ArticleClinical nutrition ESPEN2021
Dietary quality, food security and glycemic control among adults with diabetes.
Article in Clinical nutrition ESPEN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Food insecurity and diabetes management among adults of African descent: A systematic review.Diabetic medicine : a journal of the British Diabetic Association · 2024Pooled it
- Rental assistance impacts on diabetes: Insights from a longitudinal mixed-methods analysis.SSM. Qualitative research in health · 2026Article
- From Counseling to Capacity: Patient-Care-Team Perspectives on Healthy Eating Support in Underserved Community Clinics.Research square · 2026Article
- Diabetes and Foot Health Among South Asian People Seeking Asylum in the United Kingdom: A Theory-Informed Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Sociodemographic and behavioral factors associated with diet quality in low-income adults with prediabetes and type 2 diabetes.Primary care diabetes · 2026Article
- Direct and Indirect Pathways Between Food Insecurity and Glycemic Control in Adults with Diabetes.Journal of general internal medicine · 2026Article
- Food Insecurity and Chronic Liver and Gastrointestinal Conditions: A Systematic Review of Prevalence and Clinical Outcomes.Gastro hep advances · 2026Review
- Medically Tailored Grocery Delivery for Food Pantry Clients with Diabetes.Journal of nutrition education and behavior · 2025Article
- Interaction between dietary quality and depression on glycaemic control in type 2 diabetics.BMC public health · 2025Article
- Intersectoral Strategies for Type 2 Diabetes Prevention and Management in Emerging Countries: A Narrative Review of Food Sovereignty, Digital Health, and Syndemic Dynamics.International journal of environmental research and public health · 2025Review
- Diet Quality Among Community Members With Diabetes and Food Insecurity in Northwest Arkansas: Comparison Across 3 Racial/Ethnic Groups.Journal of nutrition education and behavior · 2025Article
- Food Insecurity, Diet and Health Outcomes in Pediatric Inflammatory Bowel Disease: A Pilot Study.Nutrients · 2025Article
- Glycemic control is worse in rural compared to urban type 2 diabetes in Bangladesh, irrespective of food security status.Journal of diabetes investigation · 2025Article
- Adapting the NIMHD Research Framework for Type 2 Diabetes-Related Disparities.Current diabetes reports · 2025Review
- Geospatial Analysis of Food Insecurity and Adverse Human Health Outcomes in the United States.GeoHealth · 2025Article
- Acceptance and feasibility of novel staple foods among individuals with type 2 diabetes in Singapore: a mixed methods study.Frontiers in nutrition · 2025Article
- Area deprivation levels of members of a fully digital diabetes prevention program compared to the US population.Frontiers in endocrinology · 2025Observational
- Diet Quality and Eating Frequency Were Associated with Insulin-Taking Status among Adults.Nutrients · 2024Article
- Assessing and Monitoring Nutrition Security in the United States: A Narrative Review of Current Measures and Instruments.Current nutrition reports · 2024Review
- Association of food insecurity with changes in diet quality, weight, and glycemia over two years in adults with prediabetes and type 2 diabetes on medicaid.Nutrition & diabetes · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
BACKGROUND AND
aimsNutritionally adequate diets can slow the progression of diabetes, but adherence to recommended dietary choices can be hindered by food insecurity. We examined the relationship between dietary quality, food insecurity, and glycemic control among adults with Type 2 Diabetes.
methodsWe analyzed data from the National Health and Nutrition Examination Survey (2011-2016) for 1682 adults =>20 years old with Type 2 diabetes. Glycemic control was measured by HbA1c. Dietary quality was computed using the Healthy Eating Index 2015 score. Food security was assessed by a questionnaire. We analyzed the data using multinomial regression models.
resultsAbout 16% of the population had an HbA1c ≥ 9; 31.8% had food insecurity; 68.3% consumed a poor quality diet. About 24% consumed a poor quality diet and had food insecurity. In the multinomial model, an HbA1c of 8-<9% was associated with poor diet quality (adjusted odds ratio (AOR) = 5.2, 95% confidence interval (CI) = 1.4-19.2, p = 0.01) and food insecurity (AOR = 8.5, 95% CI = 1.4-52.0, p = 0.02). Those with both factors had higher odds of both an HbA1c 8-<9% (AOR = 6.1, 95% CI = 1.5-24.8, p = 0.01) and HbA1c ≥ 9% (AOR = 6.7, 95% CI = 2.0-22.2, p < 0.01). Other risk factors for poor glycemic control were being Black or Hispanic, having no regular source of care, and ever having visited a diabetes specialist (p < 0.05).
conclusionsPoor glycemic control among adults with diabetes was associated with poor quality of diet and/or food insecurity, being Black, Hispanic, and lacking a regular source of care. There is a need for policies that improve access to healthy food in patients with type 2 diabetes, particularly among minority populations.
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