Relationship between energy intake and weight in Latino adults with type 2 diabetes, Preliminary Results: DIALBEST Trial

Abstract

We examined the relationship of reported energy intake (rEI) with body weight (Wt) and BMI among Latinos with type 2 diabetes, classified as under‐reporters (UR), plausible reporters (PR), and over‐reporters (OR). 81 Latino patients ≥ 21 years were enrolled from a hospital diabetes clinic. Wt and height were measured. Demographic and rEI (dietary recall) data was gathered. Mean (X̄) age =57.6 yrs.,X̄BMI =34.3 kg/m2,X̄rEI =1625 kcals,X̄Wt =86 kgs. BMI, Wt and rEI were not significantly different between genders. Plausibility cut‐offs for rEI as a percentage of predicted energy requirement were used to categorize sample into UR, PR, and OR (McCrory et. al. 2002*). Using ± 1 SD cutoff for rEI plausibility, 38% of the sample was classified as PR, 53% as UR and 9% as OR. While, Wt or BMI were not significantly different across the three groups, rEI was significantly different across all three groups (p≤0.05) (highest for OR, and lowest for UR). rEI was not associated with Wt and BMI in the complete sample, but was significantly related to Wt and BMI within UR and PR (p≤0.05). Results are consistent with underreporting of EI among overweight/obese samples in previous studies, suggesting caution in interpretation of EI results. Funded by the Connecticut NIH EXPORT Center of Excellence for Eliminating Health Disparities among Latinos (NIH‐NCMHD grant # P20MD001765).*Public Health Nutr. 5;6a:873–882.