SUN-PO200: Use of a Mobile Mexican Dietary Assessment APP to Evaluate Differences in Dietary Intake Among Subjects with and Without Type 2 Diabetes

Background More than 1 in 4 people in the United States aged 65 years and older have type 2 diabetes. For diabetes care, medical nutrition therapy is recommended as a clinically effective intervention. Previous researchers have developed and validated dietary assessment methods using images of food items to improve the accuracy of self-reporting over traditional methods. Nevertheless, little is known about the usability of image-assisted dietary assessment methods for older adults with diabetes. Objective The aims of this study were (1) to create a food record app for dietary assessments (FRADA) that would support image-assisted dietary assessments, and (2) to evaluate the usability of FRADA for older adults with diabetes. Methods For the development of FRADA, we identified design principles that address the needs of older adults and implemented three fundamental tasks required for image-assisted dietary assessments: capturing, viewing, and transmitting images of food based on the design principles. For the usability assessment of FRADA, older adults aged 65 to 80 years (11 females and 3 males) were assigned to interact with FRADA in a lab-based setting. Participants’ opinions of FRADA and its usability were determined by a follow-up survey and interview. As an evaluation indicator of usability, the responses to the survey, including an after-scenario questionnaire, were analyzed. Qualitative data from the interviews confirmed the responses to the survey. Results We developed a smartphone app that enables older adults with diabetes to capture, view, and transmit images of food items they consumed. The findings of this study showed that FRADA and its instructions for capturing, viewing, and transmitting images of food items were usable for older adults with diabetes. The survey showed that participants found FRADA easy to use and would consider using FRADA daily. The analysis of the qualitative data from interviews revealed multiple categories, such as the usability of FRADA, potential benefits of using FRADA, potential features to be added to FRADA, and concerns of older adults with diabetes regarding interactions with FRADA. Conclusions This study demonstrates in a lab-based setting not only the usability of FRADA by older adults with diabetes but also potential opportunities using FRADA in real-world settings. The findings suggest implications for creating a smartphone app for an image-assisted dietary assessment. Future work still remains to evaluate the feasibility and validity of FRADA with multiple stakeholders, including older adults with diabetes and dietitians.

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Validation of computer software to estimate dietary intake among patients with type 2 diabetes

Journal of Clinical Biochemistry and Nutrition ◽

10.3164/jcbn.20-60 ◽

2021 ◽

Vol 68 (1) ◽

pp. 105-109

Author(s):

Sayori Wada ◽

Eru Yamamoto ◽

Yukiko Kobayashi ◽

Manami Otsuki ◽

Chizuko Takada ◽

...

Keyword(s):

Type 2 Diabetes ◽

Dietary Intake ◽

Computer Software

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Evaluation of the Effect of Vitamin D Supplementation on Anthropometric Indicators and Dietary Intake of Patients with Type 2 Diabetes

Reports of Biochemistry and Molecular Biology ◽

10.52547/rbmb.9.4.490 ◽

2021 ◽

Vol 9 (4) ◽

pp. 490-497

Author(s):

Mahnaz Zarei ◽

Mohammad Hassan Javanbakht ◽

Hanieh Jafary ◽

Mahmoud Djalali ◽

◽

...

Keyword(s):

Type 2 Diabetes ◽

Vitamin D ◽

Dietary Intake ◽

Vitamin D Supplementation ◽

Anthropometric Indicators

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Dietary Macronutrient Intakes and Mortality among Patients with Type 2 Diabetes

Nutrients ◽

10.3390/nu12061665 ◽

2020 ◽

Vol 12 (6) ◽

pp. 1665 ◽

Cited By ~ 1

Author(s):

Cheng-Chieh Lin ◽

Chiu-Shong Liu ◽

Chia-Ing Li ◽

Chih-Hsueh Lin ◽

Wen-Yuan Lin ◽

...

