Document Detail

The role of active family nutritional support in Navajos' type 2 diabetes metabolic control.
MedLine Citation:
PMID:  14514587     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We examined if active family nutritional support is associated with improved metabolic outcomes for Diné (Navajo) individuals living with type 2 diabetes. RESEARCH DESIGN AND METHODS: The presence of family support, using variables identified in earlier ethnographic research, was assessed via surveys in a convenience sample of 163 diabetic individuals. Diabetes outcome measures (HbA(1c), serum glucose, triglycerides, total cholesterol, creatinine, and systolic and diastolic blood pressure measures) were extracted from participants' medical records. Bivariate analyses and multiple logistic regressions were conducted. RESULTS: All measures of family support showed a relation with one or more indicators of metabolic control in bivariate analyses. In multivariate analyses, respondents were more likely to be in the best tertile for triglyceride (P < 0.05), cholesterol (P < 0.05), and HbA(1c) (P < 0.05) if another person cooked most of the meals. Respondents in families who bought/cooked "light" foods were more likely to be in the best tertile for triglyceride (P < 0.005) and cholesterol levels (P < 0.005), and those in families whose members ate "light" foods with them were more likely to be in the best tertile for triglycerides (P < 0.005). When all three support variables were entered into a multivariate model, only the variable "other family members cook the majority of the meals" was significantly associated with being in the lowest triglyceride (P = 0.05), HbA(1c) (P < 0.05), or cholesterol tertiles (P < 0.05). These relationships were most evident for women with diabetes. CONCLUSIONS: Active family nutritional support, as measured by culturally relevant categories, is significantly associated with control of triglyceride, cholesterol, and HbA(1c) levels. The findings suggest that the family is a more useful unit of intervention for Diné individuals than for the individual alone when designing diabetes care strategies.
Carolyn Epple; Anne L Wright; Vijay N Joish; Mark Bauer
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Diabetes care     Volume:  26     ISSN:  0149-5992     ISO Abbreviation:  Diabetes Care     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-09-29     Completed Date:  2004-05-20     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7805975     Medline TA:  Diabetes Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2829-34     Citation Subset:  IM    
Sonoma State University, Rohnert Park, California 94928, USA.
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MeSH Terms
Cholesterol / blood
Diabetes Mellitus, Type 2 / diet therapy*,  ethnology,  metabolism*
Family Health
Hemoglobin A, Glycosylated / metabolism
Indians, North American*
Logistic Models
Middle Aged
Multivariate Analysis
Nutrition Assessment
Sex Factors
Social Support*
Triglycerides / blood
Grant Support
Reg. No./Substance:
0/Hemoglobin A, Glycosylated; 0/Triglycerides; 57-88-5/Cholesterol

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

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