POL Scientific / JBM / Volume 11 / Issue 4 / DOI: 10.14440/jbm.2024.0040
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RESEARCH ARTICLE

Physician’s perceived barriers to millet-based diet in clinical practice: A cross-sectional survey

Sushma Katkuri1 Shubhangi Saxena2 Satyalakshmi Komarraju3 Sathyanath Dasarathan4 Shrikanth Muralidharan4*
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1 Department of Community Medicine, Malla Reddy Institute of Medical Sciences, Hyderabad 500055, Telangana, India
2 Department of Physiology, Sant Hirdaram Medical College, Bhopal 462030, Madhya Pradesh, India
3 National Institute of Naturopathy, Ministry of Ayush, Government of India, Pune 411001, Maharashtra, India
4 Department of Research, National Institute of Naturopathy, Ministry of Ayush, Government of India, Pune 411001, Maharashtra, India
JBM 2024 , 11(4), e99010030; https://doi.org/10.14440/jbm.2024.0040
Submitted: 24 July 2024 | Revised: 16 August 2024 | Accepted: 5 September 2024 | Published: 23 October 2024
© 2024 by the Journal of Biological Methods published by POL Scientific. Licensee POL Scientific, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Objectives: This study aimed to investigate the perceived barriers faced by physicians in Maharashtra when recommending a millet-based diet for diabetic patients. The objectives were to identify the challenges physicians encounter in promoting millet consumption, assess their knowledge and beliefs about millet-based diets, and evaluate the current resources and practices used in dietary counseling for diabetes management. Methods: A cross-sectional survey was conducted among 68 physicians specializing in diabetes care in Maharashtra. Participants were recruited using snowball sampling and met the inclusion criteria of having over 10 years of clinical practice and significant experience in diabetes management. Data collection was performed through a pre-tested survey tool distributed through email and Google Forms. The survey included questions on the effectiveness of millet-based diets, patient characteristics influencing dietary recommendations, barriers to providing millet-based food education, and current and desired resources for promoting such diets. Ethical approval was obtained, and informed consent was secured from all participants. Results: The survey revealed that 70.59% of physicians considered a millet-based diet significantly effective for lowering blood sugar levels. However, several barriers were identified, including high comorbidities (82.35%) and low income (54.41%) among patients, which hindered dietary recommendations. In addition, physicians reported a lack of formal training in millet-based nutrition (73.53%), personal skepticism toward millet-based diets (63.23%), and insufficient patient educational resources (55.89%). Current resources used for dietary counseling were primarily verbal education (100%) and electronic resources (97.06%). Conclusion: Despite recognizing the potential benefits of millet-based diets, physicians face substantial barriers in recommending them to diabetic patients. These barriers include factors such as lack of training, time, and educational resources. To overcome these challenges, there is a need for enhanced educational programs for physicians, increased availability of patient-friendly educational materials, and access to trained dietitians. Implementing these measures could improve dietary management strategies and health outcomes for diabetic patients.

Keywords
Diabetes mellitus
Diet
Millet
Physicians
India
Funding
None.
References
  1. American Diabetes Association. 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S14-S31. doi: 10.2337/dc20-S002

 

  1. Evert AB, Dennison M, Gardner CD, et al. Nutrition therapy for adults with diabetes or prediabetes: A consensus report. Diabetes Care. 2019;42(5):731-754. doi: 10.2337/dci19-0014

 

  1. Kumar A, Tomer V, Kaur A, Kumar V, Gupta K. Millets: A solution to agrarian and nutritional challenges. Agric Food Secur. 2018;7:31. doi: 10.1186/s40066-018-0183-3

 

  1. Franz MJ, Boucher JL, Rutten-Ramos S, VanWormer JJ. Lifestyle weight-loss intervention outcomes in overweight and obese adults with type 2 diabetes: A systematic review and meta-analysis of randomized clinical trials. J Acad Nutr Diet. 2015;115(9):1447-1463. doi: 10.1016/j.jand.2015.02.031

 

