Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes

Grace Kollannoor-Samuel, Sofia Segura-Pérez, Fatma M. Shebl, Nicola L. Hawley, Grace Damio, Jyoti Chhabra, Sonia Vega-Lopez, Maria Luz Fernandez, Rafael Pérez-Escamilla

Research output: Contribution to journalArticle

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Abstract

Objective The study aims were to (i) identify determinants of Nutrition Facts Panel (NFP) use and (ii) describe the association between NFP use and dietary intake among Latinos with type 2 diabetes. Design Baseline cross-sectional data from a clinical trial were used to assess the association between NFP use and dietary intake. Diet was measured using two methods: (i) a diet quality score (the Healthy Eating Index-2010) derived from a single 24 h recall and (ii) dietary pattern (exploratory factor analyses) from an FFQ. Multivariable logistic and non-parametric quantile regressions were conducted, as appropriate. Settings Hartford County, Connecticut, USA. Subjects Latino adults (n 203), ≥21 years of age, with diagnosed type 2 diabetes, glycosylated Hb≥7 %, and without medical conditions limiting physical activity. Results Participants' education level, diabetes-related knowledge and English speaking were positively associated with NFP use. At the higher percentiles of diet quality score, NFP use was significantly associated with higher diet quality. Similarly, NFP users were more likely to consume a 'healthy' dietary pattern (P=0·003) and less likely to consume a 'fried snack' pattern (P=0·048) compared with NFP non-users. Conclusions The association between reported NFP use and diet quality was positive and significantly stronger among participants who reported consuming a healthier diet. While NFP use was associated with a healthier dietary pattern, not using NFP was associated with a less-healthy, fried snack pattern. Longitudinal studies are needed to understand whether improving NFP use could be an effective intervention to improve diet quality among Latinos with type 2 diabetes.

Original languageEnglish (US)
Pages (from-to)2909-2919
Number of pages11
JournalPublic Health Nutrition
Volume20
Issue number16
DOIs
StatePublished - Nov 1 2017

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Hispanic Americans
Type 2 Diabetes Mellitus
Diet
Snacks
Statistical Factor Analysis
Longitudinal Studies
Clinical Trials
Exercise
Education

Keywords

  • Diet quality
  • Dietary patterns
  • Healthy Eating Index-2010
  • Latinos
  • Nutrition Facts Panel
  • Type 2 diabetes

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Kollannoor-Samuel, G., Segura-Pérez, S., Shebl, F. M., Hawley, N. L., Damio, G., Chhabra, J., ... Pérez-Escamilla, R. (2017). Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes. Public Health Nutrition, 20(16), 2909-2919. https://doi.org/10.1017/S1368980017001860

Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes. / Kollannoor-Samuel, Grace; Segura-Pérez, Sofia; Shebl, Fatma M.; Hawley, Nicola L.; Damio, Grace; Chhabra, Jyoti; Vega-Lopez, Sonia; Fernandez, Maria Luz; Pérez-Escamilla, Rafael.

In: Public Health Nutrition, Vol. 20, No. 16, 01.11.2017, p. 2909-2919.

Research output: Contribution to journalArticle

Kollannoor-Samuel, G, Segura-Pérez, S, Shebl, FM, Hawley, NL, Damio, G, Chhabra, J, Vega-Lopez, S, Fernandez, ML & Pérez-Escamilla, R 2017, 'Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes', Public Health Nutrition, vol. 20, no. 16, pp. 2909-2919. https://doi.org/10.1017/S1368980017001860
Kollannoor-Samuel G, Segura-Pérez S, Shebl FM, Hawley NL, Damio G, Chhabra J et al. Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes. Public Health Nutrition. 2017 Nov 1;20(16):2909-2919. https://doi.org/10.1017/S1368980017001860
Kollannoor-Samuel, Grace ; Segura-Pérez, Sofia ; Shebl, Fatma M. ; Hawley, Nicola L. ; Damio, Grace ; Chhabra, Jyoti ; Vega-Lopez, Sonia ; Fernandez, Maria Luz ; Pérez-Escamilla, Rafael. / Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes. In: Public Health Nutrition. 2017 ; Vol. 20, No. 16. pp. 2909-2919.
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abstract = "Objective The study aims were to (i) identify determinants of Nutrition Facts Panel (NFP) use and (ii) describe the association between NFP use and dietary intake among Latinos with type 2 diabetes. Design Baseline cross-sectional data from a clinical trial were used to assess the association between NFP use and dietary intake. Diet was measured using two methods: (i) a diet quality score (the Healthy Eating Index-2010) derived from a single 24 h recall and (ii) dietary pattern (exploratory factor analyses) from an FFQ. Multivariable logistic and non-parametric quantile regressions were conducted, as appropriate. Settings Hartford County, Connecticut, USA. Subjects Latino adults (n 203), ≥21 years of age, with diagnosed type 2 diabetes, glycosylated Hb≥7 {\%}, and without medical conditions limiting physical activity. Results Participants' education level, diabetes-related knowledge and English speaking were positively associated with NFP use. At the higher percentiles of diet quality score, NFP use was significantly associated with higher diet quality. Similarly, NFP users were more likely to consume a 'healthy' dietary pattern (P=0·003) and less likely to consume a 'fried snack' pattern (P=0·048) compared with NFP non-users. Conclusions The association between reported NFP use and diet quality was positive and significantly stronger among participants who reported consuming a healthier diet. While NFP use was associated with a healthier dietary pattern, not using NFP was associated with a less-healthy, fried snack pattern. Longitudinal studies are needed to understand whether improving NFP use could be an effective intervention to improve diet quality among Latinos with type 2 diabetes.",
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N2 - Objective The study aims were to (i) identify determinants of Nutrition Facts Panel (NFP) use and (ii) describe the association between NFP use and dietary intake among Latinos with type 2 diabetes. Design Baseline cross-sectional data from a clinical trial were used to assess the association between NFP use and dietary intake. Diet was measured using two methods: (i) a diet quality score (the Healthy Eating Index-2010) derived from a single 24 h recall and (ii) dietary pattern (exploratory factor analyses) from an FFQ. Multivariable logistic and non-parametric quantile regressions were conducted, as appropriate. Settings Hartford County, Connecticut, USA. Subjects Latino adults (n 203), ≥21 years of age, with diagnosed type 2 diabetes, glycosylated Hb≥7 %, and without medical conditions limiting physical activity. Results Participants' education level, diabetes-related knowledge and English speaking were positively associated with NFP use. At the higher percentiles of diet quality score, NFP use was significantly associated with higher diet quality. Similarly, NFP users were more likely to consume a 'healthy' dietary pattern (P=0·003) and less likely to consume a 'fried snack' pattern (P=0·048) compared with NFP non-users. Conclusions The association between reported NFP use and diet quality was positive and significantly stronger among participants who reported consuming a healthier diet. While NFP use was associated with a healthier dietary pattern, not using NFP was associated with a less-healthy, fried snack pattern. Longitudinal studies are needed to understand whether improving NFP use could be an effective intervention to improve diet quality among Latinos with type 2 diabetes.

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