Joint associations of poor diet quality and prolonged television viewing time with abnormal glucose metabolism in Australian men and women

Abstract

Objective: To examine the independent and joint associations of diet quality and television viewing time with abnormal glucose metabolism (AGM) in men and women.Method: Cross-sectional data from 5346 women and 4344 men from the 1999-2000Australian Diabetes, Obesity and Lifestyle Study were examined. Diet quality scores were derived from a food frequency questionnaire and categorised into tertiles (high; moderate; low). Television viewing time was dichotomised into low (≤14 hours/week) and high (>14 hours/week). AGM was defined as impaired fasting glucose, impaired glucose tolerance, known or newly diagnosed diabetes based on an oral glucose tolerance test. Regression analyses adjusted for confounding variables. viewing time and women with low diet quality/high television viewing time were significantly more likely to have AGM. Associations were not observed in men. Conclusions:Both poor diet quality and prolonged television viewing should be addressed to reduce risk of AGM in women. Further understanding of modifiable risk factors in men is warranted.

Experiences of diabetes self‐management: a focus group study among Australians with type 2 diabetes

“…The notion of diabetes as a 'silent killer' was very evident in the current study, and functioned as an emotional burden. This exact concept was not found in the literature however, the experience of diabetes as an emotional and psychological burden is very prevalent (Kokanovic & Manderson 2006, Manderson & Kokanovic 2009, Reeves et al 2013. Manderson and Kokanovic (2009), for example, found that participants considered that their T2DM led to feelings of inadequacy and self-doubt and caused them to feel 'worried all the time' (p. 291) and Kokanovic and Manderson (2006) found that participants were distressed by their diabetes and struggled to find a balance between lifestyle changes and social engagement.…”

“…Risk factors include lifestyle factors such as sedentary lifestyle (Reeves et al . ), obesity and poor diet (Everson et al . , Bays ), particularly excessive carbohydrate consumption (Gross et al .…”

“…Type 2 diabetes mellitus (T2DM) is one of the most prevalent chronic diseases in the developed world (Bays 2012, Khalil et al 2012, Carolan-Olah et al 2013, and this prevalence is now considered to have reached epidemic proportions (Zimmet et al 2001). Risk factors include lifestyle factors such as sedentary lifestyle (Reeves et al 2013), obesity and poor diet (Everson et al 2002, Bays 2012, particularly excessive carbohydrate consumption (Gross et al 2004) and low socio-economic circumstance (Everson et al 2002). Ethnic characteristics also contribute and individuals from Polynesia, Asia, South Asia (Indian sub-continent) and Aboriginal heritage are considerably more likely to develop T2DM (AIHW: Australian Institute of Health & Welfare 2011).…”

The Relationship Between Diet Quality and Adult Obesity: Evidence from Canada

“…Although better diet quality may not lead to decreased BMI for all individuals, it is important for health promotion; other researchers have demonstrated substantial health benefits from consuming high-quality diets. Especially in women, diet quality has been previously found to be associated with cardiovascular disease [42,43], abnormal glucose metabolism [44], some types of cancer [45], depression [46], and overall mortality [42,47]. Thus, it is beneficial to all individuals-low-or high-BMI-to consume a high-quality diet.…”

Diabetes literacy and informal social support: a qualitative study of patients at a diabetes centre

“…It is a largely preventable lifestyle disease, with its increased prevalence linked in part to sedentary lifestyles (Reeves et al . ) and increased obesity in society (Atlantis et al . ).…”