Keyword(s):

Type 2 Diabetes ◽

Dietary Intake ◽

Total Energy ◽

Energy Intake ◽

Total Energy Intake ◽

Diabetic Patients ◽

Fat Intake ◽

Food Diary ◽

Cvd Mortality

The best macronutrient percentages of dietary intake supporting longevity remains unclear. The strength of association between dietary intake and mortality in patients with type 2 diabetes (T2DM) should be quantified as a basis for dietary recommendations. Our study cohort consisted of 15,289 type 2 diabetic patients aged 30 years and older in Taiwan during 2001–2014 and was followed up through 2016. Percentages of macronutrient intakes were calculated as dietary energy intake contributed by carbohydrate, protein, and fat, divided by the total energy intake using a 24 h food diary recall approach. Cox proportional hazard models were applied to examine the temporal relation of macronutrient intakes with all-cause and cause-specific mortality. The average follow-up time was 7.4 years, during which 2784 adults with T2DM died. After multivariable adjustment, people with fourth and fifth quintiles of total energy, second and third quintiles of carbohydrate, and fourth quintiles of protein intakes were likely to have lower risks of all-cause and expanded cardiovascular disease (CVD) mortality. People with fifth quintiles of total energy intake were likely to have decreased non-expanded CVD mortality. We found a significant interaction between gender and fat intake on all-cause and expanded CVD mortality. Fat intake was associated with all-cause, expanded and non-expanded CVD mortality among males with T2DM. Total energy, carbohydrate, and protein intakes were associated with lower risks of all-cause and expanded CVD mortality, with minimal risks observed at ≥1673 Kcal total energy, 43–52% carbohydrate intake, and 15–16% protein intake among people with T2DM.

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Time-Restricted Eating as a Nutrition Strategy for Individuals with Type 2 Diabetes: A Feasibility Study

Nutrients ◽

10.3390/nu12113228 ◽

2020 ◽

Vol 12 (11) ◽

pp. 3228 ◽

Cited By ~ 1

Author(s):

Evelyn B. Parr ◽

Brooke L. Devlin ◽

Karen H. C. Lim ◽

Laura N. Z. Moresi ◽

Claudia Geils ◽

...

Keyword(s):

Type 2 Diabetes ◽

Glycaemic Control ◽

Dietary Intake ◽

Energy Intake ◽

Well Being ◽

Cognitive Outcomes ◽

Daily Energy Intake ◽

Psychological Well Being ◽

Daily Energy

Individuals with type 2 diabetes (T2D) require a long-term dietary strategy for blood glucose management and may benefit from time-restricted eating (TRE, where the duration between the first and last energy intake is restricted to 8–10 h/day). We aimed to determine the feasibility of TRE for individuals with T2D. Participants with T2D (HbA1c >6.5 to <9%, eating window >12 h/day) were recruited to a pre-post, non-randomised intervention consisting of a 2-week Habitual period to establish baseline dietary intake, followed by a 4-weeks TRE intervention during which they were instructed to limit all eating occasions to between 10:00 and 19:00 h on as many days of each week as possible. Recruitment, retention, acceptability, and safety were recorded throughout the study as indicators of feasibility. Dietary intake, glycaemic control, psychological well-being, acceptability, cognitive outcomes, and physiological measures were explored as secondary outcomes. From 594 interested persons, and 27 eligible individuals, 24 participants enrolled and 19 participants (mean ± SD; age: 50 ± 9 years, BMI: 34 ± 5 kg/m2, HbA1c: 7.6 ± 1.1%) completed the 6-week study. Overall daily dietary intake did not change between Habitual (~8400 kJ/d; 35% carbohydrate, 20% protein, 41% fat, 1% alcohol) and TRE periods (~8500 kJ/d; 35% carbohydrate, 19% protein, 42% fat, 1% alcohol). Compliance to the 9 h TRE period was 72 ± 24% of 28 days (i.e., ~5 days/week), with varied adherence (range: 4–100%). Comparisons of adherent vs. non-adherent TRE days showed that adherence to the 9-h TRE window reduced daily energy intake through lower absolute carbohydrate and alcohol intakes. Overall, TRE did not significantly improve measures of glycaemic control (HbA1c −0.2 ± 0.4%; p = 0.053) or reduce body mass. TRE did not impair or improve psychological well-being, with variable effects on cognitive function. Participants described hunger, daily stressors, and emotions as the main barriers to adherence. We demonstrate that 4-weeks of TRE is feasible and achievable for these individuals with T2D to adhere to for at least 5 days/week. The degree of adherence to TRE strongly influenced daily energy intake. Future trials may benefit from supporting participants to incorporate TRE in regular daily life and to overcome barriers to adherence.

