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3 results on '"Kagnica Seng"'

1. Lifestyles Under Lockdown: A Scoping Review of International Studies on Type 2 Diabetes Self-Management Behaviors During COVID-19

Author

Caroline Cummings, Kagnica Seng, Ryan Tweet, and Julie Wagner

Subjects
type 2 diabetes, COVID-19, self-management, physical activity, diet, adherence, Diseases of the endocrine glands. Clinical endocrinology, RC648-665
Abstract

BackgroundThe effect of the COVID-19 pandemic on diabetes self-management behaviors is unclear.ObjectivesThis paper is a scoping review of studies examining health behaviors among people with type 2 diabetes during the COVID-19 pandemic.Eligibility CriteriaWe searched articles available in English using the Search terms “COVID” and “diabetes”, and, separately, each of the following terms: “lifestyle”, “health behavior”, “self-care”, “self-management”, “adherence”, “compliance”, “eating”, “diet”, “physical activity”, “exercise”, “sleep”, “self-monitoring of blood glucose”, or “continuous glucose monitoring”.Sources of EvidenceWe searched PubMed, PsychInfo, and Google Scholar databases from December 2019 through August 2021.Charting MethodsData were extracted by 4 calibrated reviewers and study elements were charted.ResultsThe search identified 1,710 articles. After screening for relevance and eligibility, 24 articles were included in this review. Findings show the strongest evidence for reduced physical activity and stable glucose monitoring and substance use. There was equivocal evidence for deleterious changes in sleep, diet, and medication intake. With one minor exception, there was no evidence for favorable changes in health behaviors. Limitations of the literature include small samples, predominantly cross-sectional study designs, reliance on retrospective self-reports, sampling through social media, and few standardized measures.ConclusionsEarly studies of health behaviors among people with type 2 diabetes during the COVID-19 pandemic suggest a need for novel interventions to support diabetes self-management, especially targeting physical activity. Future studies should go beyond documenting changes in health behaviors and examine predictors of change over time.

Published
2022
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2. Food Insecurity is Associated with Autonomic Dysfunction Among Latinos with Type 2 Diabetes

Author

Richard Feinn, Kagnica Seng, Julie Wagner, Rafael Pérez-Escamilla, Sofia Segura-Pérez, and Angela Bermudez-Millan

Subjects
Stress management, Nutrition and Dietetics, business.industry, Insulin, medicine.medical_treatment, Medicine (miscellaneous), Type 2 diabetes, medicine.disease, Community and Public Health Nutrition, Food insecurity, Autonomic nervous system, Environmental health, Diabetes mellitus, Medicine, Community health workers, business, Food Science, Ambulatory electrocardiography
Abstract

OBJECTIVES: Food insecurity (FI) is higher among Latinos than non-Hispanic Whites and associated with risk for type 2 diabetes (T2D). Autonomic nervous system (ANS) dysfunction increases mortality in diabetes. We examined FI and ANS function among Latinos with T2D. METHODS: Participants were drawn from the CALMS-D (Community Health Workers Assisting Latinos Manage Stress and Diabetes) stress management intervention trial. Inclusion: age 18 years, Latino or Hispanic, Spanish speaking, ambulatory status, T2D 6 months, A1c > 7.0%. Exclusion: medical or psychiatric instability; pain or dysfunction in hands precluding handgrip testing. Measures: FI was assessed with the 6-item US household food security survey module; affirmative responses to > = 1 questions was coded as FI. Six autonomic measures were scored 0 = normal or 1 = abnormal based on published cutoffs and then summed for a total ANS dysfunction index. ANS measures and their normal cutoffs were: 1) metanephrine 15 mmHg; and, 6) difference between baseline supine and the minimal BP after standing up, normal = decline in SBP

Published
2020

3. 2284-PUB: Food Insecurity and Autonomic Dysfunction among Latinos with Type 2 Diabetes

Author

Kagnica Seng, Julie Wagner, Angela Bermudez-Millan, Rafael Pérez-Escamilla, and Richard Feinn

Subjects
medicine.medical_specialty, Supine position, business.industry, Endocrinology, Diabetes and Metabolism, Insulin, medicine.medical_treatment, Type 2 diabetes, medicine.disease, INSULIN USE, Health equity, Food insecurity, Autonomic nervous system, Internal medicine, Diabetes mellitus, Internal Medicine, medicine, business
Abstract

Aims: Food insecurity (FI) is higher among Latinos than non-Hispanic Whites and associated with risk for type 2 diabetes (T2D). Autonomic nervous system (ANS) dysfunction increases mortality in diabetes. We examined FI and ANS function among Low-income Latinos with T2D enrolled in a parent stress management trial. Methods: Inclusion: age > 18 years, Latino or Hispanic, Spanish speaking, ambulatory status, T2D > 6 months, A1c>7.0%. Exclusion: medical or psychiatric instability; pain or dysfunction in hands precluding handgrip testing. Measures: FI was assessed with the 6-item U.S. household food security survey module; affirmative responses to >=1 question was coded as FI. Six autonomic measures were scored 0=normal or 1=abnormal based on published cutoffs and then summed for a total ANS dysfunction index. ANS measures and their normal cutoffs were: 1) metanephrine 15 mmHg; and, 6) difference between baseline supine and the minimal BP after standing up, normal = decline in SBP Results: N=35 participated, n=23 (65.7%) were women, age M=61.6 (SD=11.2) years, A1c M=8.5% (SD=1.6) and n=20 (57.1%) used insulin. N=22 (62.9%) reported FI and n=25 (71.4%) had at least one abnormal ANS measure. In t-tests, participants with FI had a higher ANS dysfunction index (M=1.5, SD=0.9) than patients who were food secure (M=0.7, SD=0.8), p=0.02. Total ANS index was not related to A1c or insulin use. Discussion: In this Latino sample with T2D, FI was associated with greater ANS dysfunction. Increasing food security may confer autonomic benefits. Disclosure K. Seng: None. R. Feinn: None. A. Bermudez-Millan: None. R. Perez-Escamilla: None. J. Wagner: None. Funding American Diabetes Association (7-13-TS-31 to J.W.); National Institute on Minority Health and Health Disparities (R01MD005879)

Published
2019

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