Nutrients | |
Can Self-Determination Explain Dietary Patterns Among Adults at Risk of or with Type 2 Diabetes? A Cross-Sectional Study in Socio-Economically Disadvantaged Areas in Stockholm | |
Jeroen De Man1  Pilvikki Absetz2  David Guwatudde3  Aravinda Berggreen-Clausen4  KristiSidney Annerstedt5  Nuria Güil Oumrait5  Meena Daivadanam5  Helle Mölsted Alvesson5  | |
[1] Centre for General Practice, Department of Primary and Interdisciplinary Care, University of Antwerp, 2000 Antwerp, Belgium;Collaborative Care Systems Finland, 00270 Helsinki, Finland;Department of Epidemiology and Biostatistics, School of Public Health, Makerere University, Box 20000, Ggaba Road, Kansanga, Uganda;Department of Food Studies, Nutrition and Dietetics, Uppsala University, 751 22 Uppsala, Sweden;Department of Global Public Health, Karolinska Institutet, 171 65 Solna, Sweden; | |
关键词: type 2 diabetes, healthy diet, self-determination theory, social support, competence, autonomous motivation, socio-economically disadvantaged, sweden; | |
DOI : 10.3390/nu12030620 | |
来源: DOAJ |
【 摘 要 】
Type 2 Diabetes (T2D) is a major health concern in Sweden, where prevalence rates have been increasing in socioeconomically disadvantaged areas. Self-Determination Theory (SDT) is posited as an optimal framework to build interventions targeted to improve and maintain long-term healthy habits preventing and delaying the onset of T2D. However, research on SDT, T2D and diet has been widely overlooked in socio-economically disadvantaged populations. This study aims to identify the main dietary patterns of adults at risk of and with T2D from two socio-economically disadvantaged Stockholm areas and to determine the association between those patterns and selected SDT constructs (relatedness, autonomy motivation and competence). Cross-sectional data of 147 participants was collected via questionnaires. Exploratory Factor Analysis was used to identify participants’ main dietary patterns. Multiple linear regressions were conducted to assess associations between the SDT and diet behaviours, and path analysis was used to explore mediations. Two dietary patterns (healthy and unhealthy) were identified. Competence construct was most strongly associated with healthy diet. Autonomous motivation and competence mediated the effect of relatedness on diet behaviour. In conclusion, social surroundings can promote adults at high risk of or with T2D to sustain healthy diets by supporting their autonomous motivation and competence.
【 授权许可】
Unknown