Relationship Between Nutrition Education and Dietary Compliance in Patients with Non-Communicable Diseases: A Cross-Sectional Study
DOI:
https://doi.org/10.61099/junedik.v4i1.217Keywords:
Dietary Compliance, Health Education, Non-Communicable Diseases, Nutrition TherapyAbstract
Introduction: Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, and dietary management is a cornerstone of their prevention and control. However, dietary compliance among patients with NCDs remains suboptimal. Nutrition education is considered a key strategy to improve adherence, yet evidence regarding its real-world association with dietary compliance across diverse NCD populations remains limited. This study aimed to analyze the relationship between nutrition education and dietary compliance among patients with non-communicable diseases.
Methods: An analytical cross-sectional study was conducted among 100 adult patients diagnosed with hypertension, type 2 diabetes mellitus, dyslipidemia, or cardiovascular disease. Data were collected through structured interviews and medical record review. Nutrition education exposure was categorized as adequate or inadequate based on documented counseling sessions. Dietary compliance was assessed using a validated adherence questionnaire. Bivariate analysis was performed using the Chi-square test, and multivariate logistic regression was applied to determine independent associations, with statistical significance set at p<0.05.
Results: 60% of respondents received adequate nutrition education, and 65% were dietarily compliant. Patients who received adequate nutrition education were significantly more likely to adhere to recommended dietary guidelines (p=0.001). After adjustment for sociodemographic and clinical variables, adequate nutrition education remained an independent predictor of dietary compliance (AOR=4.32; 95% CI: 1.85–10.09).
Conclusion: Nutrition education is significantly associated with improved dietary compliance among patients with NCDs. Integrating structured and repeated nutrition education into chronic disease management programs may enhance adherence and improve long-term health outcomes
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Abdeen, S. K., Mastandrea, I., Stinchcombe, N., Puschhof, J., & Elinav, E. (2025). Diet-microbiome interactions in cancer. Cancer Cell, 43(4), 680–707. https://doi.org/10.1016/j.ccell.2025.03.013
Aderoju, Y. B. G., Hayford, F. E. A., Achempim-Ansong, G., Duah, E., Baloyi, T. V., Morerwa, S., Agordoh, P., & Dzansi, G. (2025). Exploring the application of Dietary Approaches to Stop Hypertension (DASH) in the management of patients with Chronic Kidney Disease: A systematic review and meta-analysis. Clinical Nutrition ESPEN, 69, 711–721. https://doi.org/10.1016/j.clnesp.2025.08.030
Anisha, S. A., Sen, A., & Bain, C. (2024). Evaluating the Potential and Pitfalls of AI-Powered Conversational Agents as Humanlike Virtual Health Carers in the Remote Management of Noncommunicable Diseases: Scoping Review. Journal of Medical Internet Research, 26, e56114. https://doi.org/10.2196/56114
Cando, L. F. T., Quebral, E. P. B., Ong, E. P., Catral, C. D. M., Relador, R. J. L., Velasco, A. J. D., Alcazar, R. M. U., Reyes, N. A. L., Pilotin, E. J. B., Ornos, E. D. B., Paz-Pacheco, E., & Tantengco, O. A. G. (2024). Current status of diabetes mellitus care and management in the Philippines. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 18(2), 102951. https://doi.org/10.1016/j.dsx.2024.102951
Chiu, C.-W., Le, T.-P.-T., Huang, C.-H., Chang, C.-T., & Cheng, C.-C. (2025). Qualitative and quantitative analysis of the dietary approaches to stop hypertension diet for personalized hypertension management. Computers & Industrial Engineering, 207, 111286. https://doi.org/10.1016/j.cie.2025.111286
Damigou, E., Florentin, M., Chrysohoou, C., Anastasiou, C., Barkas, F., Liberopoulos, E., Sfikakis, P. P., Tsioufis, C., Pitsavos, C., & Panagiotakos, D. (2025). Cardiovascular disease burden attributable to estimated glomerular filtration rate: Insights from the ATTICA study (2002–2022). Annals of Epidemiology, 111, 1–8. https://doi.org/10.1016/j.annepidem.2025.09.007
Elkomy, S., & Jackson, T. (2024). WHO non-communicable diseases Global Monitoring Framework: Pandemic resilience in sub-Saharan Africa and Low-income Countries. Socio-Economic Planning Sciences, 95, 102043. https://doi.org/10.1016/j.seps.2024.102043
Gomes, O. V., Freire de Souza, C. D., Nicacio, J. M., Feliciano do Carmo, R., Pereira, V. C., Fialho de Oliveira Armstrong, D. M., Barral-Netto, M., & da Costa Armstrong, A. (2024). Prevalence and associated factors of chronic kidney disease among Truká Indigenous adults in Cabrobó, Brazil: a population-based study. The Lancet Regional Health - Americas, 38, 100882. https://doi.org/10.1016/j.lana.2024.100882
Gulhane, M., Kumar, S., Choudhary, S., Rakesh, N., Khatri, N., Tandon, C., Balusamy, B., & Nayyar, A. (2026). Comprehensive review of heart disease prediction: A comparative study from 2019 onwards. Artificial Intelligence in Medicine, 174, 103354. https://doi.org/10.1016/j.artmed.2026.103354
