Concordance with the dietary approaches to stop hypertension eating pattern among adults with diabetes and diabetes-related conditions in the national health and nutrition examination survey 2007-2010 : evaluation of a new dietary index

Matsunaga, Masako
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[Honolulu] : [University of Hawaii at Manoa], [December 2014]
Healthy eating is one of the priorities in diabetes management, suggesting that the quality of an eating pattern is linked to the prognosis of the disease. This dissertation aimed to develop a dietary index that informs the course of diabetes management while being applicable to a wide range of research purposes. A new dietary index was developed based on the Dietary Approaches to Stop Hypertension (DASH) eating pattern that has been shown to decrease blood pressure. Using data from the National Health and Nutrition Examination Survey 2007-2008 and 2009-2010, the performance of the new index was evaluated by estimating the concordance with the DASH eating pattern among US adults with diabetes and diabetes-related health conditions. This dissertation consists of three cross-sectional studies examining the concordance with the DASH eating pattern: the first study by blood pressure status; the second by diabetes status, and; the third by cardiovascular disease risk status. The findings from the three studies suggest that following the DASH eating pattern may be beneficial for adults with diabetes. These studies also reveal a consistent pattern in the degree of concordance with the DASH eating pattern between the total index scores of the new index and the established DASH indices. Because of its composition, standards of components, and scoring system, the new index may be applicable in various settings. Further research is needed to implement the new index and to confirm the effects of the DASH eating pattern on preventing diabetes complications, but this dissertation reveals opportunities for additional advanced studies for the new index.
Ph.D. University of Hawaii at Manoa 2014.
Includes bibliographical references.
NHANES, eating pattern, high blood pressure, diabetes, C-reactive protein
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