Knowledge and Perceptions of a Plant-Based Diet Among Individuals with Type 2 Diabetes and High Food Security Living in Rural Appalachian Ohio

Bibliographic Details
Main Author: Culley, Amanda A.
Language:English
Published: Ohio University / OhioLINK 2015
Subjects:
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1447871209
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-ohiou14478712092021-08-03T06:33:55Z Knowledge and Perceptions of a Plant-Based Diet Among Individuals with Type 2 Diabetes and High Food Security Living in Rural Appalachian Ohio Culley, Amanda A. Health Sciences Health Health Education Nutrition food security food insecurity type 2 diabetes plant-based diet Food insecurity is associated with an increase in prevalence rates of type 2 diabetes. Food insecurity is also associated with decreased levels of fruit and vegetable consumption. Similarly, type 2 diabetes is independently associated with lower intake levels of micronutrients in the diet. Plant–based diets are able to help increase food security through a reduction in average grocery costs, potentially increase micronutrient intake, as well as aid in the management and control of type 2 diabetes. This study was designed to explore the knowledge, perceptions, and barriers surrounding plant-based diets among participants with type 2 diabetes and varying levels of food security.Men and women aged between 30-70 years, diagnosed with type 2 diabetes for at least 2 years, with an HbA1c below 14.0% and living in Appalachian Ohio were recruited for this study. The Household Food Security Survey Module was used to measure food security among participants; validated surveys measuring produce intake and behavior and diabetes-related emotional distress and depression were also used for descriptive purposes. Ten adults with type 2 diabetes (age = 54 ± 10 years, hemoglobin A1c = 7.1 ± 0.7%, diabetes duration = 8.6 ± 6.1 years, BMI = 32.8 ± 3.7, 50% female, 90% White, 60% married, 10% retired, 100% food secure) participated in in-depth face-to-face interviews lasting between 30-70 min. Circumstances prevented a sample with varying levels of food security. The following results are for a highly food secure sample.Diabetes-related emotional distress and depression were low. Average self-reported fruit intake was 1.7 ± 0.9 servings daily. Average self-reported vegetable intake was 2.4 ± 1.3 servings daily. Overall, a lack of knowledge about plant-based diets existed among the majority of participants. Self-efficacy and social support surrounding the incorporation of a plant-based diet into one’s lifestyle remained low due to several identified barriers. These barriers included time, spoilage of produce, access to fresh fruits and vegetables and convenience, cost, difficulty of giving up certain foods, and lack of support from family members and friends. In order to move this population towards the incorporation of more fruits and vegetables and plant-based meals, education connecting type 2 diabetes, nutrition, and plant-based diets needs to be provided to type 2 diabetes patients. Before this type of educational intervention can occur, more qualitative and quantitative research will need to occur to achieve data saturation and address the limitations of the current study. 2015 English text Ohio University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1447871209 http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1447871209 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Health Sciences
Health
Health Education
Nutrition
food security
food insecurity
type 2 diabetes
plant-based diet
spellingShingle Health Sciences
Health
Health Education
Nutrition
food security
food insecurity
type 2 diabetes
plant-based diet
Culley, Amanda A.
Knowledge and Perceptions of a Plant-Based Diet Among Individuals with Type 2 Diabetes and High Food Security Living in Rural Appalachian Ohio
author Culley, Amanda A.
author_facet Culley, Amanda A.
author_sort Culley, Amanda A.
title Knowledge and Perceptions of a Plant-Based Diet Among Individuals with Type 2 Diabetes and High Food Security Living in Rural Appalachian Ohio
title_short Knowledge and Perceptions of a Plant-Based Diet Among Individuals with Type 2 Diabetes and High Food Security Living in Rural Appalachian Ohio
title_full Knowledge and Perceptions of a Plant-Based Diet Among Individuals with Type 2 Diabetes and High Food Security Living in Rural Appalachian Ohio
title_fullStr Knowledge and Perceptions of a Plant-Based Diet Among Individuals with Type 2 Diabetes and High Food Security Living in Rural Appalachian Ohio
title_full_unstemmed Knowledge and Perceptions of a Plant-Based Diet Among Individuals with Type 2 Diabetes and High Food Security Living in Rural Appalachian Ohio
title_sort knowledge and perceptions of a plant-based diet among individuals with type 2 diabetes and high food security living in rural appalachian ohio
publisher Ohio University / OhioLINK
publishDate 2015
url http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1447871209
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