Publication: The association between dietary intake and bloating symptoms in type 2 diabetes patients at HPUSM
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Date
2025-06
Authors
Bustamam, Nurul Natasha Mohd
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Abstract
GI symptoms, particularly bloating, are frequently reported among individuals with T2DM. Such symptoms may negatively affect quality of life and dietary habits. However, limited local data exists on how dietary intake relates to bloating symptoms in this population. This study aimed to assess the dietary intake of T2DM patients with mean age of at HPUSM, determine the severity of bloating, and to explore the association between dietary intake and bloating severity. A cross-sectional study was conducted involving 100 T2DM patients at Hospital USM. Data collection included a 24-hour dietary recall, sociodemographic questionnaire, and the Bloating Severity Questionnaire (BSQ) consisting of SevGen and Sev24 components. Results of this study indicated that there is no association between dietary intake and bloating symptom among T2DM. The overall mean energy intake was 1491.83 ± 615.2 kcal, with carbohydrates contributing 52.5%, protein 17.4%, and fat 30.1% of total energy. The average SevGen and Sev24 scores were 14.4 (6.2) and 9.66 (4.7), respectively, indicating moderate bloating symptoms. No statistically significant differences in dietary intake were found between participants with and without bloating symptoms (p > 0.05). Additionally, Pearson correlation results showed no significant association between energy or macronutrient intake and bloating scores, though fat intake showed a weak negative trend with bloating symptoms (Sev24: r = -0.190, p = 0.058). In conclusion, this study found no significant association between dietary intake and bloating among T2DM patients. However, observed trends suggest further research is warranted, especially focusing on fat intake, fiber content, and eating behaviour. These findings contribute preliminary evidence on the dietary patterns and bloating experiences of Malaysian diabetic patients
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