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Effect of medical advice for diet on diabetes self‐management and glycemic control for Haitian and African Americans with type 2 diabetes
Author(s) -
Dixon Zisca,
Exebio Joel C,
Vaccaro Joan A,
Zarini Gustavo G,
Huffman Fatma G
Publication year - 2013
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.27.1_supplement.615.13
Subject(s) - ethnic group , medicine , glycemic , diabetes management , type 2 diabetes , diabetes mellitus , anthropometry , gerontology , logistic regression , odds ratio , prediabetes , family medicine , demography , endocrinology , sociology , anthropology
Objective The purpose was to assess dietary advice with diabetes self‐management and glycemic control by ethnicity. Methods Cross‐sectional analysis of 254 Blacks with type 2 diabetes (Haitian Americans=129; African Americans=125) recruited from Miami‐Dade and Broward Counties, Florida by community outreach. Sociodemographics, anthropometrics and blood samples were collected after informed consent. Results Dietary advice and behavior dependent on ethnicity. The combined model ethnicity by ‘given advice to follow a diet’ was not significant, so separate logistic regression analyses were conducted for each ethnicity. Haitian Americans given advice ‘to follow a diet’ were more likely to ‘use food groups’ than not [OR=3.27(1.32, 8.00) p=.007]. A one unit increase in diabetes self‐management score decreased the odds ratio point estimate of having less than optimal glycemic control (A1C >; 7.2%) by a factor of 0.94 in African Americans (p=.009). Conclusions These results suggest that medical advice for diet plans may not be communicated effectively to some race/ethnicities. Studies of diet management specific to Black ethnicities are recommended. Funding was by an NIH/NIDDK grant.