Beverage-consumption patterns and associations with metabolic risk factors among low-income Latinos with uncontrolled type 2 diabetes

J Acad Nutr Diet. 2013 Dec;113(12):1695-703. doi: 10.1016/j.jand.2013.06.351. Epub 2013 Aug 30.

Abstract

In the United States, Latinos experience disproportionately higher rates of type 2 diabetes and diabetes-related complications than non-Latino whites. Sugar-sweetened beverage (SSB) consumption is strongly associated with increased risk of developing type 2 diabetes. Reducing caloric intake, particularly from energy-dense, low-nutrient foods or beverages, can be an effective and key strategy for metabolic and weight control. However, little is known about the contribution of various types of beverages, including but not limited to SSBs, to total caloric intake among Latinos with type 2 diabetes. Low-income Latinos (87.7% Puerto Rican) participating in a diabetes self-management intervention trial (N=238) provided cross-sectional, descriptive data on beverage-consumption patterns, anthropometric outcomes, and metabolic characteristics. Beverages accounted for one fifth of the total daily caloric intake. SSBs and milk beverages, respectively, contributed 9.6% of calories to overall daily caloric intake. Interventions directed at diabetes risk factors among low-income Latinos with diabetes can benefit from consideration of beverage-consumption behaviors as an important strategy to reduce caloric and sugar intake.

Keywords: Beverage consumption; Latinos; Low-income; Type 2 diabetes.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Beverages / adverse effects*
  • Carbonated Beverages / adverse effects
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetes Mellitus, Type 2 / etiology*
  • Diabetes Mellitus, Type 2 / therapy*
  • Dietary Fats / administration & dosage
  • Dietary Sucrose / administration & dosage
  • Dietary Sucrose / adverse effects*
  • Energy Intake
  • Female
  • Glycated Hemoglobin / analysis
  • Hispanic or Latino*
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Male
  • Middle Aged
  • Obesity / epidemiology
  • Poverty
  • Puerto Rico / ethnology
  • United States

Substances

  • Dietary Fats
  • Dietary Sucrose
  • Glycated Hemoglobin A
  • Hypoglycemic Agents