Dietary fat reduction behaviors among African American, American Indian, and white older adults with diabetes.
Dietary self-management of diabetes is often difficult for older adults to practice, particularly in rural communities. We describe patterns and correlates of dietary fat reduction among older rural adults with diabetes of any type. In-home interviews were conducted with a multiethnic random sample of 701 adults ≥ 65 with diabetes from two North Carolina counties. The Fat and Fiber Behavior Questionnaire was used to measure dietary behaviors. Separate multiple linear regressions assessed effects of gender, ethnicity, and diabetes education. In general, scores were more favorable for practices that involved modifying food preparation (e.g., avoiding frying) and less favorable for practices that involved changing foods consumed (e.g., substituting fruits and vegetables as desserts or snacks). American Indians and African Americans had less favorable scores than whites, and diabetes education was associated with greater fat restriction for women than men. Older men and ethnic minorities with diabetes should be targeted for dietary change education.
Quandt
Sara A
SA
Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. squandt@wfubmc.edu
Bell
Ronny A
RA
Snively
Beverly M
BM
Vitolins
Mara Z
MZ
Wetmore-Arkader
Lindsay K
LK
Arcury
Thomas A
TA
D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D000368:Aged; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D018752:Diet, Fat-Restricted; D004041:Dietary Fats / Q000008:administration & dosage*; D005260:Female; D015438:Health Behavior; D006801:Humans; D007198:Indians, North American / Q000523:psychology / Q000706:statistics & numerical data; D008297:Male; D009657:North Carolina; D012424:Rural Population; D012648:Self Care; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data
D004041:Dietary Fats
Med Clin North Am. 2005 Sep;89(5):949-75, viii
16129107
Diabetes Care. 2009 Jan;32 Suppl 1:S13-61
19118286
Addict Behav. 1996 Mar-Apr;21(2):239-47
8730527
Adv Chronic Kidney Dis. 2008 Apr;15(2):147-52
18334239
Diabetes Care. 2005 Sep;28(9):2280-8
16123507
J Am Diet Assoc. 2004 Jan;104(1):51-7
14702584
J Nutr Elder. 2003;23(2):1-16
14714678
Am J Public Health. 2002 Nov;92(11):1761-7
12406805
Ethn Dis. 2005 Autumn;15(4):656-63
16259490
Gerontologist. 2000 Feb;40(1):86-96
10750316
J Nutr Elder. 2008;27(3-4):363-80
19042580
Diabetes Educ. 2005 Nov-Dec;31(6):890-9
16288096
Cancer Epidemiol Biomarkers Prev. 1997 May;6(5):355-61
9149896
J Psychiatr Res. 1975 Nov;12(3):189-98
1202204
Diabetes Care. 2005 Apr;28(4):823-9
15793180
J Nutr Elder. 2004;24(1):89-104
15339723
JAMA. 1993 May 12;269(18):2386-91
8479064
J Am Diet Assoc. 2000 Jul;100(7):833-5
10916525
Diabetes Educ. 2005 Jan-Feb;31(1):84-90
15779249
Gerontologist. 2000 Aug;40(4):480-91
10961037
J Am Coll Nutr. 1997 Dec;16(6):517-23
9430078
Prev Med. 2000 Oct;31(4):380-9
11006063
J Rural Health. 2005 Spring;21(2):172-7
15859055
J Nutr Elder. 2008;27(1-2):155-78
18928195
J Am Diet Assoc. 1990 Feb;90(2):214-20
2303658
J Rural Health. 2006 Spring;22(2):164-8
16606429
Ethn Dis. 2008 Spring;18(2):136-40
18507263
Br J Nutr. 2004 Jul;92(1):7-19
15230984
Public Health Nutr. 2004 Dec;7(8):1081-8
15548347
J Rural Health. 2007 Autumn;23(4):332-8
17868240
J Nutr Elder. 2006;25(3-4):23-40
18032214