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Differences in food habits and cardiovascular disease risk factors among Native Americans with and without diabetes: the Inter-Tribal Heart Project

Published online by Cambridge University Press:  02 January 2007

SL Archer ,
KJ Greenlund ,
R Valdez ,
ML Casper ,
S Rith-Najarian  and
JB Croft
SL Archer
Affiliation:
Department of Preventive Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA
KJ Greenlund*
Affiliation:
Cardiovascular Health Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mailstop K-47, Atlanta, GA 30341-3717, USA
R Valdez
Affiliation:
Division of Diabetes Translation, Atlanta, GA, USA
ML Casper
Affiliation:
Cardiovascular Health Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mailstop K-47, Atlanta, GA 30341-3717, USA
S Rith-Najarian
Affiliation:
Bemidji Area Indian Health Service, Bemidji, MN, USA
JB Croft
Affiliation:
Cardiovascular Health Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mailstop K-47, Atlanta, GA 30341-3717, USA
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To examine differences in food habits among Native Americans with and without diabetes.

Design:

A cross-sectional epidemiological study in which participants underwent a physical examination and answered an extensive interviewer-administered questionnaire to assess differences in food servings, preparation and eating habits.

Setting/participants:

Participants aged ≥25 years were randomly selected from three reservations in Minnesota and Wisconsin. There were 990 persons without diabetes, 294 with a prior diagnosis of diabetes, and 80 with fasting glucose >125 mg dl−1 but no prior diabetes diagnosis.

Results:

Persons with prior diabetes diagnosis were less likely than those without diabetes to report eating fast-food meals two or more times per week, eat visible fat on meat or the skin on poultry, eat fried chicken or fried fish, to add fat to cooked vegetables and drink whole milk. Persons with previously undiagnosed diabetes were more likely than previously diagnosed persons to report eating fast-food meals two or more times per week, eat visible fat on meat and the skin on poultry, drink whole milk and eat fried fish, but were less likely to drink low-fat milk. Previously undiagnosed persons were more likely than either diagnosed persons or persons without diabetes to consume lard from cooked foods and use it when cooking.

Conclusion:

Persons with diagnosed diabetes showed healthier eating patterns than those without diabetes, while undiagnosed persons showed some less favourable patterns. Because virtually all persons with diabetes in these communities receive nutrition education, the results suggest that nutrition education programmes for diabetics may be associated with healthier eating patterns.

Keywords

DiabetesFood habitsNative Americans
Type
Research Article
Information
Public Health Nutrition , Volume 7 , Issue 8 , December 2004 , pp. 1025 - 1032
Copyright
Copyright © The Authors 2004

