Title | Association of the DASH dietary pattern with insulin resistance and diabetes in US Hispanic/Latino adults: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). |
Publication Type | Publication |
Year | 2017 |
Authors | Corsino L, Sotres-Alvarez D, Butera NM, Siega-Riz AMaria, Palacios C, Pérez CM, Albrecht SS, Giacinto RAEspinoza, Perera MJudith, Van Horn L, M Avilés-Santa L |
Journal | BMJ Open Diabetes Res Care |
Volume | 5 |
Issue | 1 |
Pagination | e000402 |
Date Published | 2017 |
ISSN | 2052-4897 |
Abstract | OBJECTIVE: To examine the association between diet quality and both diabetes status and insulin resistance in Hispanic/Latino adults, and the extent to which differences in diet quality contribute to differences in outcomes across Hispanic/Latino heritage.RESEARCH DESIGN AND METHODS: Cross-sectional study. Data are from 15 942 individuals enrolled in the Hispanic Community Health Study/Study of Latinos. Diet was ascertained using two 24-hour dietary recalls, and diet quality was measured using the Dietary Approaches to Stop Hypertension (DASH) score (range: 0-80, lowest to highest). Diabetes status was defined based on self-reported diagnosis, use of antihyperglycemic medications, or unrecognized diabetes (determined by baseline laboratory measures). Insulin resistance was determined using homeostatic model assessment of β-cell function and insulin resistance (HOMA-IR). The association between DASH and diabetes status was examined using multinomial logistic regression. The association between DASH and HOMA-IR was assessed using linear regression, and we tested whether the association was modified by Hispanic/Latino heritage or diabetes status.RESULTS: DASH score was highest in those with self-reported diabetes (controlled) and no medications (44.8%). A higher DASH score was associated with a lower HOMA-IR, and the association was the same regardless of diabetes status (p>0.8 for the interaction).CONCLUSIONS: The association between DASH and diabetes status was strongest for those with controlled self-reported diabetes and who were not taking antihyperglycemic medications. A higher DASH score was associated with less insulin resistance among Hispanics/Latinos. Differences in DASH scores by Hispanic/Latino heritage did not explain the differences in prevalence of diabetes and insulin resistance reported in the diverse Hispanic/Latino population.CLINICAL TRIAL NUMBER: NCT02060344. |
DOI | 10.1136/bmjdrc-2017-000402 |
Alternate Journal | BMJ Open Diabetes Res Care |
PubMed ID | 28761660 |
PubMed Central ID | PMC5530245 |
Grant List | K01 DK107791 / DK / NIDDK NIH HHS / United States P30 DK056350 / DK / NIDDK NIH HHS / United States |
Association of the DASH dietary pattern with insulin resistance and diabetes in US Hispanic/Latino adults: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
MS#:
0347
ECI:
Yes
Manuscript Status:
Published