PMID- 34694048
OWN - NLM
STAT- MEDLINE
DCOM- 20220202
LR  - 20220202
IS  - 1365-277X (Electronic)
IS  - 0952-3871 (Linking)
VI  - 35
IP  - 1
DP  - 2022 Feb
TI  - What happens to diet quality in people newly diagnosed with type 2 diabetes? The 
      3D case-series study.
PG  - 191-201
LID - 10.1111/jhn.12953 [doi]
AB  - BACKGROUND: Diet quality plays an important role in the prevention of 
      diabetes-related complications in people with type 2 diabetes mellitus (T2DM). 
      However, evidence is scarce on how diet quality typically changes over time after 
      diagnosis. The present study aimed to describe how the diet quality of 
      individuals newly diagnosed with T2DM changes over a 12-month period and to 
      identify factors associated with diet quality changes. METHODS: A 12-month 
      prospective, observational case-series study was undertaken. Two-hundred and 
      twenty-five Australian adults (56% men) newly diagnosed with T2DM were recruited 
      from the Diabetes Australia national database. Participants completed five 
      interviewer-administered surveys over 12 months: baseline, 3, 6, 9 and 12 months. 
      Demographic, physical and health characteristics, and dietary intake data were 
      collected at each timepoint. Diet quality was assessed using the Dietary 
      Approaches to Stop Hypertension (DASH) scoring tool. To assess changes in DASH, 
      energy, fruit and vegetable intake over time, repeated measure analyses of 
      variance were used. Multivariate repeated measures models investigated 
      characteristics associated with these dietary changes. RESULTS: The mean DASH 
      score of the sample remained stable at 24.0 across the 12 months. Very few 
      participants (6.8%) improved diet quality consistently across the study period. 
      No associations between DASH, energy, fruit or vegetable intake over time and 
      characteristics were observed. CONCLUSIONS: This observational study suggests 
      that without dedicated interventions (the natural course), most people newly 
      diagnosed with T2DM will not achieve meaningful diet quality change. The 
      development of cost-effective interventions to achieve sustained diet quality 
      change early after diagnosis are warranted.
CI  - (c) 2021 The British Dietetic Association Ltd.
FAU - Burch, Emily
AU  - Burch E
AUID- ORCID: 0000-0002-7071-3562
AD  - Griffith University and Menzies Health Institute Queensland, Gold Coast, QLD, 
      Australia.
FAU - Williams, Lauren T
AU  - Williams LT
AUID- ORCID: 0000-0002-7860-0319
AD  - Griffith University and Menzies Health Institute Queensland, Gold Coast, QLD, 
      Australia.
FAU - Thalib, Lukman
AU  - Thalib L
AUID- ORCID: 0000-0002-1211-6495
AD  - Department of Biostatistics, Istanbul Aydin University, Istanbul, Turkey.
FAU - Ball, Lauren
AU  - Ball L
AUID- ORCID: 0000-0002-5394-0931
AD  - Griffith University and Menzies Health Institute Queensland, Brisbane, QLD, 
      Australia.
LA  - eng
SI  - ANZCTR/ACTRN12618000375257
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20211025
PL  - England
TA  - J Hum Nutr Diet
JT  - Journal of human nutrition and dietetics : the official journal of the British 
      Dietetic Association
JID - 8904840
SB  - IM
MH  - Adult
MH  - Australia
MH  - *Diabetes Mellitus, Type 2/complications
MH  - Diet
MH  - *Dietary Approaches To Stop Hypertension
MH  - Female
MH  - Humans
MH  - Male
MH  - Prospective Studies
OTO - NOTNLM
OT  - chronic disease
OT  - clinical practice
OT  - diabetes
OT  - dietary assessment
OT  - disease therapeutic areas
OT  - food intake
OT  - nutritional assessment
EDAT- 2021/10/26 06:00
MHDA- 2022/02/03 06:00
CRDT- 2021/10/25 08:55
PHST- 2021/08/30 00:00 [received]
PHST- 2021/09/17 00:00 [accepted]
PHST- 2021/10/26 06:00 [pubmed]
PHST- 2022/02/03 06:00 [medline]
PHST- 2021/10/25 08:55 [entrez]
AID - 10.1111/jhn.12953 [doi]
PST - ppublish
SO  - J Hum Nutr Diet. 2022 Feb;35(1):191-201. doi: 10.1111/jhn.12953. Epub 2021 Oct 
      25.