PURPOSE: Diet and eating habits are of key importance in patients with type 2 diabetes mellitus (T2DM). The purpose of this comparative study was to analyze fat- and fiber-related behavior (FFB) in patients with T2DM from distinct cultural areas. PATIENTS AND METHODS: Observational study was carried out in the Czech Republic (CR) (n=200), the US (n=207), and Yemen (n=200). Patients completed the Fat- and Fiber-related Diet Behavior Questionnaire (FFBQ). RESULTS: Differences in all aspects of FFB among countries were found (P<0.05). The best fat-related behavior reported was from patients from the CR. Patients from the US showed the worst fat-related behavior in total. On the other hand, patients from the US reported the best fiber-related behavior. Patients from Yemen reached the worst scores in all fat-related domains. Patients from all studied countries reported the best results in the "modify meat" and "avoid fat as flavoring" and the worst in the "substitute high fiber" subscales. CONCLUSION: Professionals involved in the diet education of T2DM patients should be aware of the specificity of diet in their country when advising patients keeping general recommendations. We suggest them to be as specific as possible and concentrate on fiber-related behavior.

Department of Biophysics and Physical Chemics Faculty of Pharmacy in Hradec Králové Charles University Prague Hradec Králové Czech Republic ; Institute of Computer Science Academy of Sciences of the Czech Republic Prague Czech Republic

Department of Clinical Pharmacy El Rio Community Health Center Tucson AZ USA

Department of Social and Clinical Pharmacy Faculty of Pharmacy in Hradec Králové Charles University Prague Hradec Králové Czech Republic

Diabetes Center Department of Gerontology and Metabolism University Hospital and Faculty of Medicine in Hradec Králové Charles University Prague Hradec Králové Czech Republic

Faculty of Dentistry Ibb University Ibb Yemen

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