title: Characteristics that enhance adherence to high-carbohydrate/high-fiber diets by persons with diabetes.
abstract: This study sought to characterize 40 clients with diabetes, 19 of whom adhered to a high-carbohydrate/fiber diet and 21 of whom did not, in accordance with the adherence pattern. There would seem to be distinct differences in the characteristics of adherers and non-adherers. Dietary adherence was found to be independent for sex, age, occupation, marital status, ethnicity, and education. However, comparison of the groups' health and dietary perceptions showed that non-adherers, as opposed to adherers, were not concerned about reaching their ideal body weight; needed to be motivated to exercise by family or friends; did not perceive diabetes as a threat to their health; were not satisfied with their knowledge about diabetes; were not content with their nutrient status but believed they were consuming adequate amounts of carbohydrate; and believed that they did not need to change their intake of fruit, vegetables, and bread--liking/disliking of these foods being the most important barrier to dietary change. Such patients, identified in screening for potential dietary non-adherence, may benefit from the use of educational strategies different from those used with patients who are more oriented toward health.
authors.affiliation: Department of Human Nutrition, Deakin University, Geelong, Victoria, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Kouris
authors.forename: M L
authors.initials: ML
authors.lastname: Wahlqvist
authors.forename: A
authors.initials: A
authors.lastname: Worsley
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001835:Body Weight; D003920:Diabetes Mellitus / Q000178:diet therapy*; D004040:Dietary Carbohydrates / Q000008:administration & dosage / Q000627:therapeutic use*; D004043:Dietary Fiber / Q000008:administration & dosage / Q000627:therapeutic use*; D015444:Exercise; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires
chemical_list: D004040:Dietary Carbohydrates; D004043:Dietary Fiber