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Trends in dietary intake among adults with type 2 diabetes: NHANES 1988-2012.
- Source :
-
Journal of human nutrition and dietetics : the official journal of the British Dietetic Association [J Hum Nutr Diet] 2017 Aug; Vol. 30 (4), pp. 479-489. Date of Electronic Publication: 2017 Feb 02. - Publication Year :
- 2017
-
Abstract
- Background: Dietary recommendations for adults with diabetes are to follow a healthy diet in appropriate portion sizes. We determined recent trends in energy and nutrient intakes among a nationally representative sample of US adults with and without type 2 diabetes.<br />Methods: Participants were adults aged ≥20 years from the cross-sectional National Health and Nutrition Examination Surveys, 1988-2012 (N = 49 770). Diabetes was determined by self-report of a physician's diagnosis (n = 4885). Intake of energy and nutrients were determined from a 24-h recall by participants of all food consumed. Linear regression was used to test for trends in mean intake over time for all participants and by demographic characteristics.<br />Results: Among adults with diabetes, overall total energy intake increased between 1988-1994 and 2011-2012 (1689 kcal versus 1895 kcal; P <subscript>trend</subscript> < 0.001) with evidence of a plateau between 2003-2006 and 2011-2012. In 2007-2012, energy intake was greater for younger than older adults, for men than women, and for non-Hispanic whites versus non-Hispanic blacks. There was no change in the percentage of calories from carbohydrate, total fat or protein. Percentage of calories from saturated fat was similar across study periods but remained above recommendations (11.2% in 2011-2012). Fibre intake significantly decreased and remained below recommendations (P <subscript>trend</subscript> = 0.002). Sodium, cholesterol and calcium intakes increased. There was no change in energy intake among adults without diabetes and dietary trends were similar to those with diabetes.<br />Conclusions: Future data are needed to confirm a plateau in energy intake among adults with diabetes, although the opportunity exists to increase fibre and reduce saturated fat.<br /> (© 2017 The British Dietetic Association Ltd.)
- Subjects :
- Adult
Aged
Cross-Sectional Studies
Diet Records
Dietary Carbohydrates administration & dosage
Dietary Fats administration & dosage
Dietary Fiber administration & dosage
Dietary Proteins administration & dosage
Female
Humans
Male
Micronutrients administration & dosage
Middle Aged
Nutrition Surveys
Portion Size trends
Young Adult
Diabetes Mellitus, Type 2
Diet trends
Recommended Dietary Allowances
Subjects
Details
- Language :
- English
- ISSN :
- 1365-277X
- Volume :
- 30
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
- Publication Type :
- Academic Journal
- Accession number :
- 28150347
- Full Text :
- https://doi.org/10.1111/jhn.12443