Food choices and distress in reservation-based American Indians and Alaska Natives with type 2 diabetes.
Food choices and distress in reservation-based American Indians and Alaska Natives with type 2 diabetes.
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患有 2 型糖尿病的保留地美洲印第安人和阿拉斯加原住民的食物选择和困扰。
DOI：
10.1017/s1368980018000897
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发表时间：
2018
影响因子：
3.2
通讯作者：
Manson,SperoM
中科院分区：
文献类型：
--
作者：
Teufel-Shone,NicoletteI;Jiang,Luohua;Rockell,Jennifer;Chang,Jennifer;Beals,Janette;Bullock,Ann;Manson,SperoM
目的探讨食物选择和痛苦之间的关联，在一个大的国家样本的美洲印第安人/阿拉斯加原住民（AI/AN）与2型diabetes.DesignParticipants完成了社会人口调查，FFQ和凯斯勒-6苦恼量表。食品被确定为"健康"或"不健康"使用的分类基础上提供的健康教育方案的情况下，管理员;健康和不健康的食物分数计算使用报告的摄入频率。皮尔逊相关系数的痛苦和食物分数计算所有参与者和性别。按性别分层的多元线性回归模型评估了痛苦和食物评分之间的关联，控制了社会人口统计学和2型diabetes.SettingRural AI reservations and AN villages. SubjectsAI/AN（n 2484）with type 2 diabetes.ResultsBoth男性（34.9%）和女性（65.1%）有较高的健康食物评分比不健康的分数。在双变量分析中，女性受试者的苦恼程度与健康食品评分呈显著负相关，但男性受试者的相关性不显著。显着的正相关关系的痛苦和不健康的食物分数被发现在两个性别。在最后的多变量模型中，健康食品分数与痛苦没有显著相关;然而，不健康食品分数与男女的痛苦呈显著正相关（女性：β = 0·078，P = 0·0007;男性：β = 0·139，P <0·0001）。结论与AI/被诊断患有2型糖尿病的人应该在困难时期提供食物选择策略，并认识到男性在痛苦时可能比女性更有可能选择不健康的食物。
ObjectiveTo examine the association between food choice and distress in a large national sample of American Indians/Alaska Natives (AI/AN) with type 2 diabetes.DesignParticipants completed a sociodemographic survey, an FFQ and the Kessler-6 Distress Scale. Foods were identified as ‘healthy’ or ‘unhealthy’ using a classification grounded in the health education provided by the programme case managers; healthy and unhealthy food scores were calculated using reported intake frequencies. Pearson’s correlation coefficients for distress and food scores were calculated for all participants and by gender. Multiple linear regression models stratified by gender assessed the association between distress and food scores, controlling for sociodemographics and duration of type 2 diabetes.SettingRural AI reservations and AN villages.SubjectsAI/AN (n 2484) with type 2 diabetes.ResultsBoth males (34·9 %) and females (65·1 %) had higher healthy food scores than unhealthy scores. In bivariate analysis, distress level had a significant negative correlation with healthy food scores among female participants, but the association was not significant among males. Significant positive correlations between distress and unhealthy food scores were found in both genders. In the final multivariate models, healthy food scores were not significantly related to distress; however, unhealthy food scores showed significant positive relationships with distress for both genders (females: β=0·078, P=0·0007; males: β=0·139, P<0·0001).ConclusionsHealth professionals working with AI/AN diagnosed with type 2 diabetes should offer food choice strategies during difficult times and recognize that males may be more likely than females to select unhealthy foods when distressed.