Enhanced Eating Competence Is Associated with Improved Diet Quality and Cardiometabolic Profile in Finnish Adults with Increased Risk of Type 2 Diabetes
Eating competence (EC) is characterized by positive attitudes towards food and eating, having regular meals, eating a variety of foods, and internally regulated eating. We investigated the associations of changes in EC with changes in lifestyle, anthropometrics and biomarkers of glucose and lipid me...
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2021
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oai:doaj.org-article:511b7756cc2c4c089e3d2ef5bace8e3d2021-11-25T18:36:13ZEnhanced Eating Competence Is Associated with Improved Diet Quality and Cardiometabolic Profile in Finnish Adults with Increased Risk of Type 2 Diabetes10.3390/nu131140302072-6643https://doaj.org/article/511b7756cc2c4c089e3d2ef5bace8e3d2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4030https://doaj.org/toc/2072-6643Eating competence (EC) is characterized by positive attitudes towards food and eating, having regular meals, eating a variety of foods, and internally regulated eating. We investigated the associations of changes in EC with changes in lifestyle, anthropometrics and biomarkers of glucose and lipid metabolism in 2291 adults at increased risk of type 2 diabetes as part of the StopDia study conducted in primary healthcare. EC and diet quality were assessed with validated digital questionnaires. During the intervention, the participants received either (1) the digital lifestyle intervention, (2) the combined digital and face-to-face group-based lifestyle intervention, or (3) standard care. EC increased among the participants independent of the intervention type. Increase in EC was associated with an increase in diet quality, high-density lipoprotein (HDL) cholesterol, and with a decrease in body mass index and waist circumference, regardless of baseline EC. Of the subdomains of EC, the contextual skills, food acceptance and eating attitudes were associated with various of these changes. Our results thus suggest that EC could be a potential target in lifestyle interventions aiming to improve the cardiometabolic health of people at type 2 diabetes risk.Kirsikka AittolaLeila KarhunenReija MännikköElina Järvelä-ReijonenSanttu MikkonenPilvikki AbsetzMarjukka KolehmainenUrsula SchwabMarja HarjumaaJaana LindströmTimo LakkaTanja Tilles-TirkkonenJussi PihlajamäkiMDPI AGarticleadipositydietdiet qualityeating behaviorglucose metabolismhealth careNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4030, p 4030 (2021) |
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DOAJ |
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DOAJ |
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EN |
| topic |
adiposity diet diet quality eating behavior glucose metabolism health care Nutrition. Foods and food supply TX341-641 |
| spellingShingle |
adiposity diet diet quality eating behavior glucose metabolism health care Nutrition. Foods and food supply TX341-641 Kirsikka Aittola Leila Karhunen Reija Männikkö Elina Järvelä-Reijonen Santtu Mikkonen Pilvikki Absetz Marjukka Kolehmainen Ursula Schwab Marja Harjumaa Jaana Lindström Timo Lakka Tanja Tilles-Tirkkonen Jussi Pihlajamäki Enhanced Eating Competence Is Associated with Improved Diet Quality and Cardiometabolic Profile in Finnish Adults with Increased Risk of Type 2 Diabetes |
| description |
Eating competence (EC) is characterized by positive attitudes towards food and eating, having regular meals, eating a variety of foods, and internally regulated eating. We investigated the associations of changes in EC with changes in lifestyle, anthropometrics and biomarkers of glucose and lipid metabolism in 2291 adults at increased risk of type 2 diabetes as part of the StopDia study conducted in primary healthcare. EC and diet quality were assessed with validated digital questionnaires. During the intervention, the participants received either (1) the digital lifestyle intervention, (2) the combined digital and face-to-face group-based lifestyle intervention, or (3) standard care. EC increased among the participants independent of the intervention type. Increase in EC was associated with an increase in diet quality, high-density lipoprotein (HDL) cholesterol, and with a decrease in body mass index and waist circumference, regardless of baseline EC. Of the subdomains of EC, the contextual skills, food acceptance and eating attitudes were associated with various of these changes. Our results thus suggest that EC could be a potential target in lifestyle interventions aiming to improve the cardiometabolic health of people at type 2 diabetes risk. |
| format |
article |
| author |
Kirsikka Aittola Leila Karhunen Reija Männikkö Elina Järvelä-Reijonen Santtu Mikkonen Pilvikki Absetz Marjukka Kolehmainen Ursula Schwab Marja Harjumaa Jaana Lindström Timo Lakka Tanja Tilles-Tirkkonen Jussi Pihlajamäki |
| author_facet |
Kirsikka Aittola Leila Karhunen Reija Männikkö Elina Järvelä-Reijonen Santtu Mikkonen Pilvikki Absetz Marjukka Kolehmainen Ursula Schwab Marja Harjumaa Jaana Lindström Timo Lakka Tanja Tilles-Tirkkonen Jussi Pihlajamäki |
| author_sort |
Kirsikka Aittola |
| title |
Enhanced Eating Competence Is Associated with Improved Diet Quality and Cardiometabolic Profile in Finnish Adults with Increased Risk of Type 2 Diabetes |
| title_short |
Enhanced Eating Competence Is Associated with Improved Diet Quality and Cardiometabolic Profile in Finnish Adults with Increased Risk of Type 2 Diabetes |
| title_full |
Enhanced Eating Competence Is Associated with Improved Diet Quality and Cardiometabolic Profile in Finnish Adults with Increased Risk of Type 2 Diabetes |
| title_fullStr |
Enhanced Eating Competence Is Associated with Improved Diet Quality and Cardiometabolic Profile in Finnish Adults with Increased Risk of Type 2 Diabetes |
| title_full_unstemmed |
Enhanced Eating Competence Is Associated with Improved Diet Quality and Cardiometabolic Profile in Finnish Adults with Increased Risk of Type 2 Diabetes |
| title_sort |
enhanced eating competence is associated with improved diet quality and cardiometabolic profile in finnish adults with increased risk of type 2 diabetes |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/511b7756cc2c4c089e3d2ef5bace8e3d |
| work_keys_str_mv |
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1718410891097014272 |