at the Antidiabetic Center of Abidjan (CADA), Doctoral thesis Faculty of Medicine, Abidjan-Cocody University, Abidjan, 2015, 175 p.
[11]
. The risks linked to the occurrence of diabetes and its complications from obesity depend not only on the importance of adipose tissue but also on its distribution, in the abdominal and perivisceral position
[16]
SNDLF (French Language Society of Nutrition and Dietetics), French Association for Studies and Research on Obesity, and French Language Association for the Study of Diabetes and Metabolic Diseases: Recommendations for diagnosis, prevention and treatment of obesity. Cah Nutr Diet 1998; 33 (Suppl 1) 1-48.
[16]
. The good evolution of these morpho-anthropometric parameters in the patients in the study predicts a good evolution of their metabolic parameters. The majority of patients (86.7%) had normal blood pressure before, during and after nutritional education. Proper follow-up of dietary prescriptions would also have contributed to maintaining normal blood pressure throughout their treatment. In addition to good follow-up of dietary prescriptions, the majority of patients (83.3%) added regular physical activity. This is in accordance with the recommendations made to diabetic patients to achieve a better balance of metabolic parameters
[17]
Barnard R. J., Jung T., Inkeles S. B. “Diet and exercise in the treatment of NIDDM”, in The need for early emphasis, Diabetes Care; 1994, pp. 69-72.
[17]
.
A drop in both blood sugar (50%) and glycated hemoglobin (40%) after at least three months of monitoring drug and dietary prescriptions was observed.
This could also be explained by the good follow-up of dietary prescriptions. Indeed, the significant reduction in BMI, waist circumference and the regular practice of physical activity by a large proportion of patients would explain a good evolution of their metabolic parameters.
5. Conclusion
Diabetes mellitus is a chronic disease whose management is multidisciplinary. Diet plays a key role in the therapeutic management of this condition. What makes it “The cornerstone of treatment”. The present study allowed us to note a good evolution of morpho-anthropometric and metabolic parameters in general, when the hygienic-dietary measures are well observed.
Abbreviations
WHO
World Health Organization
NCD
Non-Communicable Diseases
PREVADIA
Prevalence of Diabetes in Ivory Coast
OAD
Oral Anti Diabetics
BMI
Body Mass Index
HbA1C
Glycated Hemoglobin
Acknowledgments
I would like to thank the manager of the smires medical center and all his staff for facilitating this study in their health center. I would also like to thank all the patients who voluntarily made themselves available for this study.
Popkin B., The shift in stages of the nutritional transition in the developing world differs from past experiences! Public Health Nutrition, 2002, 5: 205-214.
Khaled M. B., Ménadi N., Boumediene A. Ktob, A., Halfaoui S., Boukhatmi F. Role of nutritional education in the care of type 2 diabetics during Ramadan, Diabetes & Metabolism, 2013, 39(1), Page 1-70.
[6]
Helary C., Regat-Bikoi M.-C. Culture shock between advanced practice nurses for the implementation of a diabetes 2 therapeutic education program in Cameroon, Diabetes & Metabolism, 2015, 41(1), Page 1-27.
[7]
WHO (World Health Organization), World Diabetes Report, 2016, 88 p.
[8]
RGPH (General Population and Housing Census), Main preliminary results. Permanent Technical Secretariat of the RGPH Technical Committee, 2014, 23 p.
[9]
Louis C. J., Impact of a brief intervention on changing eating behavior in type 2 diabetic patients, Doctoral Thesis, Mixed Faculty of Medicine and Pharmacy of Rouen, Rouen, 2014, 95 p.
[10]
Morel A., Lecoq G., Jourdain-Menninger D., Evaluation of diabetes care, General Inspectorate of Social Affairs RM2012-033P France, 2012, 64p.
[11]
Douzan A. E. J., Knowledge and dietary practices of diabetic patients followed at the Antidiabetic Center of Abidjan (CADA), Doctoral thesis Faculty of Medicine, Abidjan-Cocody University, Abidjan, 2015, 175 p.
[12]
Ziza Ngaila N. P., Evaluation of the knowledge of type 2 diabetic patients on diabetes in the endocrinology-diabetology department of Chu de Yopougon, Abidjan, Diploma of specialized studies (D.E.S) in endocrinology, metabolism Medical Abidjan and nutrition, Félix Houphouët Boigny University, UFR Des Sciences, Abidjan, 2019, 97 p.
[13]
IDF (International Diabetes Federation), The Diabetes Atlas, 8th edition, 2017, 150 p.
[14]
Gbakayoro J. B., Dietary prescriptions for diabetics, Abidjan, AODCI, 2020, 4 p.
[15]
Gbakayoro J. B., Study of eating behaviors and their implications in the appearance of diabetes mellitus in the Baoulé, Malinké and Agni populations, Unique doctoral thesis in nutrition and food security, Nangui Abrogoua University, Abidjan, June 15, 2016, 187 pp.
