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aims: The current study evaluates following a special diet with diet quality
and comorbidities (hypertension, hypercholesterolemia, and obesity) in four
racial/ethnic groups diagnosed with prediabetes or “at risk for diabetes”. Methods
and results: This is a cross-sectional analysis of data from the National
Health and Nutrition Examination Surveys (NHANES), 2007-2008 and 2009-2010.
Sample weights were used to achieve a representative sample. Data were available
for N = 2666 adults, aged ≥20 years (508 Mexican American, 294, Other Hispanic,
616 Black non-Hispanic, and 1248 White non-Hispanic) who were medically
diagnosed with either prediabetes or “at risk for diabetes”. Those reporting
following a special diet had greater odds of meeting saturated fat guidelines
(<10% of calories) but no greater odds of adequate fiber (14 g/4184 kJ (1000
Kcal)) as compared to those not following a special diet. There was a
significant association of following a diet by number of comorbidities.
Regardless of race/ethnicity, reporting following a special diet was more
likely for those having more comorbidities; however, number of comorbidities
was not associated with diet quality. There were racial/ethnic differences in
following a special diet and its association with adequate fiber intake for
persons having health risks for diabetes. Black non-Hispanics who did not
follow a special diet had lower odds of meeting fiber intake requirements.
Conclusion: Low adherence (<15%) to fiber dietary guidelines was found
across race/ethnicity for adults diagnosed at health risk for diabetes.
The original online
version of this article (Vaccaro, J.A., Safina, D., Grunspan, L. and Huffman,
F.G. (2014) Dietary Quality and Comorbidities of Adults at Medical Risk for
Diabetes. Open Journal of Preventive Medicine, 4, 138-144. http://dx.doi.org/10.4236/ojpm.2014.44019) unfortunately contains a mistake. The authors
wish to correct the errors in Table 4,
page 142: P-value for the variable Special diet (yes) should read 0.081. And
they added (yes) after Special diet for clarity. They moved Race/ethnicity up
and presented it without an OR, for clarity.