These data are consistent with the hypothesis that all methods of estimating body fat work better in children with larger amounts of body fat. The best formulas use skinfold thicknesses, bioelectrical impedance, and a 4-compartment model.
Regional food use patterns differ from national patterns and furthermore differ between African American and white adults in the LMD. The resulting Delta NIRI FFQ for Adults should contribute to improved assessment of usual intake for use in studies of diet and health in this region.
Background
Little has been reported regarding food and nutrient intake in persons diagnosed with type 2 diabetes and most reports have been based on findings in select groups or persons who self-reported having diabetes.
Objective
To describe the baseline food and nutrient intake of the Look AHEAD trial participants, compare participant intake to national guidelines, and describe demographic and health characteristics associated with food group consumption.
Methods
The Look AHEAD trial is evaluating the effects of a lifestyle intervention (calorie control and increased physical activity for weight loss) compared to diabetes support and education on long-term cardiovascular and other health outcomes. Participants are 45-75 years old, overweight or obese [Body Mass Index (BMI) ≥ 25 kg/m2], and have type 2 diabetes. Baseline food consumption was assessed in 2,757 participants between September 2000 and December 2003 by food frequency questionnaire in this cross-sectional analysis.
Statistical Analysis
Descriptive statistics were used to summarize intake by demographic characteristics. Kruskal-Wallis tests assessed univariate effects of characteristics on consumption. Multiple linear regression models assessed factors predictive of intake. Least square estimates were based on final models and logistic regression determined factors predictive of recommended intake.
Results
Ninety-three percent of the participants exceeded the recommended amount of percent calories from fat, 85 % exceeded the saturated fat recommendation, and 92% consumed too much sodium. Also, less than half met the minimum recommended servings of fruit, vegetables, dairy, and grains.
Conclusions
These participants with pre-existing diabetes fell short of consuming foods that met recommended food and nutrition guidelines. These overweight adults diagnosed with diabetes are exceeding recommended intake of fat, saturated fats, and sodium which may contribute to increasing their risk of cardiovascular disease and other chronic diseases.
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