Fruit and vegetable consumption in diabetics patients: Effect of pender health promotion model (HPM) intervention

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Abstract

BACKGROUND:

This study was aimed to investigate the effect of the intervention based on Pender’s health promotion model (Pender’s HPM) to improve the consumption of fruits and vegetables in diabetic patients.

MATERIALS AND METHODS:

The present study was quasi-experiment community-based research conducted on 112 diabetic patients in Sirjan City. Eligible diabetic patients were randomly divided into two experimental and control groups. The data were collected by two questionnaires, Behavioral Risk Factor Surveillance System and the researcher-made based on Pender’s HPM. In order to compare qualitative variables between two groups, Chi-square test was performed. P value <0.05 was considered significant.

RESULTS:

The findings showed that there is a significant difference in the consumption of fruit juice in men and women ( P value = 0.016). In this study, the perceived obstacles structure and interpersonal influences structure was effective on the consumption of vegetables and salad in diabetic patients before and after the educational intervention.

CONCLUSION:

Perceived benefits and interpersonal and situational influencers are effective on the consumption of fruits and vegetables in diabetic people and health planners should design educational interventions in order to increase the consumption of fruits and vegetables in the target group by considering these effective determinants.

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Most cited references 24

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Fruit and vegetable intake and risk of type 2 diabetes mellitus: meta-analysis of prospective cohort studies

Min Li, Yingli Fan, Xiaowei Zhang … (2014)

Objective To clarify and quantify the potential dose–response association between the intake of fruit and vegetables and risk of type 2 diabetes. Design Meta-analysis and systematic review of prospective cohort studies. Data source Studies published before February 2014 identified through electronic searches using PubMed and Embase. Eligibility criteria for selecting studies Prospective cohort studies with relative risks and 95% CIs for type 2 diabetes according to the intake of fruit, vegetables, or fruit and vegetables. Results A total of 10 articles including 13 comparisons with 24 013 cases of type 2 diabetes and 434 342 participants were included in the meta-analysis. Evidence of curve linear associations was seen between fruit and green leafy vegetables consumption and risk of type 2 diabetes (p=0.059 and p=0.036 for non-linearity, respectively). The summary relative risk of type 2 diabetes for an increase of 1 serving fruit consumed/day was 0.93 (95% CI 0.88 to 0.99) without heterogeneity among studies (p=0.477, I2=0%). For vegetables, the combined relative risk of type 2 diabetes for an increase of 1 serving consumed/day was 0.90 (95% CI 0.80 to 1.01) with moderate heterogeneity among studies (p=0.002, I2=66.5%). For green leafy vegetables, the summary relative risk of type 2 diabetes for an increase of 0.2 serving consumed/day was 0.87 (95% CI 0.81 to 0.93) without heterogeneity among studies (p=0.496, I2=0%). The combined estimates showed no significant benefits of increasing the consumption of fruit and vegetables combined. Conclusions Higher fruit or green leafy vegetables intake is associated with a significantly reduced risk of type 2 diabetes.

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Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies

Rikke Krølner, Mette Rasmussen, Johannes Brug … (2011)

Background Large proportions of children do not fulfil the World Health Organization recommendation of eating at least 400 grams of fruit and vegetables (FV) per day. To promote an increased FV intake among children it is important to identify factors which influence their consumption. Both qualitative and quantitative studies are needed. Earlier reviews have analysed evidence from quantitative studies. The aim of this paper is to present a systematic review of qualitative studies of determinants of children's FV intake. Methods Relevant studies were identified by searching Anthropology Plus, Cinahl, CSA illumine, Embase, International Bibliography of the Social Sciences, Medline, PsycINFO, and Web of Science using combinations of synonyms for FV intake, children/adolescents and qualitative methods as search terms. The literature search was completed by December 1st 2010. Papers were included if they applied qualitative methods to investigate 6-18-year-olds' perceptions of factors influencing their FV consumption. Quantitative studies, review studies, studies reported in other languages than English, and non-peer reviewed or unpublished manuscripts were excluded. The papers were reviewed systematically using standardised templates for summary of papers, quality assessment, and synthesis of findings across papers. Results The review included 31 studies, mostly based on US populations and focus group discussions. The synthesis identified the following potential determinants for FV intake which supplement the quantitative knowledge base: Time costs; lack of taste guarantee; satiety value; appropriate time/occasions/settings for eating FV; sensory and physical aspects; variety, visibility, methods of preparation; access to unhealthy food; the symbolic value of food for image, gender identity and social interaction with peers; short term outcome expectancies. Conclusions The review highlights numerous potential determinants which have not been investigated thoroughly in quantitative studies. Future large scale quantitative studies should attempt to quantify the importance of these factors. Further, mechanisms behind gender, age and socioeconomic differences in FV consumption are proposed which should be tested quantitatively in order to better tailor interventions to vulnerable groups. Finally, the review provides input to the conceptualisation and measurements of concepts (i.e. peer influence, availability in schools) which may refine survey instruments and theoretical frameworks concerning eating behaviours.

