title: Explaining Racial/Ethnic Dietary Patterns in Relation to Type 2 Diabetes: An Analysis of NHANES 2007-2012.
abstract: OBJECTIVE
  The purpose of this article is to examine sociodemographic and health behavior factors associated with dietary intake as measured by the healthy eating index (HEI-2010) for persons with and without diabetes (T2D).
  
  
  METHODS
  A secondary data analysis of three NHANES data cycles spanning 2007-2012. Multiple linear regression assessed racial/ethnic differences in HEI-2010 scores in those without T2D, with T2D, and with undiagnosed T2D.
  
  
  METHODS
  The sample included non-pregnant adults aged ≥20 years who had two days of reliable dietary recall data.
  
  
  METHODS
  Total scores for the HEI-2010.
  
  
  RESULTS
  For those without T2D, there was a significant association between race/ethnicity and HEI score, with non-Hispanic Blacks achieving significantly lower scores than their non-Hispanic White counterparts. Differences in HEI-2010 score were also associated with age, sex, smoking status and time spent in the United States. Racial/ethnic differences in dietary patterns were present, but not significant in those with undiagnosed or diagnosed T2D.
  
  
  CONCLUSIONS
  Racial/ethnic disparities in dietary patterns are present in individuals without T2D, but differences are not statistically significant in those with undiagnosed or diagnosed T2D. Non-Hispanic Blacks without T2D received significantly lower HEI-2010 scores than non-Hispanic Whites. Further research is necessary to determine whether or not similarities in dietary intake across racial/ethnic groups with T2D will be reflected in diabetes-related health outcomes in this population.
authors: New York University, College of Nursing.
authors: Sarah Y
authors: SY
authors: Nowlin
authors: New York University, College of Nursing.
authors: Charles M
authors: CM
authors: Cleland
authors: University of Rhode Island, Department of Nutrition and Food Studies.
authors: Maya
authors: M
authors: Vadiveloo
authors: New York University, College of Nursing.
authors: Gail
authors: G
authors: D'Eramo Melkus
authors: New York University, Department of Nutrition, Food Studies, and Public Healt.
authors: Niyati
authors: N
authors: Parekh
authors: New York University, College of Nursing.
authors: Holly
authors: H
authors: Hagan
mesh_terms: D000328:Adult; D000368:Aged; D044383:Black People; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology*; D004032:Diet / Q000208:ethnology*; D005006:Ethnicity; D005260:Female; D015438:Health Behavior; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D044469:Racial Groups; D014481:United States; D044465:White People; D055815:Young Adult; D001741:Black or African American
keywords: Diet; Dietary Pattern; Ethnicity; Nutrition; Race; Racial Disparities; Type 2 Diabetes