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Dietary beliefs and eating patterns influence metabolic health in type 2 diabetes: A clinic-based study in urban North India

Colles, Susan L., Singh, Shweta, Kohli, Chhavi and Mithal, Ambrish (2013). Dietary beliefs and eating patterns influence metabolic health in type 2 diabetes: A clinic-based study in urban North India. Indian Journal of Endocrinology and Metabolism,17(6):1066-1072.

Document type: Journal Article
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IRMA ID cmartelxPUB121
Title Dietary beliefs and eating patterns influence metabolic health in type 2 diabetes: A clinic-based study in urban North India
Author Colles, Susan L.
Singh, Shweta
Kohli, Chhavi
Mithal, Ambrish
Journal Name Indian Journal of Endocrinology and Metabolism
Publication Date 2013
Volume Number 17
Issue Number 6
ISSN 2230-8210   (check CDU catalogue  open catalogue search in new window)
Start Page 1066
End Page 1072
Total Pages 7
Place of Publication India
Publisher Medknow Publications and Media Pvt. Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Background:
Almost 15% of India's urban adult populace now lives with type 2 diabetes. This study aimed to characterize the eating patterns, knowledge, beliefs, and determinants of food choice, and assess associations with the metabolic health among urban Asian Indians with type 2 diabetes.

Materials and Methods:

A cross-sectional study of 258 individuals (mean age 55.7 ± 10 years; body mass index 27.1 ± 4.8 kg/m 2 ; diabetes duration 10.1 ± 6.5 years) attending two out-patient clinics in New Delhi, India. Food-related information was collected during a semi-structured interview. Clinical, anthropometric, and biochemical data were recorded.

Results:
Beliefs related to health and diabetes played a role determining food choice and dietary patterns; erroneous views were associated with the poor food choices and greater metabolic perturbations. Average consumption of fruits/vegetables was low. Intakes were positively associated with intentions to manage diabetes; inversely associated with the waist circumference and negatively correlated with one's degree of personal responsibility for food choice. Household saturated fat usage was common. High fat intakes were positively associated with the taste preference, ratings of perceived "health-value;" waist circumference, glycosylated haemoglobin percentage (HbA1c%) and lipids.

Conclusions:

Strategies to enhance diabetes control among Asian Indians are required and should encourage fruit/vegetable intake, personal accountability, and consider individual beliefs and preferences. Greater emphasis and resources directed to regular dietary and behavioral counseling may assist.`
DOI http://dx.doi.org/10.4103/2230-8210.122626   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Open access True


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