Missed Opportunities for Providing Low-Fat Dietary Advice to People With Diabetes

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Lobo, Ingrid E. ; Loeb, Danielle F. ; Ghushchyan, Vahram ; Schauer, Irene E. ; Huebschmann, Amy G.
• Description:
  Introduction
  
  Because cardiovascular disease is closely linked to diabetes, national guidelines recommend low-fat dietary advice for patients who have cardiovascular disease or are at risk for diabetes. The prevalence of receiving such advice is not known. We assessed the lifetime prevalence rates of receiving low-fat dietary advice from a health professional and the relationship between having diabetes or risk factors for diabetes and receiving low-fat dietary advice.
  
  Methods
  
  From 2002 through 2009, 188,006 adults answered the following question in the Medical Expenditure Panel Survey: “Has a doctor or other health professional ever advised you to eat fewer high-fat or high-cholesterol foods?” We assessed the association between receiving advice and the following predictors: a diabetes diagnosis, 7 single risk factors for type 2 diabetes, and total number of risk factors.
  
  Results
  
  Among respondents without diabetes or risk factors for diabetes, 7.4% received low-fat dietary advice; 70.6% of respondents with diabetes received advice. Respondents with diabetes were almost twice as likely to receive advice as respondents without diabetes or its risk factors. As the number of risk factors increased, the likelihood of receiving low-fat dietary advice increased. Although unadjusted advice rates increased during the study period, the likelihood of receiving advice decreased.
  
  Conclusion
  
  Although most participants with diabetes received low-fat dietary advice, almost one-third did not. Low-fat dietary advice was more closely associated with the total number of diabetes risk factors than the presence of diabetes. Increasing rates of diabetes and diabetes risk factors are outpacing increases in provision of low-fat dietary advice.
  
  
• Subjects:
  Adolescent Adult Aged Age Factors Cardiovascular Diseases Counseling Cross-Sectional Studies Diabetes Mellitus, Type 2 Dietary Carbohydrates Dietary Fats Female Guideline Adherence Health Care Surveys Health Expenditures Humans Male Middle Aged Primary Health Care Professional-Patient Relations Questionnaires Risk Factors Sex Factors Socioeconomic Factors

  More +
• Source:
  Prev Chronic Dis. 9.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  9
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:635351d31725ca43530fbd8ed326e2099e4845fea46708e39a5942710a7f362abbdc728eedc4f7e43f1e0f430b4b85d5fc273fa51d678c77083ec7c1c687b64b
• Download URL:
  https://stacks.cdc.gov/view/cdc/19766/cdc_19766_DS1.pdf
• File Type:
  [PDF - 250.86 KB ]