Document Detail

Food insecurity and food choices in rural older adults with diabetes receiving nutrition education via telemedicine.
MedLine Citation:
PMID:  21070978     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate differences between rural older adults with diabetes reporting the presence or absence of food insecurity with respect to meal planning, preparation, shopping, obesity, and glycemic control after receiving nutrition counseling through telemedicine.
METHODS: Food insecurity data were obtained by telephone survey (n=74). Group differences for continuous variables were measured by t tests; categorical variables by Pearson chi-square tests.
RESULTS: Participants reporting mild food insecurity (23%) had higher body mass index (35.5±7.1 kg/m2 vs 30.5±6.0 kg/m2, P=.01) and lower household incomes (P=.03) and were more likely to consider cost of ingredients in food preparation compared to food-secure participants (P=.03). Most purchased fresh produce (97%) and considered the dietitian's advice when purchasing food. Both groups report similar adherence to dietitians' advice and had similar glycemic control.
CONCLUSIONS AND IMPLICATIONS: Strategies to address higher levels of obesity associated with food insecurity are needed.
Daria R Homenko; Philip C Morin; Joseph P Eimicke; Jeanne A Teresi; Ruth S Weinstock
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of nutrition education and behavior     Volume:  42     ISSN:  1878-2620     ISO Abbreviation:  J Nutr Educ Behav     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-11-12     Completed Date:  2011-03-16     Revised Date:  2013-01-15    
Medline Journal Info:
Nlm Unique ID:  101132622     Medline TA:  J Nutr Educ Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  404-9     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Inc.
Tufts Medical Center, Boston, MA, USA.
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MeSH Terms
African Americans
Aged, 80 and over
Body Mass Index
Choice Behavior*
Diabetes Mellitus*
Educational Status
Elder Nutritional Physiological Phenomena
Follow-Up Studies
Food Habits*
Food Supply / statistics & numerical data*
Motor Activity
Obesity / metabolism
Rural Population
Telemedicine / methods*
Grant Support
95-C-90998//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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