All ETDs from UAB

Advisory Committee Chair

Jose R Fernandez

Advisory Committee Members

Susan B Miller

Suzanne E Judd

Document Type


Date of Award


Degree Name by School

Master of Science (MS) School of Health Professions


The objective of this study was to determine if adults with diabetes engage in different dietary practices compared to adults without diabetes in a national cohort of adults 45 years of age or older. Dietary practices were evaluated using five dietary patterns derived previously using factor analysis in a sample of 21,636 African American and European American participants who completed the Block 98 Food Frequency Questionnaire in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CI) measuring dietary pattern adherence of adults with diabetes compared to adults without diabetes. After adjustment for potential confounding variables, adults with diabetes were more likely than adults without diabetes to adhere to the Plant- based (OR=1.33, 95% CI: 1.22, 1.45), Southern (OR=1.14, 95% CI: 1.05, 1.25), and Alcohol/Salads (OR=1.15, 95% CI: 1.06, 1.25) dietary patterns. Adults with diabetes were less likely to adhere to the Sweets/Fats pattern (OR=0.80, 95% CI: 0.73, 0.87). There was no difference in adherence to the Convenience dietary pattern. With higher adherence to the Plant-based pattern and lower adherence to the Sweets/Fats pattern, adults with diabetes may be adhering to some of the recommended dietary guidelines. However, the higher adherence to the Southern dietary pattern of adults with diabetes suggests that nutrition education in this population should strongly emphasize the reduction of fried foods and added fats that may increase the risk of developing future diabetes-related comorbidities, particularly cardiovascular disease.