Discrepancies Between Perceived Dietary Changes and 4-Day Food Records in Older Adults with Diabetes

Arnold, Marilynn S.; Funnell, Martha M.; Herman, William H.; Brown, Morton B.; Merritt, Jennifer H.; Fooler, Janet M.; Halter, Jeffrey B.

doi:10.1016/s0002-8223(96)00192-7

Cited by 12 publications

(7 citation statements)

References 16 publications

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“…replacing ordinary milk for lowlactose milk among individuals with lactose intolerance) 40 . It is also plausible that the perceived dietary change may not always be a real change 41 .…”

Section: Discussionmentioning

confidence: 99%

Past food habit change is related to obesity, lifestyle and socio-economic factors in the Malmo Diet and Cancer Cohort

Sonestedt

Wirfält

Gullberg

et al. 2005

Public Health Nutr.

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Objectives: To examine if obesity status and socio-economic and lifestyle factors are associated with self-reported past food habit change, and also whether the level of obesity depends on the reason for change. Design: Cross-sectional analysis within the Malmo Diet and Cancer (MDC) study using data from the baseline examination and the extensive socio-economic and lifestyle questionnaire including questions of past food habit change. The risk of having changed food habits in the past was examined using logistic regression. Mean differences in obesity status across categories of reasons for past food habit change were examined using analysis of variance. Setting: Malmö, the third largest city in Sweden. Subjects: A sub-sample (15 282 women and 9867 men) from the MDC cohort recruited from 1992 to 1996. Results: Individuals with body mass index (BMI) . 30 kg m 22 had an increased risk of having reported past food habit change compared with individuals with BMI , 25 kg m 22 (odds ratio (OR) ¼ 1.63, 95% confidence interval (CI) ¼ 1.48-1.83 for women; OR ¼ 1.53, 95% CI ¼ 1.32-1.76 for men). The highest level of obesity was observed among individuals who had changed their diet due to reasons related to the metabolic syndrome. Changers were more likely to be highly educated and to live alone, be retired, ex-smokers and non-drinkers at baseline. Conclusions: Because past food habit change is related to obesity and other lifestyle and socio-economic factors, a complex confounding situation may exist that could seriously influence observed relationships between diet and disease. Studies need to collect information on past food habit change and take this information into account in the analysis and when interpreting study outcomes.

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“…replacing ordinary milk for lowlactose milk among individuals with lactose intolerance) 40 . It is also plausible that the perceived dietary change may not always be a real change 41 .…”

Section: Discussionmentioning

confidence: 99%

Past food habit change is related to obesity, lifestyle and socio-economic factors in the Malmo Diet and Cancer Cohort

Sonestedt

Wirfält

Gullberg

et al. 2005

Public Health Nutr.

View full text Add to dashboard Cite

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“…Phone interviews revealed that 92% of subjects had read the nutritional tip sheets, 83% reported that they were useful, and 90% reported meeting some or all of their nutritional goals. The authors used self-reported nutrition behavior change without corroborating objective measures, which has been shown to be an unreliable way to determine dietary composition for an elderly population (Arnold et al, 1996;Mayeda and Anderson, 1993). Most of the study outcomes measured showed that the exercise program had significant impact.…”

Section: Nutrition Education For Older Adults 35mentioning

confidence: 99%

Improving Effectiveness of Nutrition Education Resources for Older Adults

Higgins

Barkley

2004

Journal of Nutrition For the Elderly

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This article discusses published reports and studies from the past decade that focused primarily on using written or other tangible nutrition educational resources with older adults, such as brief "handouts," newsletters, brochures, booklets, curricular lessons, board games, audiotapes and videotapes. Studies of health professionals' needs and desires for such materials are also reviewed. Thirteen articles, of which four were theory-based, were found. They are summarized in tables that include details regarding the educational resource(s) used; a description of the subjects and controls, if any; the evaluation methods used; and results obtained. Ten practical suggestions are offered to help educators select or develop more effective printed, audiotape, videotape and other tangible nutrition education resources appropriate for older adults. Much research remains to be done in this area. This article is one of a series of literature reviews of topics related to nutrition education for older adults.

