Macronutrient intake, diagnosis status, and glycemic control among US Hispanics/Latinos with diabetes

Xueyin Wang, Molly Jung, Yasmin Mossavar-Rahmani, Daniela Sotres-Alvarez, Rebeca A. Espinoza Giacinto, Amber Pirzada, Samantha A. Reina, Sarah S. Casagrande, Tao Wang, M. Larissa Avilés-Santa, Robert C. Kaplan, Qibin Qi

Research output: Contribution to journalArticle

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Abstract

Context: Diet modification is a mainstay of diabetes management. US Hispanics/Latinos are disproportionately affected by diabetes, but few studies have examined dietary intake among US Hispanics/Latinos with diabetes, and little is known regarding the influence of diabetes awareness on dietary intake. Objective: We evaluated macronutrient intake and its associations with diabetes awareness and glycemic control among US Hispanics/Latinos with diabetes. Participants: This analysis included 3310 diabetic adults aged 18-74 years from the Hispanic Community Health Study/Study of Latinos (2008-2011). Main Outcome Measures: Diabetes was defined as diagnosed (based on medical history or antihyperglycemic medication use) or undiagnosed diabetes (based on fasting glucose ≥ 126 mg/dL, glycated hemoglobin [HbA1c] ≥ 6.5%, or 2 h glucose ≥ 200 mg/dL in the absence of a physician diagnosis). Dietary intake was assessed using two 24-hour recalls. Results: Among Hispanic/Latino adults with diabetes, 21.2%, 55.7%, and 71.2% met the American Diabetes Association recommendations for fiber (≥14 g per 1000 kcal), saturated fat (<10% of total energy), and cholesterol intake (<300 mg), respectively. Compared with those with undiagnosed diabetes, people with diagnosed diabetes consumed less carbohydrate (50.3 vs 52.4% of total energy; P = .017), total sugar (19.1 vs 21.5% of total energy; P = .002), added sugar (9.8 vs 12.1% of total energy; P < .001), and more total fat (30.7 vs 29.3% of total energy; P = .048) and monounsaturated fat (11.5 vs 10.7% of total energy; P = .021). Association between diabetes awareness and low total and added sugar intake was observed in individuals of Mexican and Puerto Rican background but not in other groups (P for interaction < .05). Among people with diagnosed diabetes, those with HbA1c of 7% or greater consumed more total fat, saturated fat, and cholesterol than those with HbA1c less than 7% (all P < .05). Conclusions: Among US Hispanics/Latinos with diabetes, fiber intake is low, and diabetes awareness is associated with reduced carbohydrate and sugar intake and increased monounsaturated fat intake. Sugar intake may require special attention in certain Hispanic/Latino background groups.

Original languageEnglish (US)
Pages (from-to)1856-1864
Number of pages9
JournalJournal of Clinical Endocrinology and Metabolism
Volume101
Issue number4
DOIs
StatePublished - Apr 1 2016

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Medical problems
Hispanic Americans
Fats
Sugars
Cholesterol
Carbohydrates
Diet Therapy
Glucose
Glycosylated Hemoglobin A
Fibers
Energy Intake
Hypoglycemic Agents
Nutrition
Fasting
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Biochemistry
  • Endocrinology
  • Clinical Biochemistry
  • Biochemistry, medical

Cite this

Macronutrient intake, diagnosis status, and glycemic control among US Hispanics/Latinos with diabetes. / Wang, Xueyin; Jung, Molly; Mossavar-Rahmani, Yasmin; Sotres-Alvarez, Daniela; Espinoza Giacinto, Rebeca A.; Pirzada, Amber; Reina, Samantha A.; Casagrande, Sarah S.; Wang, Tao; Avilés-Santa, M. Larissa; Kaplan, Robert C.; Qi, Qibin.

In: Journal of Clinical Endocrinology and Metabolism, Vol. 101, No. 4, 01.04.2016, p. 1856-1864.

