Consumption of fruits, vegetables and salt in the context of control of type 2 diabetes and hypertension in Kerala, India

• Main Authors: Jissa V Thulaseedharan, P Sankara Sarma, Kavumpurath R Thankappan, Biju Soman, Ravi P Varma, Kannan Srinivasan, Manju R Nair, Panniyammakkal Jeemon, V Raman Kutty
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: Journal of Family Medicine and Primary Care
• Subjects: control; dietary intake; hypertension; type 2 diabetes
• Online Access: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2021;volume=10;issue=7;spage=2646;epage=2654;aulast=Thulaseedharan

Background: Proper diet is necessary to control hypertension and diabetes. This paper describes the combined fruit and vegetable, and salt intake of adults (>=18 years) who were detected to have hypertension or diabetes. Methods: We analysed the data from a state-wide survey of 12012 adults using the World Health Organization STEPs for NCD risk factor surveillance. We evaluated the recommended intake of fruit and vegetable (>=5 servings/day) and salt (<5 gm/day) across participants divided into four strata, and the probabilities were also estimated using the fitted multiple binary logistic regression models. Results: Overall, 13.9% (95%CI: 12.2%-15.9%) and 29.4% (95%CI: 28%-30.8%) of participants consumed the recommended level of fruit and vegetable, and salt, respectively. Adjusted odds ratios were not significantly different across the four strata based on the status of treatment and control of diabetes or hypertension. The likelihood of following the recommended fruit and vegetable intake was highest for 50-69-year-old females with above high school education, obese, under treatment for diabetes or hypertension, and had normal values of FBS and BP (0.28). The likelihood for recommended salt intake was highest for 50-69-year-old males with above high school education and had normal BMI, under treatment for diabetes or hypertension, and had normal values of FBS and BP (0.69). Conclusion: The status of diabetes or hypertension did not show considerable influence in the fruit, vegetable, and salt intake of adults in general. A detailed exploration of the accessibility and acceptability of such recommended intakes in the Kerala context is warranted.