Dietary Practices of Type 2 Diabetes Mellitus in Nigeria: The Case of Lagos State

References

[1] International Diabetes Federation. IDF Diabetes Atlas, 10th ed. Brussels: IDF; 2021.

[2] World Health Organization. Global report on diabetes. Geneva: WHO; 2016.

[3] Popkin BM. Global nutrition dynamics: the world is shifting rapidly toward a diet linked with noncommunicable diseases. Am J Clin Nutr. 2006;84(2):289–298.

[4] Vorster HH, Kruger A. Evidence that nutrition transition in sub-Saharan Africa contributes to the double burden of disease. Public Health Nutr. 2007;10(10):145–150.

[5] Hu FB. Globalization of food patterns and cardiovascular disease risk. Circulation. 2008;118(19):1913–1914.

[6] Misra A, Khunti K, et al. Type 2 diabetes in developing countries: risk factors, challenges, and strategies for prevention. Diabetes Care. 2008;31(Suppl 2):S141–S152.

[7] Steyn NP, et al. Dietary changes and the health transition in South Africa: implications for health policy. S Afr J Clin Nutr. 2012;25(3):87–93.

[8] World Health Organization. Obesity and overweight: key facts. Geneva: WHO; 2023.

[9] American Diabetes Association. Standards of medical care in diabetes—2023. Diabetes Care. 2023;46(Suppl 1):S1–S154.

[10] Franz MJ et al. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes. Diabetes Care. 2002;25(1):148–198.

[11] Ezenwaka CE, et al. Knowledge, attitude, and practice of dietary management among patients with type 2 diabetes in Nigeria and Trinidad. West Indian Med J. 2003;52(3):188–192.

[12] Adebayo RA, et al. Dietary habits, physical activity and lifestyle in patients with type 2 diabetes in South-West Nigeria. Niger J Clin Pract. 2013;16(1):105–110.

[13] Uloko AE, et al. Prevalence and risk factors for diabetes mellitus in Nigeria: a systematic review and meta-analysis. Diabetes Ther. 2018;9(3):1307–1316.

[14] Ogunbode AM, et al. Assessment of dietary compliance among type 2 diabetic patients in Nigeria. Ann Afr Med. 2015;14(3):163–170.

[15] Mengistu DA, et al. Level of dietary adherence and determinants among type 2 diabetes. PLoS One. 2023;18(6):e0271378.

[16] Teshome S, et al. Dietary assessment of type 2 diabetes in Africa: a systematic review. Public Health Nutr Rev. 2022; 2666970622000075.

[17] Adjei EA, et al. Therapeutic patient education programs on diabetes in sub-Saharan Africa. PLoS One. 2024;19:e0299526.

[18] Abera E, et al. Adherence to recommended diet and glycemic control among adults with diabetes in Ethiopia. BMC Public Health. 2020;20:1175.

[19] Tesfaye T, et al. Adherence to the recommended diet among patients with diabetes: factors and nonadherence. PLoS One. 2023;18:e0289622.

[20] Adeyemi O, et al. Dietary nonadherence and its determinants among diabetes patients in Nigeria. BMC Nutr. 2025;11:42.

[21] Fekadu G, et al. Dietary practice among type 2 diabetic patients in Southern Ethiopia. BMC Endocr Disord. 2020;20(1):67.

[22] Abebe SM, et al. Adherence to dietary recommendation and associated factors among diabetic adults in Addis Ababa. PLoS One. 2019;14(11):e0222769.

[23] Nwankwo MC, et al. Effectiveness of diabetes self-management education and support in sub-Saharan Africa: a systematic review. Front Clin Diabetes Healthc. 2025; 1554524.

[24] Kaggwa R, et al. Self-management interventions for T2DM in Africa: evidence synthesis. JBI Evid Synth. 2024;22(9):155–172.

[25] Nel JH, Steyn NP. The nutrition transition and the double burden of malnutrition in sub-Saharan Africa. Int J Environ Res Public Health. 2022;19(24):16791.

[26] Osei E, et al. Poverty, price and preference barriers to improving diets in sub-Saharan Africa. Food Policy. 2023;117:102401.

[27] Tayo BO, et al. Review of ongoing activities and challenges to improve care of T2DM across Africa. Front Pharmacol. 2020;11:108.

