The Loma Linda University, Center for Health Disparities and Molecular Medicine, Loma Linda, California (Ms Salto, Dr Cordero-MacIntyre, Dr De Leon)
Loma Linda University, School of Public Health, Department of Epidemiology and Biostatistics, Loma Linda, California (Ms Salto, Dr Beeson)
Diabetes Educ. 2011 Mar-Apr;37(2):239-53. doi: 10.1177/0145721710394874. Epub 2011 Feb 22.
The purpose of this study was to assess dietary intake habits of Mexican American Hispanic adults participating in the En Balance diabetes education program.
En Balance is a 3-month culturally sensitive diabetes education intervention for Spanish-speaking Hispanics. Of the 46 participants enrolled, 39 mainly Mexican American Hispanic adults with type 2 diabetes completed the En Balance program. Participants lived in the Riverside and San Bernardino counties of California, and all participants completed the program by June 2008. Dietary intake was assessed at baseline and at 3 months using the validated Southwest Food Frequency Questionnaire.
Clinically important decreases in glycemic control and serum lipid levels were observed at the end of the 3-month program. The baseline diet was characterized by a high intake of energy (2478 ± 1140 kcal), total fat (87 ± 44 g/day), saturated fat (28 ± 15 g/day), dietary cholesterol (338 ± 217 mg/day), and sodium (4236 ± 2055 mg/day). At 3 months, the En Balance group mean intake of dietary fat (P = .045) and dietary cholesterol (P = .033) decreased significantly. Low dietary intakes of docosahexaenoic acid, eicosapentaenoic acid, and vitamin E were also observed in these adults with type 2 diabetes.
The En Balance program improved glycemic control and lipid profiles in a group of Hispanic diabetic participants. En Balance also promoted decreases in dietary fat and dietary cholesterol intake.
本研究旨在评估参加 En Balance 糖尿病教育计划的墨西哥裔美国西班牙裔成年人的饮食摄入习惯。
En Balance 是一项为期 3 个月的针对西班牙语裔的文化敏感型糖尿病教育干预措施。在 46 名入组的参与者中，有 39 名主要为墨西哥裔美国西班牙裔的 2 型糖尿病患者完成了 En Balance 计划。参与者居住在加利福尼亚州的河滨县和圣贝纳迪诺县，所有参与者都在 2008 年 6 月前完成了该计划。使用经过验证的西南食物频率问卷在基线和 3 个月时评估饮食摄入。
在 3 个月的计划结束时，观察到血糖控制和血清脂质水平的临床显著改善。基线饮食的特点是能量摄入高（2478±1140 kcal）、总脂肪（87±44 g/天）、饱和脂肪（28±15 g/天）、膳食胆固醇（338±217 mg/天）和钠（4236±2055 mg/天）。在 3 个月时，En Balance 组的膳食脂肪摄入量（P=.045）和膳食胆固醇摄入量（P=.033）显著下降。这些 2 型糖尿病成年人的饮食中还存在二十二碳六烯酸、二十碳五烯酸和维生素 E 的低摄入量。
En Balance 计划改善了一组西班牙裔糖尿病参与者的血糖控制和血脂谱。En Balance 还促进了膳食脂肪和膳食胆固醇摄入量的减少。