  1. Jena A, Sharma V, Dutta U. Millets as superfoods: Let thy cereal be thy medicine. Indian J Gastroenterol. 2023;42:304-307. doi: 10.1007/s12664-023-01377-1

 

  1. Saleh ASM, Zhang Q, Chen J, Shen Q. Millet grains: Nutritional quality, processing, and potential health benefits. Compr Rev Food Sci Food Saf. 2013;12(3):281-295. doi: 10.1111/1541-4337.12012

 

  1. Devi PB, Vijayabharathi R, Sathyabama S, Malleshi NG, Priyadarisini VB. Health benefits of finger millet (Eleusine coracana L.) polyphenols and dietary fiber: A review. J Food Sci Technol. 2014;51(6):1021-1040. doi: 10.1007/s13197-011-0584-9

 

  1. FAO. Sorghum and Millets in Human Nutrition. FAO Food and Nutrition Series, No. 27. Rome: Food and Agriculture Organization of the United Nations; 1995. Available from : https://www.fao.org/4/ t0818e/t0818e01.htm [Last accessed on 2024 May 31].

 

  1. Agrawal P, Singh BR, Gajbe U, Kalambe MA, Bankar M. Managing diabetes mellitus with millets: A new solution. Cureus. 2023;15(9):e44908. doi: 10.7759/cureus.44908

 

  1. Gopalan C, Srikantia SG, Rao BSN. Nutritive Value of Indian Foods. Hyderabad: National Institute of Nutrition; 1989.

 

  1. Kiosia A, Dagbasi A, Berkley JA, et al. The double burden of malnutrition in individuals: Identifying key challenges and re-thinking research focus. Nutr Bull. 2024;49(2):132-145. doi: 10.1111/nbu.12670

 

  1. Hassan ZM, Sebola NA, Mabelebele M. The nutritional use of millet grain for food and feed: A review. Agric Food Secur. 2021;10(1):16. doi: 10.1186/s40066-020-00282-6

 

  1. Ioniță-Mîndrican CB, Ziani K, Mititelu M, et al. Therapeutic benefits and dietary restrictions of fiber intake: A state of the art review. Nutrients. 2022;14(13):2641. doi: 10.3390/nu14132641

 

  1. Kiran T, Glazier RH, Campitelli MA, Calzavara A, Stukel TA. Relation between primary care physician supply and diabetes care and outcomes: A cross-sectional study. CMAJ Open. 2016;4(1):E80-E87. doi: 10.9778/cmajo.20150065

 

  1. Ruggiero L, Glasgow R, Dryfoos JM, et al. Diabetes self-management. Self-reported recommendations and patterns in a large population. Diabetes Care. 1997;20(4):568-576. doi: 10.2337/diacare.20.4.568

 

  1. Tallman DA, Latifi E, Kaur D, et al. Dietary patterns and health outcomes among African American maintenance hemodialysis patients. Nutrients. 2020;12(3):797. doi: 10.3390/nu12030797. Erratum in: Nutrients. 2020;12(11):E3430. doi: 10.3390/nu12113430

 

  1. Franz MJ, Powers MA, Leontos C, et al. The evidence for medical nutrition therapy for type 1 and type 2 diabetes in adults. J Am Diet Assoc. 2010;110(12):1852-1889. doi: 10.1016/j.jada.2010.09.014

 

  1. Znyk M, Kaleta D. Healthy lifestyle counseling, and barriers perceived by general practitioners in Poland. Front Public Health. 2023;11:1256505. doi: 10.3389/fpubh.2023.1256505

 

  1. Abshire DA, Gibbs S, McManus C, Caldwell T, Cox A. Interest, resources, and preferences for weight loss programs among primary care patients with obesity. Patient Educ Couns. 2020;103:1846-1849. doi: 10.1016/j.pec.2020.04.003
Conflict of interest
The authors declare no conflict of interest.
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Journal of Biological Methods, Electronic ISSN: 2326-9901 Print ISSN: TBA, Published by POL Scientific