Diabetes websites lack information on dietary causes, risk factors, and preventions for type 2 diabetes

IntroductionType 2 diabetes (T2D) is a growing public health burden throughout the world. Many people looking for information on how to prevent T2D will search on diabetes websites. Multiple dietary factors have a significant association with T2D risk, such as high intake of added sugars, refined ca...

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Main Authors: Lisa T. Crummett, Muhammad H. Aslam
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1159024/full
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author Lisa T. Crummett
Muhammad H. Aslam
author_facet Lisa T. Crummett
Muhammad H. Aslam
author_sort Lisa T. Crummett
collection DOAJ
description IntroductionType 2 diabetes (T2D) is a growing public health burden throughout the world. Many people looking for information on how to prevent T2D will search on diabetes websites. Multiple dietary factors have a significant association with T2D risk, such as high intake of added sugars, refined carbohydrates, saturated fat, and red meat or processed meat; and decreased intake of dietary fiber, and fruits/vegetables. Despite this dietary information being available in the scientific literature, it is unclear whether this information is available in gray literature (websites).ObjectiveIn this study, we evaluate the use of specific terms from diabetes websites that are significantly associated with causes/risk factors and preventions for T2D from three term categories: (A) dietary factors, (B) nondietary nongenetic (lifestyle-associated) factors, and (C) genetic (non-modifiable) factors. We also evaluate the effect of website type (business, government, nonprofit) on term usage among websites.MethodsWe used web scraping and coding tools to quantify the use of specific terms from 73 diabetes websites. To determine the effect of term category and website type on the usage of specific terms among 73 websites, a repeated measures general linear model was performed.ResultsWe found that dietary risk factors that are significantly associated with T2D (e.g., sugar, processed carbohydrates, dietary fat, fruits/vegetables, fiber, processed meat/red meat) were mentioned in significantly fewer websites than either nondietary nongenetic factors (e.g., obesity, physical activity, dyslipidemia, blood pressure) or genetic factors (age, family history, ethnicity). Among websites that provided “eat healthy” guidance, one third provided zero dietary factors associated with type 2 diabetes, and only 30% provided more than two specific dietary factors associates with type 2 diabetes. We also observed that mean percent usage of all terms associated with T2D causes/risk factors and preventions was significantly lower among government websites compared to business websites and nonprofit websites.ConclusionDiabetes websites need to increase their usage of dietary factors when discussing causes/risk factors and preventions for T2D; as dietary factors are modifiable and strongly associated with all nondietary nongenetic risk factors, in addition to T2D risk.
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spelling doaj.art-bf5bf730f8bf4ead83714300482f32cb2023-07-13T18:27:57ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.11590241159024Diabetes websites lack information on dietary causes, risk factors, and preventions for type 2 diabetesLisa T. CrummettMuhammad H. AslamIntroductionType 2 diabetes (T2D) is a growing public health burden throughout the world. Many people looking for information on how to prevent T2D will search on diabetes websites. Multiple dietary factors have a significant association with T2D risk, such as high intake of added sugars, refined carbohydrates, saturated fat, and red meat or processed meat; and decreased intake of dietary fiber, and fruits/vegetables. Despite this dietary information being available in the scientific literature, it is unclear whether this information is available in gray literature (websites).ObjectiveIn this study, we evaluate the use of specific terms from diabetes websites that are significantly associated with causes/risk factors and preventions for T2D from three term categories: (A) dietary factors, (B) nondietary nongenetic (lifestyle-associated) factors, and (C) genetic (non-modifiable) factors. We also evaluate the effect of website type (business, government, nonprofit) on term usage among websites.MethodsWe used web scraping and coding tools to quantify the use of specific terms from 73 diabetes websites. To determine the effect of term category and website type on the usage of specific terms among 73 websites, a repeated measures general linear model was performed.ResultsWe found that dietary risk factors that are significantly associated with T2D (e.g., sugar, processed carbohydrates, dietary fat, fruits/vegetables, fiber, processed meat/red meat) were mentioned in significantly fewer websites than either nondietary nongenetic factors (e.g., obesity, physical activity, dyslipidemia, blood pressure) or genetic factors (age, family history, ethnicity). Among websites that provided “eat healthy” guidance, one third provided zero dietary factors associated with type 2 diabetes, and only 30% provided more than two specific dietary factors associates with type 2 diabetes. We also observed that mean percent usage of all terms associated with T2D causes/risk factors and preventions was significantly lower among government websites compared to business websites and nonprofit websites.ConclusionDiabetes websites need to increase their usage of dietary factors when discussing causes/risk factors and preventions for T2D; as dietary factors are modifiable and strongly associated with all nondietary nongenetic risk factors, in addition to T2D risk.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1159024/fulldiabetesrisk factorscausespreventionwebsitesdiet
spellingShingle Lisa T. Crummett
Muhammad H. Aslam
Diabetes websites lack information on dietary causes, risk factors, and preventions for type 2 diabetes
Frontiers in Public Health
diabetes
risk factors
causes
prevention
websites
diet
title Diabetes websites lack information on dietary causes, risk factors, and preventions for type 2 diabetes
title_full Diabetes websites lack information on dietary causes, risk factors, and preventions for type 2 diabetes
title_fullStr Diabetes websites lack information on dietary causes, risk factors, and preventions for type 2 diabetes
title_full_unstemmed Diabetes websites lack information on dietary causes, risk factors, and preventions for type 2 diabetes
title_short Diabetes websites lack information on dietary causes, risk factors, and preventions for type 2 diabetes
title_sort diabetes websites lack information on dietary causes risk factors and preventions for type 2 diabetes
topic diabetes
risk factors
causes
prevention
websites
diet
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1159024/full
work_keys_str_mv AT lisatcrummett diabeteswebsiteslackinformationondietarycausesriskfactorsandpreventionsfortype2diabetes
AT muhammadhaslam diabeteswebsiteslackinformationondietarycausesriskfactorsandpreventionsfortype2diabetes