References

1Burrows, NR, Geiss, LS, Engelgau, MM, Acton, KJ. Prevalence of diabetes among Native Americans and Alaska Natives, 1990–1997. Diabetes Care 2000; 23: 1786–90.CrossRefGoogle ScholarPubMed
2Howard, BV, Lee, ET, Cowan, LD, Devereaux, RB, Galloway, JM, Go, OT, et al. Rising tide of cardiovascular disease in American Indians. The Strong Heart Study. Circulation 1999; 99: 2389–95.CrossRefGoogle ScholarPubMed
3Dabelea, D, Hanson, RL, Bennett, PH, Roumain, J, Knowler, WC, Pettitt, DJ. Increasing prevalence of type 2 diabetes in American Indian children. Diabetologia 1998; 41: 904–10.CrossRefGoogle ScholarPubMed
4Harris, MI. Summary. In: Harris, MI, Cowie, CC, Stern, MP, Boyko, EJ, Reiber, GE, Bennett, PH, eds. Diabetes in America. 2nd ed. DHHS Publication No. (NIH) 95–1468. Washington, DC: US Department of Health and Human Services, National Institutes of Health, 1995; 1–14.Google Scholar
5Will, JC, Strauss, KF, Mendlein, JM, Ballew, C, White, LL, Peter, DG. Diabetes mellitus among Navajo Indians: findings from the Navajo Health and Nutrition Survey. Journal of Nutrition 1997; 127: 2106S–13S.CrossRefGoogle ScholarPubMed
6 US Department of Health and Human Services, Indian Health Service, Office of Public Health. Regional Differences in Indian Health, 1998–99 [online]. Available at: http://www.ihs.gov/publicinfo/publications/trends98/region98.asp. Accessed 12 04 2004Google Scholar
7Nelson, KM, Reiber, G, Boyko, EJ. Diet and exercise among adults with type 2 diabetes. Findings from the third National Health and Nutrition Examination Survey (NHANES 3). Diabetes Care 2002; 25: 1722–8.CrossRefGoogle Scholar
8Miller, CK, Jensen, GL, Actherberg, CL. Evaluation of a food label nutrition intervention for women with type 2 diabetes mellitus. Journal of the American Dietetic Association 1999; 99: 323–8.CrossRefGoogle ScholarPubMed
9Miller, CK, Edwards, L, Kissling, G, Sanville, L. Nutrition education improves metabolic outcomes among older adults with diabetes mellitus: results from a randomized control trial. Preventive Medicine 2002; 34: 252–9.CrossRefGoogle Scholar
10Humphry, J, Jameson, LM, Beckham, S. Overcoming social and cultural barriers to care for patients with diabetes. Western Journal of Medicine 1997; 167: 138–44.Google ScholarPubMed
11Young, TK, Mustard, CA. Undiagnosed diabetes: does it matter? Canadian Medical Association Journal 2001; 164: 24–8.Google ScholarPubMed
12Casper, M, Rith-Najarian, S, Croft, J, Giles, W, Donehoo, R. Blood pressure, diabetes, and body mass index among Chippewa and Menominee Indians: the Inter-Tribal Heart Project preliminary data. Public Health Reports 1996; 111: 37–9.Google ScholarPubMed
13Greenlund, KJ, Valdez, R, Casper, ML, Rith-Najarian, S, Croft, JB. Prevalence and correlates of the insulin resistance syndrome among Native Americans: the Inter-Tribal Heart Project. Diabetes Care 1999; 22: 441–7.CrossRefGoogle ScholarPubMed
14Centers for Disease Control and Prevention (CDC). Inter-Tribal Heart Project: Results from the Cardiovascular Health Survey. Atlanta, GA: CDC, US Department of Health and Human Services, 1996.Google Scholar
15Mayfield, J, Rith-Najarian, S, Acton, K, Schraer, C, Stahn, R, Johnson, M, et al. Assessment of diabetes care by medical record review: the Indian Health Service Model. Diabetes Care 1994; 17: 918–23.CrossRefGoogle ScholarPubMed
16Friedwald, WT, Levy, RI, Fredrickson, DS. Estimation of the concentration of low density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clinical Chemistry 1972; 18: 499–501.CrossRefGoogle Scholar
17National Cholesterol Education Program. Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel 2). NIH Publication No. 93–3095. Bethesda, MD: National Heart, Lung, and Blood Institute, National Institutes of Health, 1993.Google Scholar
18National Institutes of Health (NIH). The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. NIH Publication No. 98–4080. Rockville, MD: National Heart, Lung, and Blood Institute, NIH, 1997.Google Scholar
19National Heart, Lung, and Blood Institute. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: the Evidence Report. Rockville, MD: National Heart, Lung, and Blood Institute, National Institutes of Health, 1998.Google Scholar
20American Diabetes Association. National standards for diabetes self-management education programs and American Diabetes Association review criteria. Diabetes Care 1998; 21: S95–8.CrossRefGoogle Scholar
21Grundy, SM, Balady, GJ, Criqui, MH, Fletcher, G, Greenland, P, Hiratzka, LF, et al. Guide to primary prevention of cardiovascular diseases: a statement for health care professionals from the Task Force on Risk Reduction. American Heart Association Science Advisory and Coordinating Committee. Circulation 1997; 95: 2329–31.CrossRefGoogle ScholarPubMed
22Smith, SC Jr, Blair, SN, Criqui, MH, Fletcher, GF, Fuster, V, Gersh, BJ, et al. Preventing heart attack and death in patients with coronary disease. Circulation 1995; 92: 2–4.Google ScholarPubMed
23Centers for Disease Control and Prevention. Missed opportunities in preventive counseling for cardiovascular disease – United States, 1995. MMWR Morbidity and Mortality Weekly Reports 1998; 47: 91–5.Google Scholar
