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

Oumrait, Nuria GüilKarolinska Inst, Dept Global Publ Hlth, Solna 17165, Sweden. (author)

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

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.

Daivadanam, MeenaUppsala universitet,Institutionen för kostvetenskap,Internationell barnhälsa och nutrition,Karolinska Inst, Dept Global Publ Hlth, Solna 17165, Sweden.(Swepub:uu)meeda402 (author)
Absetz, PilvikkiCollaborat Care Syst Finland, Helsinki 00270, Finland. (author)
Guwatudde, DavidMakerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Ggaba Rd,Box 20000, Kansanga, Uganda. (author)
Berggreen-Clausen, AravindaUppsala universitet,Institutionen för kostvetenskap(Swepub:uu)arabe725 (author)
Alvesson, Helle MölstedKarolinska Institutet (author)
De Man, JeroenUniv Antwerp, Ctr Gen Practice, Dept Primary & Interdisciplinary Care, Antwerp 2000, Belgium. (author)
Annerstedt, Kristi SidneyKarolinska Institutet (author)
Karolinska Inst, Dept Global Publ Hlth, Solna 17165, Sweden.Institutionen för kostvetenskap (creator_code:org_t)

By the author/editor: Oumrait, Nuria G ...; Daivadanam, Meen ...; Absetz, Pilvikki; Guwatudde, David; Berggreen-Clause ...; Alvesson, Helle ...; show more...; De Man, Jeroen; Annerstedt, Kris ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

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