Acculturation, Dietary Behaviors, and Macronutrient Intake Among Mexican Americans With Prediabetes: The Starr County Diabetes Prevention Initiative.
Sharon A Brown, Heather A Becker, Alexandra A García and 7 others
PMID 36683588WHAT IT FOUND
Spanish-preferring adults with prediabetes reported higher calorie, carbohydrate, fat, and saturated fat intakes.
Country of origin, years in the county, food preferences, depression, and eating confidence showed little or no clear links.
Key findings
01Spanish language preference was associated with higher reported intakes of calories, fiber, protein, carbohydrate, total fat, saturated fat, and cholesterol.
02The sample had mean HEI-2015 54, below the general population mean 59, and mean intakes of carbohydrate 229 grams, saturated fat 25 grams, and cholesterol 403 grams, above recommended thresholds.
03No statistically significant associations were found between depressive symptoms or healthy eating self-efficacy and macronutrient intake levels.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a baseline observational analysis, so it cannot show that acculturation caused dietary differences or that any intervention changed diet or diabetes risk. Diet was self-reported, so intake estimates may be biased. Acculturation variables were dichotomized and some had limited ranges, which may have weakened detected relationships. Multiple analyses were conducted, so the authors used a conservative significance level of p = 0.01. The study was limited to one county, Starr County, Texas.
Declared interests
The authors declared no potential conflicts of interest. The article is tagged as supported by NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not read these findings as evidence that any diet intervention changed prediabetes or weight. This is baseline self-reported data from an observational analysis, and the paper states that such analyses cannot determine causal connections.