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Explaining dietary intake in adolescent girls from disadvantaged secondary schools. A test of Social Cognitive Theory.

David R. Lubans, Ronald Plotnikoff, Philip J Morgan … (2012)

Much of the research on the determinants of dietary behavior has been guided by Bandura's Social Cognitive Theory (SCT), yet few studies have tested the utility of its proposed structural paths. The aim of this paper was to test the capacity of SCT to explain dietary behaviors in a sample of 357 adolescent girls (13.2±0.5 years) from 12 secondary schools located in low-income communities in New South Wales, Australia. Participants completed validated SCT scales assessing nutrition-related self-efficacy, intention, behavioral strategies, family support, situation, outcome expectations, and outcome expectancies. Participants completed a validated food frequency questionnaire, from which, the percentage of total kilojoules from core-foods, non-core foods and saturated fat were calculated. The theoretical models were tested using structural equation modeling in AMOS. The models explained 48-51% and 13-19% of the variance in intention and dietary behavior, respectively. The models provided an adequate fit to the data, and self-efficacy was positively associated with healthy eating and inversely associated with unhealthy eating. However, the pathway from intention to behavior was not statistically significant in any of the models. While this study has demonstrated the utility of SCT constructs to explain behavior in adolescents girls, the proposed structural pathways were not supported. Further study of the role that implementation intentions play in explaining adolescent girls' dietary behaviors is required.

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Author and article information

Journal

Journal ID (nlm-ta): J Educ Health Promot

Journal ID (iso-abbrev): J Educ Health Promot

Journal ID (publisher-id): JEHP

Journal ID (publisher-id): J Edu Health Promot

Title: Journal of Education and Health Promotion

Publisher: Wolters Kluwer - Medknow (India )

ISSN (Print): 2277-9531

ISSN (Electronic): 2319-6440

Publication date Collection: 2024

Publication date (Electronic): 05 July 2024

Volume: 13

Electronic Location Identifier: 185

Affiliations

[1 ]Sirjan School of Medical Sciences, Sirjan, Iran

[2 ]Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

[3 ]Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran

[4 ]Department of Assistant Professor Health Education and Promotion, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran

Author notes

Address for correspondence: Dr. Khadijeh Ahmadzadeh, Sirjan School of Medical Sciences, Sirjan, Iran. E-mail: khj_ahmadzadeh@ 123456yahoo.com

Article

Publisher ID: JEHP-13-185

DOI: 10.4103/jehp.jehp_131_23

PMC ID: 11392248

PubMed ID: 39268436

SO-VID: 5c2d408d-5187-4db5-9d0e-ef7ee68552d6

License:

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Fruit and vegetable consumption in diabetics patients: Effect of pender health promotion model (HPM) intervention

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Abstract

BACKGROUND:

MATERIALS AND METHODS:

RESULTS:

CONCLUSION:

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Clinical Social Work and Health Intervention

Most cited references 24

Fruit and vegetable intake and risk of type 2 diabetes mellitus: meta-analysis of prospective cohort studies

Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies

Explaining dietary intake in adolescent girls from disadvantaged secondary schools. A test of Social Cognitive Theory.

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