[16]
SNDLF (French Language Society of Nutrition and Dietetics), French Association for Studies and Research on Obesity, and French Language Association for the Study of Diabetes and Metabolic Diseases: Recommendations for diagnosis, prevention and treatment of obesity. Cah Nutr Diet 1998; 33 (Suppl 1) 1-48.
[17]
Barnard R. J., Jung T., Inkeles S. B. “Diet and exercise in the treatment of NIDDM”, in The need for early emphasis, Diabetes Care; 1994, pp. 69-72.
Gbakayoro, J., Vanié, S. C., Yépié, A. H., Ouattara, Y. Y., Abodo, J. R., et al. (2025). Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan. International Journal of Nutrition and Food Sciences, 14(1), 22-27. https://doi.org/10.11648/j.ijnfs.20251401.13
Gbakayoro, J.; Vanié, S. C.; Yépié, A. H.; Ouattara, Y. Y.; Abodo, J. R., et al. Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan. Int. J. Nutr. Food Sci.2025, 14(1), 22-27. doi: 10.11648/j.ijnfs.20251401.13
Gbakayoro J, Vanié SC, Yépié AH, Ouattara YY, Abodo JR, et al. Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan. Int J Nutr Food Sci. 2025;14(1):22-27. doi: 10.11648/j.ijnfs.20251401.13
@article{10.11648/j.ijnfs.20251401.13,
author = {Jean-Brice Gbakayoro and Stéphane Claver Vanié and Audrey Herbert Yépié and Yéné Yolande Ouattara and Jacko Rhedoor Abodo and Kouakou Brou},
title = {Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan
},
journal = {International Journal of Nutrition and Food Sciences},
volume = {14},
number = {1},
pages = {22-27},
doi = {10.11648/j.ijnfs.20251401.13},
url = {https://doi.org/10.11648/j.ijnfs.20251401.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20251401.13},
abstract = {Dietary prescriptions or “therapeutic nutritional education” must be an integral part of the holistic care of diabetic patients. However, for various reasons, some patients go without it. The objective of this work was to determine the proportion of patients followed in a health center in Abidjan (Smires) who benefited from therapeutic nutritional education and to evaluate the effect of good compliance with this nutritional education on their parameters. morpho-anthropometric and metabolic. A cross-sectional study with a descriptive aim was carried out to do this, for 6 months including patients meeting the inclusion criteria and followed at the SMIRES center. In total, 30 patients were interviewed, among whom there were 50% obese people, the average age was 52.5 years, the average fasting blood sugar was 1.89 g/L and the average duration of discovery of diabetes was relatively low, 4.96 years. At least 80% of patients had benefited from therapeutic nutritional education, including 66.69% from a Nutritionist/Dietician at this center. At least 70.02% of patients reported rigorously following these dietary prescriptions. Generally, we noted a good evolution of the morpho-anthropometric and metabolic parameters of the patients. Indeed, a good part of the patients who had high values in terms of these parameters, particularly saw their waist circumferences (56.67%), BMI (50.01%), blood sugar (50%), glycated hemoglobin (40.01%) decrease. This study confirms the important role played by nutritional education in the therapy that diabetic patients should benefit from.
},
year = {2025}
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TY - JOUR
T1 - Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan
AU - Jean-Brice Gbakayoro
AU - Stéphane Claver Vanié
AU - Audrey Herbert Yépié
AU - Yéné Yolande Ouattara
AU - Jacko Rhedoor Abodo
AU - Kouakou Brou
Y1 - 2025/01/21
PY - 2025
N1 - https://doi.org/10.11648/j.ijnfs.20251401.13
DO - 10.11648/j.ijnfs.20251401.13
T2 - International Journal of Nutrition and Food Sciences
JF - International Journal of Nutrition and Food Sciences
JO - International Journal of Nutrition and Food Sciences
SP - 22
EP - 27
PB - Science Publishing Group
SN - 2327-2716
UR - https://doi.org/10.11648/j.ijnfs.20251401.13
AB - Dietary prescriptions or “therapeutic nutritional education” must be an integral part of the holistic care of diabetic patients. However, for various reasons, some patients go without it. The objective of this work was to determine the proportion of patients followed in a health center in Abidjan (Smires) who benefited from therapeutic nutritional education and to evaluate the effect of good compliance with this nutritional education on their parameters. morpho-anthropometric and metabolic. A cross-sectional study with a descriptive aim was carried out to do this, for 6 months including patients meeting the inclusion criteria and followed at the SMIRES center. In total, 30 patients were interviewed, among whom there were 50% obese people, the average age was 52.5 years, the average fasting blood sugar was 1.89 g/L and the average duration of discovery of diabetes was relatively low, 4.96 years. At least 80% of patients had benefited from therapeutic nutritional education, including 66.69% from a Nutritionist/Dietician at this center. At least 70.02% of patients reported rigorously following these dietary prescriptions. Generally, we noted a good evolution of the morpho-anthropometric and metabolic parameters of the patients. Indeed, a good part of the patients who had high values in terms of these parameters, particularly saw their waist circumferences (56.67%), BMI (50.01%), blood sugar (50%), glycated hemoglobin (40.01%) decrease. This study confirms the important role played by nutritional education in the therapy that diabetic patients should benefit from.
