Faktor-faktor yang Berhubungan dengan Kepatuhan Diet pada Penderita Diabetes Melitus Tipe 2

  • Zulfahmi Zulfahmi Universitas Hasanuddin Makassar, Indonesia
  • Syahrul Syahrul Universitas Hasanuddin
  • Andina Setyawati Universitas Hasanuddin


This study aims to determine the factors that influence dietary compliance in people with type 2 diabetes mellitus (DM) as a whole using the methods used: descriptive study, qualitative study, cross-sectional survey. There were seven articles that met the inclusion criteria. The average age of the sample in the articles obtained ranged from 18 to 70 years. In conclusion, the factors found to influence diet compliance were knowledge factors about eating patterns, physical activity factors, access to information factors, social support factors, motivation and self-ability factors, perception factors, income factors, age factors, and environmental and cultural factors.


Keywords: Diabetes Mellitus, Compliance, Diet


Abera, R. G., Demesse, E. S., & Boko, W. D. (2022). Evaluation of Glycemic Control and related factors among outpatients with type 2 diabetes at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: a cross-sectional study. BMC Endocrine Disorders, 22(1), 1–11. https://doi.org/10.1186/s12902-022-00974-z

Al-Sinani, M., Min, Y., Ghebremeskel, K., & Qazaq, H. S. (2010). Effectiveness of and Adherence to Dietary and Lifestyle Counselling: Effect on Metabolic Control in Type 2 Diabetic Omani Patients. Sultan Qaboos University Medical Journal, 10(3), 341–349. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074742/

Cántaro, K., Jara, J. A., Taboada, M., & Mayta-Tristán, P. (2016). Asociación Entre Las Fuentes de Información y el nivel de Conocimientos Sobre Diabetes en Pacientes Diabéticos Tipe 2. Endocrinologia y Nutricion, 63(5), 202–211. https://doi.org/10.1016/j.endonu.2016.01.005

Caperon, L., Arjyal, A., Puja, K. C., Kuikel, J., Newell, J., Peters, R., Prestwich, A., & King, R. (2019). Developing a socio-ecological model of dietary behaviour for people living with diabetes or high blood glucose levels in urban Nepal: A qualitative investigation. PLoS ONE, 14(3), 1–25. https://doi.org/10.1371/journal.pone.0214142

Demirtaş, A., & Akbayrak, N. (2017). Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in Turkish population: Psychometric evaluation. International Journal of Nursing Sciences, 4(3), 244–251. https://doi.org/10.1016/j.ijnss.2017.06.002

Ebrahim, Z., De Villiers, A., & Ahmed, T. (2014). Factors influencing adherence to dietary guidelines: A qualitative study on the experiences of patients with type 2 diabetes attending a clinic in Cape Town. Journal of Endocrinology, Metabolism and Diabetes of South Africa, 19(2), 76–84. https://doi.org/10.1080/16089677.2014.11073604

Gabriel, R., Abdelkader, N. B., Acosta, T., Gilis-Januszewska, A., Gómez-Huelgas, R., Makrilakis, K., Kamenov, Z., Paulweber, B., Satman, I., Djordjevic, P., Alkandari, A., Mitrakou, A., Lalic, N., Colagiuri, S., Lindström, J., Egido, J., Natali, A., Pastor, J. C., Teuschl, Y., … Tuomilehto, J. (2020). Early prevention of diabetes microvascular complications in people with hyperglycaemia in Europe. ePREDICE randomized trial. Study protocol, recruitment and selected baseline data. PLoS ONE, 15(4), 1–23. https://doi.org/10.1371/journal.pone.0231196

Ganiyu, A. B., Mabuza, L. H., Malete, N. H., Govender, I., & Ogunbanjo, G. A. (2013). Non- adherence to diet and exercise recommendations amongst patients with type 2 diabetes mellitus attending extension II clinic in Botswana. African Journal of Primary Health Care and Family Medicine, 5(1), 2–7. https://doi.org/10.4102/phcfm.v5i1.457

Hollands, G. J., Shemilt, I., Marteau, T. M., Jebb, S. A., Kelly, M. P., Nakamura, R., Suhrcke, M., & Ogilvie, D. (2013). Altering micro-environments to change population health behaviour: Towards an evidence base for choice architecture interventions. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-1218

Kavookjian, J., Berger, B. A., Grimley, D. M., Villaume, W. A., Anderson, H. M., & Barker, K. N. (2005). Patient decision making: Strategies for diabetes diet adherence intervention. Research in Social and Administrative Pharmacy, 1(3), 389–407. https://doi.org/10.1016/j.sapharm.2005.06.006

Klinovszky, A., Márton Kiss, I., Papp-Zipernovszky, O., Lengyel, C., & Buzás, N. (2019). Associations of different adherences in patients with type 2 diabetes mellitus. Patient Preference and Adherence, 13, 395–407. https://doi.org/10.2147/PPA.S187080

Kugbey, N., Oppong Asante, K., & Adulai, K. (2017). Illness perception, diabetes knowledge and self-care practices among type-2 diabetes patients: A cross-sectional study. BMC Research Notes, 10(1), 1–7. https://doi.org/10.1186/s13104-017-2707-5

Lynch, E. B., Mack, L., Avery, E., Wang, Y., Dawar, R., Richardson, D. J., Keim, K., Ventrelle, J., Appelhans, B. M., Tahsin, B., & Fogelfeld, L. (2019). Randomized trial of a lifestyle intervention for urban low-income African Americans with type 2 diabetes. Journal of General Internal Medicine, 34(7), 1174–1183. https://doi.org/10.1007/s11606-019-04894-y

