| Titre : | Native Youth Participating in the Together on Diabetes 12-Month Home-Visiting Program Reported Improvements in Alternative Healthy Eating Index-2010 Diet Quality Domains Likely to Be Associated With Blood Pressure and Glycemic Control (2021) |
| Auteurs : | Kirstie Ducharme-Smith ; Rachel Chambers ; Vanessa Garcia-Larsen ; Francene Larzelere ; Anne Kenney ; Ray Reid ; Leonela Nelson ; Jennifer Richards ; Marissa Begay ; Allison Barlow ; Summer Rosenstock |
| Type de document : | Article |
| Dans : | Journal of the academy of nutrition and dietetics (Vol. 121, n° 6, June 2021) |
| Article en page(s) : | p. 1125-1135 |
| Note générale : | doi:10.1016/j.jand.2020.12.017 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Amérindiens ; Diabète ; Prévention ; Qualité alimentaire |
| Mots-clés: | Santé cardiométabolique |
| Résumé : |
Background:
The Together on Diabetes (TOD) intervention was a home-visiting diabetes prevention and management program for Native youth. Objectives: (1) Examine the impact of the TOD program on diet quality using the Alternative Healthy Eating Index (AHEI-2010); (2) determine association between diet quality and cardiometabolic health. Design: The TOD program was conducted from October 2012 to June 2014 and was evaluated using a pretest-posttest study design from baseline to 12 months. Dietary intake was assessed using a food frequency questionnaire. Participants/setting: There were 240 participants between 10 and 19 years of age from 4 reservation-based, rural tribal communities in the southwestern United States that had been diagnosed with T2DM or prediabetes or were identified as at risk based on body mass index and a qualifying laboratory test. Intervention: Youth were taught a 12-lesson curriculum on goal setting, nutrition, and life skills education. Main outcome measures: Behavioral and physiologic outcomes related to diabetes. Statistical analysis: Changes in AHEI-2010 score and associations with cardiometabolic measures were tested, over time, using adjusted longitudinal linear mixed-effects models. Results: The study sample reported an average energy intake of 2016 kcal/d (±1260) and AHEI-2010 score of 47.4 (±7.4) (range: 0-110, higher = better diet quality), indicating low diet quality at baseline. At 12 months’ follow-up, there was a reduction in kilocalories (mean = −346 kcal/d; P Conclusions: Despite stable AHEI-2010 scores during follow-up, there were improvements in diet quality domains likely to be associated with cardiometabolic health. Home-visiting programs like TOD are promising interventions for decreasing dietary intake of poor-quality foods. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267220315677 |
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