The economic recession impacts many aspects of our lives including an increase incidence of food insecurity. This can have serious consequences for those suffering from chronic illnesses like diabetes.
For diseases like diabetes, in which nutrition and menu planning play a key role in treatment, food insecurity can be devastating. A study in the November/December issue of the Journal of Nutrition Education and Behavior explores how technology advancement in the form of telemedicine can provide cost-effective ways to treat those with diabetes experiencing food insecurity.
Investigators evaluated rural older adults with diabetes reporting the presence or absence of food insecurity with respect to meal planning, obesity, and diabetes control after receiving a telemedicine intervention that included nutrition counseling. Findings from this study reveal that food-insecure adults with diabetes had a higher body mass index and were more likely to consider the cost of food than food-secure adults with diabetes. However, after nutrition counseling via telemedicine, both groups reported that they usually or always adhered to the dietitian's advice and did not differ significantly in lab values associated with diabetes care.
Food security, as defined by the American Dietetic Association, is "access by all people, at all times to sufficient food for an active and healthy life includes at a minimum: the ready availability of nutritionally adequate and safe foods, and an assured ability to acquire acceptable foods in socially acceptable ways." However, 10% of adults with diabetes were classified as having food insecurity in the Third National Health and Nutrition Examination Survey.1 Unfortunately, "older patients with diabetes commonly do not directly indicate to their primary care provider that money, lack of nutrition knowledge, transportation, physical disability, or other barriers are preventing them from complying with dietary recommendations" says lead author Dr. Daria Homenko, who conducted this work at the State University of New York Upstate Medical University.
This study documents that low-income older individuals with diabetes and food insecurity have the ability to follow an appropriate meal plan after receiving nutrition education by telemedicine, which has not been previously reported. Co-author, Dr. Ruth Weinstock, Professor of Medicine at SUNY Upstate Medical University in Syracuse, New York, states, "in the IDEATel project [telemedicine], nutrition education was effectively delivered to rural older adults with diabetes using telemedicine. This study demonstrated that among participants classified as both food secure and mildly insecure, individuals were usually able to follow the dietitian's advice. This finding suggests that telemedical nutrition support services have the potential to be an important adjunct for rural primary care providers whose patients have poor access to the services of dietitians."
Researchers participating in this multi-center study believe "food insecurity may become a greater problem for older patients living on fixed incomes as the cost of food rises or economically depressed rural localities lose food-distribution outlets. Nutrition education with sensitivity to food insecurity issues as well as services providing access to low-cost, healthful food are needed for many older, rural patients with diabetes. Telemedicine can help with the former; public policies are critical for the latter."
Within the article, the researchers emphasize the importance of providing access to dietitians and diabetes education to underserved older adults with diabetes using telemedicine.
The article is "Food Insecurity and Food Choices in Rural Older Adults with Diabetes Receiving Nutrition Education via Telemedicine" by Daria R. Homenko, MD; Philip C. Morin, MS; Joseph P. Eimicke, MS; Jeanne A. Teresi, EdD, PhD; Ruth S. Weinstock, MD, PhD. It appears in the Journal of Nutrition Education and Behavior, Volume 42, Issue 6 (November/December 2010) published by Elsevier.
1 Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, KushelMB. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002. JGen Intern Med. 2007;22:1018-1023.
Nancy Burns | EurekAlert!
Scientists track ovarian cancers to site of origin: Fallopian tubes
23.10.2017 | Johns Hopkins Medicine
Researchers release the brakes on the immune system
18.10.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn
University of Maryland researchers contribute to historic detection of gravitational waves and light created by event
On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...
Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.
Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....
Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).
When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...
Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.
How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...
Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.
It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...
23.10.2017 | Event News
17.10.2017 | Event News
10.10.2017 | Event News
23.10.2017 | Physics and Astronomy
23.10.2017 | Earth Sciences
23.10.2017 | Health and Medicine