Mirahmadizadeh, A., Khorshidsavar, H., Seif, M., & Sharifi, M. H. (2020). Adherence to Medication, Diet and Physical Activity and the Associated Factors Amongst Patients with Type 2 Diabetes. Diabetes Therapy, 11(2), 479–494. https://doi.org/10.1007/s13300-019-00750-8

Mphasha, M., Mothiba, T., & Skaal, L. (2021). Assessment of diabetes dietary knowledge and its impact on intake of patients in Senwabarwana, Limpopo, South Africa. Journal of Endocrinology, Metabolism and Diabetes of South Africa, 26(3), 89–95. https://doi.org/10.1080/16089677.2021.1927584

Owolabi, E. O., Goon, D. Ter, & Ajayi, A. I. (2020). Impact of mobile phone text messaging intervention on adherence among patients with diabetes in a rural setting: A randomized controlled trial. Medicine (United States), 99(12). https://doi.org/10.1097/MD.0000000000018953

Pachucki, M. A., Jacques, P. F., & Christakis, N. A. (2011). Social network concordance in food choice among spouses, friends, and siblings. American Journal of Public Health, 101(11), 2170–2177. https://doi.org/10.2105/AJPH.2011.300282

Patrick, N. B., Yadesa, T. M., Muhindo, R., & Lutoti, S. (2021). Poor glycemic control and the contributing factors among type 2 diabetes mellitus patients attending outpatient diabetes clinic at mbarara regional referral hospital, Uganda. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14, 3123–3130. https://doi.org/10.2147/DMSO.S321310

Phan, T. P., Alkema, L., Tai, E. S., Tan, K. H. X., Yang, Q., Lim, W.-Y., Teo, Y. Y., Cheng, C.-Y., Wang, X., Wong, T. Y., Chia, K. S., & Cook, A. R. (2014). Forecasting the burden of type 2 diabetes in Singapore using a demographic epidemiological model of Singapore. BMJ Open Diabetes Research & Care, 2(1), e000012. https://doi.org/10.1136/bmjdrc-2013-000012

Sapkota, S., Brien, J. anne E., Gwynn, J., Flood, V., & Aslani, P. (2017). Perceived impact of Nepalese food and food culture in diabetes. Appetite, 113, 376–386. https://doi.org/10.1016/j.appet.2017.03.005

Shantanam, S., & Mualler. (2018b). 乳鼠心肌提取 HHS Public Access. Physiology & Behavior, 176(1), 139–148. https://doi.org/10.1177/1742395317690032.Associations

Silverman, J., Krieger, J., Kiefer, M., Hebert, P., Robinson, J., & Nelson, K. (2015). The Relationship Between Food Insecurity and Depression, Diabetes Distress and Medication Adherence Among Low-Income Patients with Poorly-Controlled Diabetes. Journal of General Internal Medicine, 30(10), 1476–1480. https://doi.org/10.1007/s11606-015-3351-1

Tezera, R., Sahile, Z., Yilma, D., Misganaw, E., Amare, E., & Haidar, J. (2022). Food security status of patients with type 2 diabetes and their adherence to dietary counselling from selected hospitals in Addis Ababa, Ethiopia: A cross-sectional study. PLoS ONE, 17(4 April), 1–16. https://doi.org/10.1371/journal.pone.0265523

Urbanczyk, C. H., & Wattenbarger, R. A. (1994). Optimization of well rates under gas coning conditions. SPE Advanced Technology Series, 2(2), 61–68. https://doi.org/10.2118/21677-pa

Uusitupa, M., Khan, T. A., Viguiliouk, E., Kahleova, H., Rivellese, A. A., Hermansen, K., Pfeiffer, A., Thanopoulou, A., Salas-Salvadó, J., Schwab, U., & Sievenpiper, J. L. (2019). Prevention of type 2 diabetes by lifestyle changes: A systematic review and meta-analysis. Nutrients, 11(11), 1–22. https://doi.org/10.3390/nu11112611

Webster, C. C., Murphy, T. E., Larmuth, K. M., Noakes, T. D., & Smith, J. A. (2019). Diet, diabetes status, and personal experiences of individuals with type 2 diabetes who self- selected and followed a low carbohydrate high fat diet. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 12, 2567–2582. https://doi.org/10.2147/DMSO.S227090

Wong, M. K., Cheng, S. Y. R., Chu, T. K., Lam, F. Y., Lai, S. K., Wong, K. C., & Liang, J. (2020). Impact of motivational interviewing on self-management in patients with type 2 diabetes: Protocol for a pilot randomized controlled trial. JMIR Research Protocols, 9(3), 1–9.

Wu, S. L., Peng, L. Y., Chen, Y. M., Zeng, F. F., Zhuo, S. Y., Li, Y. B., Lu, W., Chen, P. Y., & Ye, Y. Bin. (2022). Greater Adherence to Dietary Guidelines Associated with Reduced Risk of Cardiovascular Diseases in Chinese Patients with Type 2 Diabetes. Nutrients, 14(9), 1–18.

Yasmin, F., Yasmin, F., Nahar, N., Banu, B., Ali, L., Sauerborn, R., & Souares, A. (2020). The influence of mobile phone-based health reminders on patient adherence to medications and healthy lifestyle recommendations for effective management of diabetes type 2: A randomized control trial in Dhaka, Bangladesh. BMC Health Services Research, 20(1), 1–12. https://doi.org/10.1186/s12913-020-05387-z
Abstract viewed = 44 times
pdf downloaded = 47 times