Research output: Contribution to journalArticle

Wang, X, Jung, M, Mossavar-Rahmani, Y, Sotres-Alvarez, D, Espinoza Giacinto, RA, Pirzada, A, Reina, SA, Casagrande, SS, Wang, T, Avilés-Santa, ML, Kaplan, RC & Qi, Q 2016, 'Macronutrient intake, diagnosis status, and glycemic control among US Hispanics/Latinos with diabetes', Journal of Clinical Endocrinology and Metabolism, vol. 101, no. 4, pp. 1856-1864. https://doi.org/10.1210/jc.2015-3237
Wang, Xueyin ; Jung, Molly ; Mossavar-Rahmani, Yasmin ; Sotres-Alvarez, Daniela ; Espinoza Giacinto, Rebeca A. ; Pirzada, Amber ; Reina, Samantha A. ; Casagrande, Sarah S. ; Wang, Tao ; Avilés-Santa, M. Larissa ; Kaplan, Robert C. ; Qi, Qibin. / Macronutrient intake, diagnosis status, and glycemic control among US Hispanics/Latinos with diabetes. In: Journal of Clinical Endocrinology and Metabolism. 2016 ; Vol. 101, No. 4. pp. 1856-1864.
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abstract = "Context: Diet modification is a mainstay of diabetes management. US Hispanics/Latinos are disproportionately affected by diabetes, but few studies have examined dietary intake among US Hispanics/Latinos with diabetes, and little is known regarding the influence of diabetes awareness on dietary intake. Objective: We evaluated macronutrient intake and its associations with diabetes awareness and glycemic control among US Hispanics/Latinos with diabetes. Participants: This analysis included 3310 diabetic adults aged 18-74 years from the Hispanic Community Health Study/Study of Latinos (2008-2011). Main Outcome Measures: Diabetes was defined as diagnosed (based on medical history or antihyperglycemic medication use) or undiagnosed diabetes (based on fasting glucose ≥ 126 mg/dL, glycated hemoglobin [HbA1c] ≥ 6.5{\%}, or 2 h glucose ≥ 200 mg/dL in the absence of a physician diagnosis). Dietary intake was assessed using two 24-hour recalls. Results: Among Hispanic/Latino adults with diabetes, 21.2{\%}, 55.7{\%}, and 71.2{\%} met the American Diabetes Association recommendations for fiber (≥14 g per 1000 kcal), saturated fat (<10{\%} of total energy), and cholesterol intake (<300 mg), respectively. Compared with those with undiagnosed diabetes, people with diagnosed diabetes consumed less carbohydrate (50.3 vs 52.4{\%} of total energy; P = .017), total sugar (19.1 vs 21.5{\%} of total energy; P = .002), added sugar (9.8 vs 12.1{\%} of total energy; P < .001), and more total fat (30.7 vs 29.3{\%} of total energy; P = .048) and monounsaturated fat (11.5 vs 10.7{\%} of total energy; P = .021). Association between diabetes awareness and low total and added sugar intake was observed in individuals of Mexican and Puerto Rican background but not in other groups (P for interaction < .05). Among people with diagnosed diabetes, those with HbA1c of 7{\%} or greater consumed more total fat, saturated fat, and cholesterol than those with HbA1c less than 7{\%} (all P < .05). Conclusions: Among US Hispanics/Latinos with diabetes, fiber intake is low, and diabetes awareness is associated with reduced carbohydrate and sugar intake and increased monounsaturated fat intake. Sugar intake may require special attention in certain Hispanic/Latino background groups.",
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T1 - Macronutrient intake, diagnosis status, and glycemic control among US Hispanics/Latinos with diabetes

AU - Wang, Xueyin

AU - Jung, Molly

AU - Mossavar-Rahmani, Yasmin

AU - Sotres-Alvarez, Daniela

AU - Espinoza Giacinto, Rebeca A.

AU - Pirzada, Amber

AU - Reina, Samantha A.

AU - Casagrande, Sarah S.

AU - Wang, Tao

AU - Avilés-Santa, M. Larissa

AU - Kaplan, Robert C.

AU - Qi, Qibin

PY - 2016/4/1

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N2 - Context: Diet modification is a mainstay of diabetes management. US Hispanics/Latinos are disproportionately affected by diabetes, but few studies have examined dietary intake among US Hispanics/Latinos with diabetes, and little is known regarding the influence of diabetes awareness on dietary intake. Objective: We evaluated macronutrient intake and its associations with diabetes awareness and glycemic control among US Hispanics/Latinos with diabetes. Participants: This analysis included 3310 diabetic adults aged 18-74 years from the Hispanic Community Health Study/Study of Latinos (2008-2011). Main Outcome Measures: Diabetes was defined as diagnosed (based on medical history or antihyperglycemic medication use) or undiagnosed diabetes (based on fasting glucose ≥ 126 mg/dL, glycated hemoglobin [HbA1c] ≥ 6.5%, or 2 h glucose ≥ 200 mg/dL in the absence of a physician diagnosis). Dietary intake was assessed using two 24-hour recalls. Results: Among Hispanic/Latino adults with diabetes, 21.2%, 55.7%, and 71.2% met the American Diabetes Association recommendations for fiber (≥14 g per 1000 kcal), saturated fat (<10% of total energy), and cholesterol intake (<300 mg), respectively. Compared with those with undiagnosed diabetes, people with diagnosed diabetes consumed less carbohydrate (50.3 vs 52.4% of total energy; P = .017), total sugar (19.1 vs 21.5% of total energy; P = .002), added sugar (9.8 vs 12.1% of total energy; P < .001), and more total fat (30.7 vs 29.3% of total energy; P = .048) and monounsaturated fat (11.5 vs 10.7% of total energy; P = .021). Association between diabetes awareness and low total and added sugar intake was observed in individuals of Mexican and Puerto Rican background but not in other groups (P for interaction < .05). Among people with diagnosed diabetes, those with HbA1c of 7% or greater consumed more total fat, saturated fat, and cholesterol than those with HbA1c less than 7% (all P < .05). Conclusions: Among US Hispanics/Latinos with diabetes, fiber intake is low, and diabetes awareness is associated with reduced carbohydrate and sugar intake and increased monounsaturated fat intake. Sugar intake may require special attention in certain Hispanic/Latino background groups.

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