Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States

This study examined associations of home food availabilities with prediabetes and diabetes among 8929 adults (20–70 years) participating in 2007–2010 National Health and Nutrition Examination Surveys. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were estimated by logistic regression. Rel...

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Main Authors: Jennifer R. McAtee, Meng-Hua Tao, Christian King, Weiwen Chai
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/5/1209
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author Jennifer R. McAtee
Meng-Hua Tao
Christian King
Weiwen Chai
author_facet Jennifer R. McAtee
Meng-Hua Tao
Christian King
Weiwen Chai
author_sort Jennifer R. McAtee
collection DOAJ
description This study examined associations of home food availabilities with prediabetes and diabetes among 8929 adults (20–70 years) participating in 2007–2010 National Health and Nutrition Examination Surveys. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were estimated by logistic regression. Relative to non-diabetic participants (individuals without diabetes or prediabetes), prediabetes participants were associated with lower availabilities of green vegetables (OR = 0.82; 95% CI = 0.73–0.91; <i>p</i> = 0.0006) and fat-free/low-fat milk (OR = 0.80, 95% CI = 0.65–0.89; <i>p</i> = 0.001) and higher sugary drink availability (OR = 1.24, 95% CI = 1.04–1.48; <i>p</i> = 0.02), adjusting for age, sex, and ethnicity (Model 1). The associations remained significant for vegetables (<i>p</i> = 0.005) and fat-free/low-fat milk (<i>p</i> = 0.02) adjusting for additional confounders (body mass index, education, Model 2). Adjusting for dietary components did not change the above results (in model 2) significantly. Participants with high healthy food availability scores had approximately 31% reduction (<i>p =</i> 0.003) in odds of prediabetes compared to those with low scores in Model 1. No associations were detected for diabetes except for fat-free/low-fat milk availability, for which an inverse association was observed in Model 1 (OR = 0.80, 95% CI = 0.65–0.99; <i>p</i> = 0.04). The results show prediabetes participants had lower availability of healthy foods and higher availability of unhealthy foods, suggesting the need to improve healthy food availability at home for this population.
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spelling doaj.art-187365e1c22743dd920bbad782c920402023-11-19T22:40:46ZengMDPI AGNutrients2072-66432020-04-01125120910.3390/nu12051209Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United StatesJennifer R. McAtee0Meng-Hua Tao1Christian King2Weiwen Chai3Department of Nutrition and Health Sciences, University of Nebraska-Lincoln, 1700 N 35th Street, Lincoln, NE 68583, USADepartment of Biostatistics and Epidemiology, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard., Fort Worth, TX 76107, USADepartment of Health Management and Informatics, University of Central Florida, 500 W Livingston Street, Suite 402G, Orlando, FL 32801, USADepartment of Nutrition and Health Sciences, University of Nebraska-Lincoln, 1700 N 35th Street, Lincoln, NE 68583, USAThis study examined associations of home food availabilities with prediabetes and diabetes among 8929 adults (20–70 years) participating in 2007–2010 National Health and Nutrition Examination Surveys. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were estimated by logistic regression. Relative to non-diabetic participants (individuals without diabetes or prediabetes), prediabetes participants were associated with lower availabilities of green vegetables (OR = 0.82; 95% CI = 0.73–0.91; <i>p</i> = 0.0006) and fat-free/low-fat milk (OR = 0.80, 95% CI = 0.65–0.89; <i>p</i> = 0.001) and higher sugary drink availability (OR = 1.24, 95% CI = 1.04–1.48; <i>p</i> = 0.02), adjusting for age, sex, and ethnicity (Model 1). The associations remained significant for vegetables (<i>p</i> = 0.005) and fat-free/low-fat milk (<i>p</i> = 0.02) adjusting for additional confounders (body mass index, education, Model 2). Adjusting for dietary components did not change the above results (in model 2) significantly. Participants with high healthy food availability scores had approximately 31% reduction (<i>p =</i> 0.003) in odds of prediabetes compared to those with low scores in Model 1. No associations were detected for diabetes except for fat-free/low-fat milk availability, for which an inverse association was observed in Model 1 (OR = 0.80, 95% CI = 0.65–0.99; <i>p</i> = 0.04). The results show prediabetes participants had lower availability of healthy foods and higher availability of unhealthy foods, suggesting the need to improve healthy food availability at home for this population.https://www.mdpi.com/2072-6643/12/5/1209home food availabilitydiabetesprediabeteshealthy foodunhealthy foodhealthy food availability
spellingShingle Jennifer R. McAtee
Meng-Hua Tao
Christian King
Weiwen Chai
Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States
Nutrients
home food availability
diabetes
prediabetes
healthy food
unhealthy food
healthy food availability
title Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States
title_full Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States
title_fullStr Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States
title_full_unstemmed Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States
title_short Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States
title_sort association of home food availability with prediabetes and diabetes among adults in the united states
topic home food availability
diabetes
prediabetes
healthy food
unhealthy food
healthy food availability
url https://www.mdpi.com/2072-6643/12/5/1209
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