Gurusamy, J., Gandhi, S., Damodharan, D., Palaniappan, M., & Ganesan, V. (2025). Development of a multicomponent lifestyle modification intervention package (LMIP) for persons with schizophrenia in India. Asian Journal of Psychiatry, 112, 104701. https://doi.org/10.1016/j.ajp.2025.104701
Ibrahim, M., Ba-Essa, E. M., Alvarez, J. A., Baker, J., Bruni, V., Cahn, A., Ceriello, A., Cosentino, F., Davies, M. J., De Domenico, F., Eckel, R. H., Friedman, A. N., Goldney, J., Hamtzany, O., Isaacs, S., Karadeniz, S., Leslie, R. D., Lingvay, I., McLaughlin, S., … Umpierrez, G. E. (2025). Obesity and its management in primary care setting. Journal of Diabetes and Its Complications, 39(7), 109045. https://doi.org/10.1016/j.jdiacomp.2025.109045
Izquierdo, M., de Souto Barreto, P., Arai, H., Bischoff-Ferrari, H. A., Cadore, E. L., Cesari, M., Chen, L.-K., Coen, P. M., Courneya, K. S., Duque, G., Ferrucci, L., Fielding, R. A., García-Hermoso, A., Gutiérrez-Robledo, L. M., Harridge, S. D. R., Kirk, B., Kritchevsky, S., Landi, F., Lazarus, N., … Fiatarone Singh, M. A. (2025). Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR). The Journal of Nutrition, Health and Aging, 29(1), 100401. https://doi.org/10.1016/j.jnha.2024.100401
Lama, K., Bhutia, G. T., Deka, R., Beeraka, N. M., & Gupta, S. K. (2025). From inflammation to intervention: exploring shared mechanisms and lifestyle strategies in diabetes mellitus and multiple sclerosis. International Immunopharmacology, 165, 115467. https://doi.org/10.1016/j.intimp.2025.115467
Lim, E. C. N., Yu, X. F., & Lim, C. E. D. (2025). Beyond pharmaceuticals: Integrating Chinese culinary medicine with modern nutritional science for holistic diabetes management. Journal of Traditional Chinese Medical Sciences. https://doi.org/10.1016/j.jtcms.2025.08.003
Ovai, B., Onuh, J., & Aryee, A. N. A. (2026). The role of plant-food derived bioactives in modulating the gut microbiome, inflammation and metabolic syndrome: Regulatory and market dynamics. Food Research International, 227, 118243. https://doi.org/10.1016/j.foodres.2025.118243
Prinelli, F., Mastropietro, A., Bernini, S., Camboni, T., Consolandi, C., Conti, S., Costa, A., Cotta Ramusino, M., Jesuthasan, N., Pansarasa, O., Perdixi, E., Pichiecchio, A., Rizzo, G., Scarian, E., & Severgnini, M. (2026). Impacts of an antioxidant-rich diet and lifestyle factors on gut microbiota diversity and brain health: An exploratory analysis from the NutBrain study. Clinical Nutrition, 58, 106585. https://doi.org/10.1016/j.clnu.2026.106585
Rahman, N. (2025). Policy implementation of midwife traditional birth attendant partnerships to reduce maternal and child mortality. Jurnal Edukasi Ilmiah Kesehatan, 3(3), 149–157. https://doi.org/10.61099/junedik.v3i3.159
Ravali, A., Sunil Kumar, D., Shruddha, & Yadav, D. (2025). Transforming Health: The role of mobile applications in lifestyle changes for hypertension. Clinical Epidemiology and Global Health, 34, 102097. https://doi.org/10.1016/j.cegh.2025.102097
Saleh, M. Y., Saleh, A. Y., Abbas, R. H., al Hiali, T., Mohamed, A. F., & Ali Al-Nuaimi, A. M. (2026). Recent advances in exercise effects on immunosenescence and management of diseases. International Immunopharmacology, 168, 115971. https://doi.org/10.1016/j.intimp.2025.115971
Singh, A., Bhardwaj, A., Sharma, R., Midha, V., & Sood, A. (2025). Developing IBD counsellors in low- and middle-income countries: bridging gaps in patient care. EClinicalMedicine, 83, 103218. https://doi.org/10.1016/j.eclinm.2025.103218
Stubbendorff, A., Janzi, S., Borné, Y., Carlbaum, M., Jukkola, J., Ericson, U., Hallström, E., & Sonestedt, E. (2025). Associations between dietary greenhouse gas emissions, mortality, and chronic disease risk: a prospective cohort study in Sweden. Environmental Challenges, 20, 101309. https://doi.org/https://doi.org/10.1016/j.envc.2025.101309
Sun, C., Zhu, J., Sun, X., Zhang, Z., Sun, Y., Jin, Y., & Wu, T. (2025). Targeting the human gut microbiome: a comparative review of probiotics, prebiotics, synbiotics, and postbiotics. Journal of Advanced Research. https://doi.org/https://doi.org/10.1016/j.jare.2025.12.032
Suprapto, & Kadang, Y. (2026). Effectiveness Of Nursing Interventions in The Implementation of Primary Health Care Policies: A Systematic Review. Majalah Kesehatan Indonesia, 7(1), 21–30. https://doi.org/https://doi.org/10.47679/makein.2026282
Suprapto, S. (2026). Relationship between knowledge level and contraceptive compliance among family planning acceptors: A Cross-Sectional Study. Journal Interdisciplinary Health, 2(1), 27–34. https://doi.org/10.61099/jih.v2i1.175
Tadjoedin, F. M., Adiatman, M., Lee, Y. Y. A., Banu, U. S., Tan, S. S. L., & Garg, V. (2026). Oral health and healthy aging: A multiregional review. The Journal of Aging Research & Lifestyle, 15, 100057. https://doi.org/10.1016/j.jarlif.2025.100057
Thao, N. P., Tra, B. T. C., Hung, L. X., & Hung, N. T. (2024). Impact of distress on the nutritional status of patients with type 2 diabetes mellitus at the National Hospital of Endocrinology in 2022. Human Nutrition & Metabolism, 37, 200278. https://doi.org/10.1016/j.hnm.2024.200278
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