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Can Self-Determinat...
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
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- Oumrait, Nuria Güil (author)
- Karolinska Inst, Dept Global Publ Hlth, Solna 17165, Sweden.
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- Daivadanam, Meena (author)
- Uppsala universitet,Institutionen för kostvetenskap,Internationell barnhälsa och nutrition,Karolinska Inst, Dept Global Publ Hlth, Solna 17165, Sweden.
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- Absetz, Pilvikki (author)
- Collaborat Care Syst Finland, Helsinki 00270, Finland.
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- Guwatudde, David (author)
- Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Ggaba Rd,Box 20000, Kansanga, Uganda.
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- Berggreen-Clausen, Aravinda (author)
- Uppsala universitet,Institutionen för kostvetenskap
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- Alvesson, Helle Mölsted (author)
- Karolinska Institutet
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- De Man, Jeroen (author)
- Univ Antwerp, Ctr Gen Practice, Dept Primary & Interdisciplinary Care, Antwerp 2000, Belgium.
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- Annerstedt, Kristi Sidney (author)
- Karolinska Institutet
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Karolinska Inst, Dept Global Publ Hlth, Solna 17165, Sweden Institutionen för kostvetenskap (creator_code:org_t)
- 2020-02-27
- 2020
- English.
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In: Nutrients. - : MDPI. - 2072-6643. ; 12:3
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- type 2 diabetes
- healthy diet
- self-determination theory
- social support
- competence
- autonomous motivation
- socio-economically disadvantaged
- Sweden
Publication and Content Type
- ref (subject category)
- art (subject category)
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