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Assessment of self‐efficacy and its effect on plasma lipid profile in Hispanic diabetics
Author(s) -
Batech Michael,
Wheeler Gina,
Ojo Emmanuel,
Beeson Lawrence,
DeLeon Marino,
Balcazar Hector,
CorderoMacIntyre Zaida
Publication year - 2009
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.23.1_supplement.735.4
Subject(s) - cholesterol , diabetes mellitus , calorie , dietary cholesterol , medicine , ldl cholesterol , food science , type 2 diabetes , endocrinology , chemistry
O: To evaluate the effect of self‐efficacy on diet, blood glucose and plasma lipids among Hispanics with diabetes. M: Thirty four subjects (9 M & 25 F), ages 39 ‐ 69 years, participated in a 3‐month follow‐up study. "My Family Habits" questionnaire assessed changes in dietary self‐efficacy. Wilcoxon's Signed Rank and Paired t‐Tests assessed changes between baseline and follow‐up and Spearman's correlation assessed associations between self‐monitored dietary intake and laboratory measurements. R: In all subjects, there was a significant increase in self‐efficacy in choosing foods labeled low sodium, sodium free or no salt added (p=0.031), filling salt‐shakers with a mixture of herbs and spices (p=0.018), choosing fruits and vegetables instead of high fat foods (p=0.0198), and baking instead of frying fish (p=0.0084). After three months, HbA1c (p=0.0027), plasma total cholesterol (p=0.0006), plasma LDL cholesterol (p=0.0009), and blood glucose (p=0.0043), were inversely associated with choosing fruits and vegetables instead of high fat foods. A negative correlation was observed between plasma total cholesterol (p=0.012) and reading labels to choose foods lower in calories. C: After a three‐month culturally and language‐sensitive diabetes education program, subjects with improved dietary choices had lower HbA1c, total cholesterol, LDL cholesterol and blood glucose.