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Dietary intake of patients with type 2 diabetes was adversely affected by the psychological burden related to diabetes and its treatment

Clinical Nutrition ESPEN ◽

10.1016/j.clnesp.2020.09.268 ◽

2020 ◽

Vol 40 ◽

pp. 495

Author(s):

M. Muneishi ◽

R. Ozasa ◽

C. Fujimoto ◽

N. Kihara ◽

M. Sakaue

Keyword(s):

Type 2 Diabetes ◽

Dietary Intake ◽

Psychological Burden

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Dietary intake and cardiometabolic risk factors among Venezuelan adults: a nationally representative analysis

BMC Nutrition ◽

10.1186/s40795-020-00362-7 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Dina Goodman ◽

Juan P. González-Rivas ◽

Lindsay M. Jaacks ◽

Maritza Duran ◽

María Inés Marulanda ◽

...

Keyword(s):

Risk Factors ◽

Type 2 Diabetes ◽

Dietary Intake ◽

Cardiometabolic Risk ◽

Dietary Diversity ◽

Nutrition Transition ◽

Cardiometabolic Risk Factors ◽

Political Crisis ◽

Food Groups

Abstract Background Increasing trends in global obesity have been attributed to a nutrition transition where healthy foods are replaced by ultra-processed foods. It remains unknown if this nutrition transition has occurred in Venezuela, a country undergoing a socio-political crisis with widespread food shortages. Methods We described dietary intake of Venezuelans from a nationally representative study conducted between 2014 and 2017. We conducted a cross-sectional analysis of dietary, sociodemographic, and clinical data from Venezuelans ≥20 years of age (n = 3420). Dietary intake was assessed using a semi-quantitative food frequency questionnaire. Standardized clinical and anthropometric measurements estimated obesity, type 2 diabetes, and hypertension. A Dietary Diversity Score (DDS) was calculated using an amended Minimum Dietary Diversity for Women score where the range was 0 to 8 food groups, with 8 being the most diverse. Analyses accounted for complex survey design by estimating weighted frequencies of dietary intake and DDS across sociodemographic and cardiometabolic risk-based subgroups. Results The prevalence of obesity was 24.6% (95% CI: 21.6–27.7), type 2 diabetes was 13.3% (11.2–15.7), and hypertension was 30.8% (27.7–34.0). Western foods were consumed infrequently. Most frequently consumed foods included coffee, arepas (a salted corn flour cake), and cheese. Mean DDS was 2.3 food groups (Range: 0–8, Standard Error: 0.07) and this score did not vary among subgroups. Men, younger individuals, and those with higher socioeconomic status were more likely to consume red meat and soft drinks once or more weekly. Women and those with higher socioeconomic status were more likely to consume vegetables and cheese once or more daily. Participants with obesity, type 2 diabetes, and hypertension had lower daily intake of red meat and arepas compared to participants without these risk factors. Conclusions Despite high prevalence of cardiometabolic risk factors, adults in Venezuela have not gone through a nutrition transition similar to that observed elsewhere in Latin America. Dietary diversity is low and widely consumed food groups that are considered unhealthy are part of the traditional diet. Future studies are needed in Venezuela using more comprehensive measurements of dietary intake to understand the effect of the socio-political crisis on dietary patterns and cardiometabolic risk factors.

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Dietary Intake and Type 2 Diabetes

Nutrients ◽

10.3390/nu11092177 ◽

2019 ◽

Vol 11 (9) ◽

pp. 2177

Author(s):

Omorogieva Ojo

Keyword(s):

Risk Factors ◽

Type 2 Diabetes ◽

Blood Glucose ◽

Dietary Intake ◽

Diabetic Complications ◽

Dietary Interventions ◽

Factors Associated ◽

Dietary Strategies ◽

Lipid Parameters

This editorial aims to examine the risk factors associated with type 2 diabetes and to discuss the evidence relating to dietary strategies for managing people with this condition. It is clear from the evidence presented that a range of dietary interventions can provide useful approaches for managing people with type 2 diabetes, including the regulation of blood glucose and lipid parameters, and for reducing the risks of acute and chronic diabetic complications.

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