Diabetes diagnosis and nutrition facts label use among US adults, 2005–2010

Abstract

Objective: To assess the role of diabetes diagnosis as a potential teachable moment in nutrition facts label use among US adults. Design: Logistic regression analyses were conducted to examine the relationship between diabetes diagnosis status (diagnosed diabetes, undiagnosed diabetes, diagnosed prediabetes, undiagnosed prediabetes, no diabetes or prediabetes) and self-reported nutrition facts label use, adjusted by individual characteristics and survey design. Setting: Study sample came from the National Health and Nutrition Examination Survey 2005-2010 waves. Subjects: A total of 5110 US adults aged 20 years and older were included in the analyses. Diabetes/prediabetes was identified by fasting plasma glucose and glycated Hb testing. Results: People with diagnosed diabetes/prediabetes were substantially more likely to report nutrition facts label use when making daily food purchase decisions compared with those with undiagnosed diabetes/prediabetes, whereas the prevalence of nutrition facts label use was similar between people with undiagnosed diabetes/prediabetes and those without diabetes/prediabetes. The adjusted prevalence (95 % CI) of any and regular nutrition facts label use was 85·93 (82·91, 88·95) % and 55·60 (50·04, 61·16) % among those with diagnosed diabetes, respectively, in comparison to 71·50 (59·64, 83·37) % and 32·88 (19·11, 46·65) % among those with undiagnosed diabetes. Analogously, the adjusted prevalence (95 % CI) of any and regular nutrition facts label use was 81·16 (75·27, 87·06) % and 45·28 (37·28, 53·29) % among those with diagnosed prediabetes, respectively, in comparison to 72·83 (68·06, 77·59) % and 39·95 (34·02, 45·89) % among those with undiagnosed prediabetes. Conclusions: As a potential teachable moment, diabetes diagnosis may positively impact nutrition facts label use and motivate diabetic patients to manage their condition through making healthier food choices.

Reading the nutritional information on food labels among teachers with and without hypertension in Brazil

“…The percentage of individuals who reported frequently consulting nutritional information in this study (41%) was nearly identical to that observed in the general population of the United States (41.54%). [8] In Brazil, previous studies[1920] have investigated the use of nutrition labels among supermarket shoppers. However, these studies have used diverse categorizations of food label reading, which has hindered comparisons of the results.…”

“…[7] In the United States, people with diagnosed diabetes or prediabetes are more likely to report the use of food labels compared with those without these diagnoses. [8] On the other hand, a study conducted in Korea did not reveal a difference in the use of food labels by adults with hypertension, diabetes, or hyperlipidemia. [9] These dissimilarities may be because of the differences in the prevalence of risk factors, access to medical diagnosis, participation in annual health examinations, and sociocultural characteristics.…”

“…[101314] A diagnosis of hypertension, among other factors, may contribute to the adoption of a healthier lifestyle to help control blood pressure levels, including restricting consumption of sodium, calories, and saturated fats and increasing consumption of fruits, vegetables, fibers, potassium, calcium, and magnesium. [15] Given that the practice of frequently consulting food labels is related to healthier food choices,[5] the high prevalence of hypertension among Brazilian teachers,[14] and the scarcity of studies examining the associations between chronic disease and this practice,[789] this study sought to examine the associations among nutritional label reading, medically diagnosed hypertension, and sociodemographic factors among elementary and secondary school teachers, a working group that, in Brazil, has a prevalence rate of hypertension similar to that of the general population.…”

Diabetes Diagnosis and Screen-Based Sedentary Behavior Among US Adults

“…Following the definitions adopted by the Centers for Disease Control and Prevention 28 and An, 18 we classified survey respondents into 5 mutually exclusive categories based on their selfreported diabetes diagnoses and laboratory test results: diagnosed diabetes, diagnosed prediabetes, undiagnosed diabetes, undiagnosed prediabetes, and no diabetes/ prediabetes. Diagnosed diabetes was identified by the answer of "yes" to the interview question, "Have you ever been told by a doctor or health professional that you have diabetes or sugar diabetes?"…”

“…If a new diabetes diagnosis could serve as a window of opportunity for health behavior promotion, targeting people with newly diagnosed diabetes will augment intervention effectiveness because they could be particularly receptive to change. 18 Moreover, these people often can be conveniently reached at clinics, hospitals, and other health care settings when attending appointments for their new diagnosis. Health care providers may seize this opportunity to offer on-site health behavior counseling shortly after delivering the diagnosis/treatment.…”