VL - 14
IS - 1
ER -
Gbakayoro, J., Vanié, S. C., Yépié, A. H., Ouattara, Y. Y., Abodo, J. R., et al. (2025). Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan. International Journal of Nutrition and Food Sciences, 14(1), 22-27. https://doi.org/10.11648/j.ijnfs.20251401.13
Gbakayoro, J.; Vanié, S. C.; Yépié, A. H.; Ouattara, Y. Y.; Abodo, J. R., et al. Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan. Int. J. Nutr. Food Sci.2025, 14(1), 22-27. doi: 10.11648/j.ijnfs.20251401.13
Gbakayoro J, Vanié SC, Yépié AH, Ouattara YY, Abodo JR, et al. Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan. Int J Nutr Food Sci. 2025;14(1):22-27. doi: 10.11648/j.ijnfs.20251401.13
@article{10.11648/j.ijnfs.20251401.13,
author = {Jean-Brice Gbakayoro and Stéphane Claver Vanié and Audrey Herbert Yépié and Yéné Yolande Ouattara and Jacko Rhedoor Abodo and Kouakou Brou},
title = {Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan
},
journal = {International Journal of Nutrition and Food Sciences},
volume = {14},
number = {1},
pages = {22-27},
doi = {10.11648/j.ijnfs.20251401.13},
url = {https://doi.org/10.11648/j.ijnfs.20251401.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20251401.13},
abstract = {Dietary prescriptions or “therapeutic nutritional education” must be an integral part of the holistic care of diabetic patients. However, for various reasons, some patients go without it. The objective of this work was to determine the proportion of patients followed in a health center in Abidjan (Smires) who benefited from therapeutic nutritional education and to evaluate the effect of good compliance with this nutritional education on their parameters. morpho-anthropometric and metabolic. A cross-sectional study with a descriptive aim was carried out to do this, for 6 months including patients meeting the inclusion criteria and followed at the SMIRES center. In total, 30 patients were interviewed, among whom there were 50% obese people, the average age was 52.5 years, the average fasting blood sugar was 1.89 g/L and the average duration of discovery of diabetes was relatively low, 4.96 years. At least 80% of patients had benefited from therapeutic nutritional education, including 66.69% from a Nutritionist/Dietician at this center. At least 70.02% of patients reported rigorously following these dietary prescriptions. Generally, we noted a good evolution of the morpho-anthropometric and metabolic parameters of the patients. Indeed, a good part of the patients who had high values in terms of these parameters, particularly saw their waist circumferences (56.67%), BMI (50.01%), blood sugar (50%), glycated hemoglobin (40.01%) decrease. This study confirms the important role played by nutritional education in the therapy that diabetic patients should benefit from.
},
year = {2025}
}
TY - JOUR
T1 - Impact of Therapeutic Nutritional Education on the Anthropometric and Metabolic Parameters of Diabetic Subjects Monitored at the Smires Medical Center in Abidjan
AU - Jean-Brice Gbakayoro
AU - Stéphane Claver Vanié
AU - Audrey Herbert Yépié
AU - Yéné Yolande Ouattara
AU - Jacko Rhedoor Abodo
AU - Kouakou Brou
Y1 - 2025/01/21
PY - 2025
N1 - https://doi.org/10.11648/j.ijnfs.20251401.13
DO - 10.11648/j.ijnfs.20251401.13
T2 - International Journal of Nutrition and Food Sciences
JF - International Journal of Nutrition and Food Sciences
JO - International Journal of Nutrition and Food Sciences
SP - 22
EP - 27
PB - Science Publishing Group
SN - 2327-2716
UR - https://doi.org/10.11648/j.ijnfs.20251401.13
AB - Dietary prescriptions or “therapeutic nutritional education” must be an integral part of the holistic care of diabetic patients. However, for various reasons, some patients go without it. The objective of this work was to determine the proportion of patients followed in a health center in Abidjan (Smires) who benefited from therapeutic nutritional education and to evaluate the effect of good compliance with this nutritional education on their parameters. morpho-anthropometric and metabolic. A cross-sectional study with a descriptive aim was carried out to do this, for 6 months including patients meeting the inclusion criteria and followed at the SMIRES center. In total, 30 patients were interviewed, among whom there were 50% obese people, the average age was 52.5 years, the average fasting blood sugar was 1.89 g/L and the average duration of discovery of diabetes was relatively low, 4.96 years. At least 80% of patients had benefited from therapeutic nutritional education, including 66.69% from a Nutritionist/Dietician at this center. At least 70.02% of patients reported rigorously following these dietary prescriptions. Generally, we noted a good evolution of the morpho-anthropometric and metabolic parameters of the patients. Indeed, a good part of the patients who had high values in terms of these parameters, particularly saw their waist circumferences (56.67%), BMI (50.01%), blood sugar (50%), glycated hemoglobin (40.01%) decrease. This study confirms the important role played by nutritional education in the therapy that diabetic patients should benefit from.
VL - 14
IS - 1
ER -
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