[28] Asamoah-Boaheng M, et al. Glycaemic control among type 2 diabetes patients in sub-Saharan Africa: a systematic review. Diabetol Metab Syndr. 2022;14(1):59.

[29] Ngugi R, et al. Dietary interventions and glycaemic control in type 2 diabetes: review of African studies. J Public Health Afr. 2020;11(2):1325.

[30] Oboh HA, et al. Diabetes self-care intervention strategies and their effectiveness in Africa. PLoS One. 2023;18:e0305860.

[31] Obirikorang Y, et al. Dietary adherence among persons with type 2 diabetes in Ghana. PLoS One. 2023;18(4):e0302914.

[32] Ganiyu AB, et al. Determinants of dietary adherence among type 2 diabetes: a multicentre study. Diabetes Metab Syndr Obes. 2020;13:2975–2985.

[33] Steyn NP, McHiza ZJ. Obesity and the nutrition transition in sub-Saharan Africa: a review. Afr J Food Agric Nutr Dev. 2014;14(3):1684–1698.

[34] Ndlovu P, et al. Dietary patterns and their sociodemographic correlates in South Africa. Int J Public Health. 2024;69:221–232.

[35] SAS Institute Inc. SAS/STAT 9.2 user’s guide. Cary, NC: SAS Institute Inc.; 2010.

[36] Jolliffe IT. Principal Component Analysis. 2nd ed. New York: Springer; 2002.

[37] WHO. Global Diabetes Compact: Accelerating Action. Geneva: WHO; 2023.

[38] IDF Africa Region. Africa Diabetes Report 2023. Brussels: IDF; 2023.

[39] Oti SO, van de Vijver S. The neglected epidemic: diabetes in sub-Saharan Africa. Trop Med Int Health. 2021;26(6):601–603.

[40] Sirdah MM. Diabetes care and nutrition transition: lessons from the developing world. Nutrients. 2024;16(2):231–245.

@article{1711517,
      author = {Priscilla Offoh, Patrick Kolsteren, Youri Taes},
      title = {Dietary Practices of Type 2 Diabetes Mellitus in Nigeria: The Case of Lagos State},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {9},
      number = {4},
      pages = {1443-1451},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1711517.pdf},
      abstract = {Background: Type 2 diabetes mellitus (T2DM) is rapidly becoming a significant public health concern in sub-Saharan Africa, largely propelled by dietary and lifestyle shifts associated with urbanization. Although dietary management is crucial for glycemic control, there is limited data concerning the dietary and physical activity behaviors of Nigerian patients with T2DM.

Objective: This study aimed to evaluate the dietary practices, physical activity levels, and diabetes-related risk profiles among adult T2DM outpatients attending Lagos University Teaching Hospital, Nigeria.

Methods: A cross-sectional descriptive study design was employed, involving 56 adult T2DM outpatients. Dietary intake was assessed using a 24-hour recall method and subsequently analyzed with the West African Food Composition Table. Physical activity was quantified via a seven-item occupational activity questionnaire, and principal component analysis was utilized to identify key dimensions of activity. The relationships among dietary intake, physical activity, and body mass index were investigated using multiple linear and logistic regression models.

Results: The participant cohort was predominantly categorized as overweight or obese (mean BMI 28.3 ? 4.3 kg/m?), with 39% also presenting with hypertension. The mean daily energy intake (1883 ? 878 kcal) significantly surpassed recommended levels, characterized by a high consumption of refined carbohydrates and inadequate fiber intake. PCA identified two prominent factors?physical positioning and perceived exertion?which collectively accounted for 58% of the variance in activity. Suboptimal workplace positioning demonstrated a significant association with elevated BMI among women (? = 3.43; 95 % CI 1.71?5.47; p < 0.001), while age exhibited a non-significant inverse trend.

Conclusions: Elevated caloric consumption and limited physical activity represent significant modifiable determinants of obesity among urban Nigerians diagnosed with T2DM.  The implementation of culturally appropriate nutritional and physical activity interventions holds the potential to enhance metabolic outcomes within analogous resource-constrained environments.},
      keywords = {Type 2 diabetes mellitus; dietary practices; physical activity; nutrition transition; Lagos University Teaching Hospital (LUTH).},
      month = {October},
      doi = {https://doi.org/10.64388/IREV9I4-1711517}
  }