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“…The lack of difference in outcomes between the EXCH and HFC approaches may be due to similarities in food usage; both groups had comparable fat and sugar intakes at baseline and reported significant but comparable reductions in fat and sugar intake at follow-up. It should be recognized that even though others have used similar approaches to evaluate dietary intake (36,45), such self-reports might not always be accurate reflections of actual dietary composition and energy intake (45)(46)(47)(48)(49)(50)(51)(52). However, to the extent that the HFC approach produces comparable outcomes but is easier to understand and easier to teach than the EXCH approach, the HFC approach may be preferable for use in urban populations with low literacy such as that served by Grady (27).…”

Section: Changes In Weightmentioning

confidence: 99%

A Simple Meal Plan Emphasizing Healthy Food Choices Is as Effective as an Exchange-Based Meal Plan for Urban African Americans With Type 2 Diabetes

et al. 2003

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OBJECTIVE -To compare a simple meal plan emphasizing healthy food choices with a traditional exchange-based meal plan in reducing HbA 1c levels in urban African Americans with type 2 diabetes. RESEARCH DESIGN AND METHODS -A total of 648 patients with type 2 diabeteswere randomized to receive instruction in either a healthy food choices meal plan (HFC) or an exchange-based meal plan (EXCH) to compare the impact on glycemic control, weight loss, serum lipids, and blood pressure at 6 months of follow-up. Dietary practices were assessed with food frequency questionnaires.RESULTS -At presentation, the HFC and EXCH groups were comparable in age (52 years), sex (65% women), weight (94 kg), BMI (33.5), duration of diabetes (4.8 years), fasting plasma glucose (10.5 mmol/l), and HbA 1c (9.4%). Improvements in glycemic control over 6 months were significant (P Ͻ 0.0001) but similar in both groups: HbA 1c decreased from 9.7 to 7.8% with the HFC and from 9.6 to 7.7% with the EXCH. Improvements in HDL cholesterol and triglycerides were comparable in both groups, whereas other lipids and blood pressure were not altered. The HFC and EXCH groups exhibited similar improvement in dietary practices with respect to intake of fats and sugar sweetened foods. Among obese patients, average weight change, the percentage of patients losing weight, and the distribution of weight lost were comparable with the two approaches.CONCLUSIONS -Medical nutrition therapy is effective in urban African Americans with type 2 diabetes. Either a meal plan emphasizing guidelines for healthy food choices or a low literacy exchange method is equally effective as a meal planning approach. Because the HFC meal plan may be easier to teach and easier for patients to understand, it may be preferable for low-literacy patient populations. Diabetes Care 26:1719 -1724, 2003M inority groups have a high prevalence of type 2 diabetes (1-4). In the National Health and Nutrition Examination Survey III and BRFSS (Behavioral Risk Factor Surveillance System), the age-standardized prevalence of diabetes was 1.6-fold higher in African Americans than in Caucasians (5,6). The disproportionate frequency of diabetes in African Americans is especially impressive in women (4,7), even after correcting for the prevalence of obesity (4,8 -10). The problem of diabetes for African Americans is particularly striking above the age of 45 years, when the prevalence of diabetes in African Americans is almost twice that in Caucasians (11); diabetes is present in 29% of African Americans 65-74 years of age (5). It is especially alarming that the frequency of altered metabolism is rising even in younger African Americans; recent studies found the prevalence of impaired glucose tolerance to be 20% in a group with an average age of 34 years (12) and 8.6% in girls between 5 and 10 years old (13).Medical nutrition therapy is essential in preventing the development of diabetes (14 -16), and medical nutrition therapy is well recognized as a cornerstone of management in patients who have diabetes. Med...

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Discrepancies Between Perceived Dietary Changes and 4-Day Food Records in Older Adults with Diabetes

Cited by 12 publications

References 16 publications

Past food habit change is related to obesity, lifestyle and socio-economic factors in the Malmo Diet and Cancer Cohort

Past food habit change is related to obesity, lifestyle and socio-economic factors in the Malmo Diet and Cancer Cohort

Improving Effectiveness of Nutrition Education Resources for Older Adults

A Simple Meal Plan Emphasizing Healthy Food Choices Is as Effective as an Exchange-Based Meal Plan for Urban African Americans With Type 2 Diabetes

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