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Precision nutrition for type 2 diabetes in Benin: leveraging linear goal programming to optimize diets with emphasis on adequacy, affordability, accessibility, and culture.
Alaofè, Halimatou; Mahdavimanshadi, Mahdi; Mizéhoun-Adissoda, Carmelle; Okechukwu, Abidemi; Hounkpatin, Waliou Amoussa; Bedrick, Edward John; Gninkoun, Jules; Fan, Neng; Ehiri, John.
Afiliación
  • Alaofè H; Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.
  • Mahdavimanshadi M; Department of Systems and Industrial Engineering, University of Arizona, Tucson, AZ, United States.
  • Mizéhoun-Adissoda C; School of Nutrition and Dietetics, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin.
  • Okechukwu A; Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.
  • Hounkpatin WA; School of Nutrition and Food Science and Technology, Faculty of Agricultural Sciences of the University of Abomey-Calavi, Calavi, Benin.
  • Bedrick EJ; Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.
  • Gninkoun J; Faculty of Health Sciences, University of Abomey Calavi, Cotonou, Benin.
  • Fan N; Department of Systems and Industrial Engineering, University of Arizona, Tucson, AZ, United States.
  • Ehiri J; Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.
Front Nutr ; 11: 1400594, 2024.
Article en En | MEDLINE | ID: mdl-39176027
ABSTRACT

Background:

Nutrition and diet are critical to managing Type 2 diabetes (T2D). Low-income households often face challenges maintaining a healthy and balanced diet due to food insecurity, availability, and cost. To address this issue, we used a linear goal programming (LGP) model to develop nutritionally adequate, affordable, accessible, and culturally acceptable diets for persons with T2D in Benin, a French-speaking sub-Saharan country. The goal was to help persons with T2D manage their condition more effectively.

Methods:

We compiled a robust list of local commonly consumed foods in Benin, and calculated their nutritional value using West African food composition tables and food costs per serving from a market survey. Using mathematical optimization techniques, we designed dietary plans that meet the daily nutrient intake recommended by the World Health Organization (WHO) to prevent chronic diseases in normal adults. While adhering to dietary constraints of T2D, we developed optimized diet plans with varying energy levels that meet all nutrient requirements while considering availability, acceptability, and budgetary constraints.

Results:

Fifty-two food items and recipes were evaluated to create six low-cost daily menus. Menu 1 was the most affordable at CFA 1,127 (USD 1.88), providing 1890 kcal of energy, while Menu 6 was the most expensive at CFA 1,227 (USD 2.05), providing 1749 kcal. All the menus met the daily WHO minimum requirements for carbohydrates, fat, cholesterol, and fiber content, while other nutrients such as protein, vitamin C, and iron reached the upper limits of the acceptable value range.

Conclusion:

Linear goal programming can be an effective tool in helping to obtain optimized adequate, accessible, and culturally acceptable diets at minimal cost by interpreting and translating dietary recommendations into a nutritional model, based on local market prices.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Nutr Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Nutr Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza