Associations between fast food and fried food intake and metabolic risk factors in Latinos with type 2 diabetes: Preliminary results from the DIALBEST study

Abstract

HbA1c, fasting plasma glucose (FPG) and plasma lipids, food frequency data, and energy and macronutrient intake (24h diet recall) were gathered to identify dietary habits associated with metabolic risk factors in Latinos with type 2 diabetes (n=150; 56±12 y; BMI=34±8 kg/m2) enrolled in the DIALBEST study. At baseline, HbA1c was 9.6±1.8 %; FPG was 190±80 mg/dL; total‐, LDL‐ and HDL‐cholesterol (C) were 179±42 mg/dL, 99±38 mg/dL and 50±14 mg/dL, respectively; and triglycerides (TG) were 156±98 mg/dL. Consuming fast food and home‐delivered food was reported by 63% and 57% of participants, respectively. Frequency of fast food intake was correlated with energy intake (r=0.194, p<0.05), trans fat intake (r=0.167, p<0.05), frequency of fried food consumption (r=0.240, p<0.05), HbA1c (r=0.202, p<0.01), FPG (r=0.178, p<0.05), total‐C (r=0.185, p<0.01), LDL‐C (r=0.190, p<0.01) and LDL/HDL (r=0.204, p<0.01). Frequency of home‐delivered food intake was correlated with HbA1c (r=0.161, p<0.05) and FPG (r=0.191, p<0.01). Consumption of fried foods was associated with FPG (r=0.360, p<0.0001), total‐C (r=0.164, p<0.05), LDL‐C (r=0.167, p<0.05), and LDL/HDL (r=0.292, p<0.005), TG (r=0.246, p<0.05). Results suggest that consumption of fast foods and fried foods may contribute to the metabolic risk in this population. Funding: CT Center for Eliminating Health Disparities among Latinos (NIH‐NCMHD grant # P20MD001765).