Knowledge, Attitude And Practice Of Diabetic Patients Regarding The Use Of Artificial Sweetners As Substitute To Sugar
KAP Of Diabetic Patients Regarding The Use Of Artificial Sweetners
DOI:
https://doi.org/10.70284/njirm.v9i6.2452Keywords:
artificial sweeteners, diabetes mellitus, KAP studyAbstract
: Background: Artificial sweeteners have both beneficial effects and unwanted adverse effects on health as stated by several studies. Inspite of their beneficial effects in diabetes,long term use of artificial sweeteners are not recommended because of their health related complications like obesity, metabolic disorders and Type 2 diabetes etc.Therefore before consuming any artificial sweetener,all diabetic patients should be aware of both health benefits and their health hazards. SO,current study is planned to know the level of knowledge, attitude and practice of diabetic patients regarding artificial sweeteners and to create awareness among these patients to prevent health related complications on long term use of artificial sweeteners. Methodology: A total of 536 diabetic patients were interviewed in the hospital for a period of 3 months. Out of them, 205 diabetic patients were enlisted for the study as they were consuming artificial sweeteners as a substitute to sugar and data was collected through semi structured questionnaire prepared to sought information on knowledge, attitude and practice of diabetes patients on artificial sweeteners and their use. Results: Analysis of knowledge of patients showed that 97% patients don’t know the content of artificial sweetener they consume , 78.5% patients are unaware of health benefits and health hazards of artificial sweeteners and 99.5% patients don’t know for how long these products should be consumed. Analysis of attitude of patients showed that 68.7% patients thinks that they would not prefer to use normal sugar instead of artificial sweetener,94.6% patients thinks that all artificial sweeteners are tested and approved to control blood sugar level . Analysis of practice of patients showed that 80% patients use artificial sweetener in the tablet form specially in tea and only 16% patients felt feeling of well being after consuming artificial sweeteners but rest of the patients are consuming these products only because of doctors advice. These respondants are consuming artificial sweeteners for mean duration of 5.4±4.5 yrs. Conclusion: Maximum no of well educated type 2 diabetes patients prefer to use artificial sweeteners in their diet to control blood sugar level without complete awareness on the content & proper consumption of sweeteners, different types of sugar substitutes, health benefits and hazards of sweeteners. Hence, there is a dire need to promote awareness about artificial sweeteners among diabetic patients in order to prevent any long term complications related to the consumption of these sweeteners.[ Jain R Natl J Integr Res Med, 2018; 9(6):28-35]
References
2. Stanhope KL. Sugar consumption, metabolic disease and obesity: the state of the controversy. Crit Rev Clin Lab Sci. 2016;53:52–67.
3. Martyn DM, Nugent AP, McNulty BA, O'Reilly E, Tlustos C, Walton J, Flynn A, Gibney MJ. Dietary intake of four artificial sweeteners by Irish pre-school children. Food AdditContam Part AChem Anal Control Expo Risk Assess. 2016;33:592–602.
4. Li XE, Lopetcharat K, Drake MA. Parents' And children's acceptance of skim chocolate milks sweetened by monk fruit and stevia leaf extracts. J Food Sci. 2015;80:S1083–S1092.
5. Fujimaru T, Park JH, Lim J. Sensory characteristics and relative sweetness of tagatose and other sweeteners. J Food Sci. 2012;77:S323–S328.
6. Chattopadhyay S, Raychaudhuri U, Chakraborty R. Artificial sweeteners - a review. J Food Sci Technol. 2014;51:611–621.
7. Patil S, Ravi R, Saraswathi G, Prakash M. Development of low calorie snack food based on intense sweeteners. J Food Sci Technol. 2014;51:4096–4101.
8. Nahon DF, Roozen JP, de Graaf C. Sensory evaluation of mixtures of maltitol or aspartame, sucrose and an orange aroma. Chem Senses. 1998;23:59–66.
9. Joshi SR, Parikh RM. India - diabetes capital of the world: now heading towards hypertension. J Assoc Physicians India. 2007;55:323–4.
10. Kumar A, Goel MK, Jain RB, Khanna P, Chaudhary V. India towards diabetes control: Key issues. Australas Med J. 2013;6(10):524–31.
11. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes-estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(3):1047–53.
12. The Calorie Control Council.mht. [Last accessed on 2011 Feb 10].
13. De Koning L, Malik VS, Rimm EB, et al. Sugar-sweetened and artificially sweetened beverage consumption and risk of type 2 diabetes in men. AJCN 2011; 93:1321–1327.
1. 14.M. Yanina Pepino.Physiol Behav.2015 Dec 1;152(0 0):450-455. doi:10.1016/j.physbeh.2015.06.024
14. Welsh JA, Sharma A, Cunningham SA, Vos MB (2011). "Consumption of Added Sugars and Indicators of Cardiovascular Disease Risk Among US Adolescents". Circulation. 123(3): 249–57.
15. Tiemi saito et.al ..Assessment of the level of knowledge of diabetes mellitus patients about sweeteners, Demetra; 2013; 8(1); 39-51
16. Mayasah A. Sadiq, Alaa A. Salih. Knowledge and Attitude About Sweeteners Among Type 2 Diabetic Patients. Archives of Internal Medicine Research 1 (2018): 1-5.
17. Asif, M. (2014). The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. Journal of Education and Health Promotion, 3, 1
