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Nurgül Fitzgerald, PhD, RD: Rutgers Grace Damio, MS, CD/N:Hispanic Health Council (HHC)

Nutrition Knowledge, Food Label Use, and Food Intake Patterns among Latinas with and without Type 2 Diabetes. Nurgül Fitzgerald, PhD, RD: Rutgers Grace Damio, MS, CD/N:Hispanic Health Council (HHC) Sofia Segura-Pérez, MS, RD: HHC Rafael Pérez-Escamilla, PhD: University of Connecticut.

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Nurgül Fitzgerald, PhD, RD: Rutgers Grace Damio, MS, CD/N:Hispanic Health Council (HHC)

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  1. Nutrition Knowledge, Food Label Use, and Food Intake Patterns among Latinas with and without Type 2 Diabetes Nurgül Fitzgerald, PhD, RD: RutgersGrace Damio, MS, CD/N:Hispanic Health Council (HHC) Sofia Segura-Pérez, MS, RD: HHCRafael Pérez-Escamilla, PhD: University of Connecticut JOURNAL OF THEAMERICAN DIETETICASSOCIATION Fitzgerald, et al. J Am Diet Assoc . 108(6), Jun. 2008

  2. Nutrition Knowledge, Food Label Use, and Food Intake Patterns among Latinas with and without Type 2 DiabetesStudy Design • Case-control study among 201 Latinas, age 35 to 60 yr • 100 with diagnosed type 2 diabetes (diabetes group) 101 without diagnosed diabetes (control group) • Bilingual interviewers conducted the face-to-face interviews • Collected data • 25-item nutrition knowledge scale (=0.813), food label use and food intake frequencies • Self-efficacy and stages of change about food label use • 6-item acculturation scale (=0.726), demographic and socioeconomic status, food insecurity • Body mass index JOURNAL OF THEAMERICAN DIETETICASSOCIATION Fitzgerald, et al. J Am Diet Assoc . 108(6) ,Jun. 2008

  3. Nutrition Knowledge, Food Label Use, and Food Intake Patterns among Latinas with and without Type 2 DiabetesParticipant Characteristics * p<0.05 JOURNAL OF THEAMERICAN DIETETICASSOCIATION Fitzgerald, et al. J Am Diet Assoc . 108(6), Jun. 2008

  4. Nutrition Knowledge, Food Label Use, and Food Intake Patterns among Latinas with and without Type 2 Diabetes Associations of nutrition knowledge and food label use with food intakefrequency (>median) among Latinasa • Nutrition knowledge level, food label self-efficacy and stages of change, and food label use were similar between the diabetes and control groups. • Among Latinas with diabetes, those who had seen a dietitian or a diabetes educator (n=64) were more likely to have a higher nutrition knowledge score compared to Latinas who had not seen one (11.1±4.3 vs. 9.0±4.3, respectively, p=0.020). * * * * * a Diabetes and control groups were pooled for these analyses. F&V: fruits and vegetables; soft drinks and sweets exclude the ones made with artificial sweeteners; snacks: salty snacks; high nutrition knowledge: score >10 (median), score range 0-25; *: p0.05 determined by Chi-square test. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Fitzgerald, et al. J Am Diet Assoc . 108(6), Jun. 2008

  5. Nutrition Knowledge, Food Label Use, and Food Intake Patterns among Latinas with and without Type 2 Diabetes Determinants of consuming fruits and vegetables, regular soft drinks, sweets, and salty snacks frequently (>median) among Latinas * * * * * * * * Adjusted for age and body mass index. FL: food label; F&V: fruits and vegetables; less acculturation: scale score 1 (median), score range 0-6; high nutrition knowledge: score >10 (median), score range 0-25; high education: high school diploma/GED or higher; *: p0.05 determined by logistic regression analyses. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Fitzgerald, et al. J Am Diet Assoc. 108(6), Jun. 2008

  6. Nutrition Knowledge, Food Label Use, and Food Intake Patterns among Latinas with and without Type 2 DiabetesSummary and Implications • Similar levels of nutrition knowledge, food label self-efficacy and stages of change, food label use, and intake patterns between Latinas with and without diagnosed diabetes suggest a need to improve nutrition knowledge, skills, and food intake behaviors in this population. • Among Latinas with diabetes, receiving services from registered dietitians or certified diabetes educators was related to a better nutrition knowledge score, which points out the need for the provision of such services. • The results suggest a multifaceted relationship between education level and nutrition-related skills and behaviors: a direct association between education and food intake independent of nutrition knowledge and skills, and also, a likely association through increased nutrition knowledge resulting in greater food label use, which in turn was related to a healthier food intake pattern. Hence, populations with a low socioeconomic status may still benefit from interventions aiming to increase instrumental nutrition knowledge and food label education that strengthen the necessary skills needed to improve dietary intake. • As suggested by the positive associations of acculturation with soft drink and salty snack intakes, emphasizing the retention of healthful lifestyle behaviors within the Latino culture can be a valuable strategy when targeting health disparities. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Fitzgerald, et al. J Am Diet Assoc . 108(6), Jun. 2008

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