24Kaplan, RM, Hartwell, SL, Wilson, DK, Wallace, JP. Effects of diet and exercise interventions on control and quality of life in non-insulin dependent diabetes mellitus. Journal of General Internal Medicine 1987; 2: 220–7.CrossRefGoogle ScholarPubMed
25Padgett, D, Mumford, E, Hymes, M, Carter, R. Meta-analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus. Journal of Clinical Epidemiology 1988; 41: 1007–30.CrossRefGoogle ScholarPubMed
26Basiotis, PP, Lino, M, Anand, R. The Diet Quality of American Indians: Evidence from the Continuing Survey of Food Intakes by Individuals. Insight No. 12. Washington, DC: US Department of Agriculture, Center for Nutrition Policy and Promotion, 1999.Google Scholar
27Stegmayer, P, Lovrein, FC, Smith, M, Keller, T, Gohdes, DM. Designing a diabetes nutrition education program for a Native American community. Diabetes Education 1988; 14: 64–6.CrossRefGoogle ScholarPubMed
28Harwell, TS, Moore, K, McDowall, JM, Helgerson, SD, Gohdes, D. Cardiovascular risk factors in Montana American Indians with and without diabetes. American Journal of Preventive Medicine 2003; 24: 265–9.CrossRefGoogle ScholarPubMed
29Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 2002; 346: 393–403.CrossRefGoogle Scholar
30Tuomilehto, J, Lindstrom, J, Eriksson, JG, Valle, TT, Hamalainen, H, Ilanne-Parikka, P, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine 2001; 344: 1343–50.CrossRefGoogle ScholarPubMed
31Pan, XR, Li, GW, Hu, YH, Wang, JX, Yang, WY, An, ZX, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 1997; 20: 537–44.CrossRefGoogle Scholar
32Archer, SL, Greenlund, KJ, Rith-Najarian, S, Croft, J, Casper, ML. Association of diabetes education with dietary intake and biochemical parameters: the Inter-Tribal Health Project. Journal of the American Dietetic Association 2002; 102: 1132–5.CrossRefGoogle Scholar
33Gittelsohn, J, Wolever, TMS, Harris, SB, Harris-Giraldo, R, Hanley, AJG, Zinman, B. Specific patterns of food consumption and preparation are associated with diabetes and obesity in a Native Canadian community. Journal of Nutrition 1998; 128: 541–7.CrossRefGoogle Scholar
34Lee, ET, Howard, BV, Savage, PJ, Cowan, LD, Fabsitz, RR, Oopik, AJ, et al. Diabetes and impaired glucose tolerance in three American Indian populations aged 45–74 years. The Strong Heart Study. Diabetes Care 1995; 18: 599–610.CrossRefGoogle ScholarPubMed
35Miller, CK, Edwards, L, Kissling, G, Sanville, L. Nutrition education improves metabolic outcomes among older adults with diabetes mellitus. Results from a randomized controlled trial. Preventive Medicine 2002; 34: 252–9.CrossRefGoogle ScholarPubMed
36Wing, RR, Goldstein, MG, Acton, KJ, Birch, LL, Jakcic, JM, Sallis, FJ Jr, et al. Behavioral science research in diabetes: lifestyle changes related to obesity, eating behavior, and physical activity. Diabetes Care 2001; 24: 117–23.CrossRefGoogle ScholarPubMed
37French, S, Jeffery, R, Story, M, Hannan, P, Snyder, M. A pricing strategy to promote low-fat snack choices through vending machines. American Journal of Public Health 1997; 87: 849–51.CrossRefGoogle ScholarPubMed
38Jeffery, RW, French, SA, Raether, C, Baxter, JE. An environmental intervention to increase fruit and salad purchases in a cafeteria. Preventive Medicine 1994; 23: 788–92.CrossRefGoogle Scholar
39Subar, AF, Kipnis, V, Troiano, RP, Midthune, D, Schoeller, DA, Bingham, S, et al. Using intake biomarkers to evaluate the extent of dietary misreporting in a large sample of adults: The OPEN Study. American Journal of Epidemiology 2003; 158: 1–13.CrossRefGoogle Scholar
40Goris, AH, Westerterp-Plantenga, MS, Westerterp, KR. Undereating and underrecording of habitual food intake in obese men: selective underreporting of fat intake. American Journal of Clinical Nutrition 2000; 71: 130–4.CrossRefGoogle ScholarPubMed
41Kant, AK. Nature of dietary reporting by adults in the Third National Health and Nutrition Examination Survey, 1988–1994. Journal of the American College of Nutrition 2002; 4: 315–27.CrossRefGoogle Scholar
42Westerterp, KR, Goris, AH. Validity of the assessment of dietary intake: problems of misreporting. Current Opinion in Clinical Nutrition and Metabolic Care 2002; 5: 489–93.CrossRefGoogle ScholarPubMed
43Sorensen, G, Morris, DM, Hunt, MK, Hebert, JR, Harris, DR, Stoddard, A, et al. Work-site nutrition intervention and employees' dietary habits: the Treatwell program. American Journal of Public Health 1992; 82: 877–80.CrossRefGoogle ScholarPubMed
44Ievers-Landis, CE, Burant, C, Drotar, D, Morgan, L, Trapl, ES, Kwoh, CK. Social support, knowledge, and self-efficacy as correlates of osteoporosis preventive behaviors among preadolescent females. Journal of Pediatric Psychology 2003; 28: 335–45.CrossRefGoogle ScholarPubMed
45Lindholm, L, Rosen, M. What is the ‘golden standard’ for assessing population based interventions? Problems of dilution bias. Journal of Epidemiology and Community Health 2000; 54: 617–22.CrossRefGoogle ScholarPubMed
46Narayan, KM, Hoskin, M, Kozak, D, Kriska, AM, Hanson, RL, Pettitt, DJ, et al. Randomized clinical trial of lifestyle intervention in Pima Indians. A pilot study. Diabetic Medicine 1998; 15: 66–72.3.0.CO;2-A>CrossRefGoogle ScholarPubMed
47 US Department of Health and Human Services, Indian Health Service. National Diabetes Program [online]. Available at: http://www.ihs.gov/MedicalPrograms/Diabetes/index.asp. Accessed 12 04 2004.Google Scholar