{"title":"餐盘法：三个月内西班牙裔糖尿病患者的血红蛋白A1c水平和饮食行为以及不同的文化适应水平","authors":"Bharat Gautam, Joshua Fogel, Bishal Tiwari, Huijuan Liao","doi":"10.1353/hpu.2025.a959119","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We studied education with the meal-plate method among Hispanics with uncontrolled diabetes and its impact on hemoglobin A1c (HbA1c) and dietary behaviors over three months.</p><p><strong>Methods: </strong>Retrospective study of 102 Hispanics with HbA1c of eight percent or greater. Patients received physician-led education about the meal-plate method. Acculturation measures were the Short Acculturation Scale for Hispanics (SASH) and years lived in the United States. HbA1c and dietary behaviors were recorded at baseline and at three-month follow-up.</p><p><strong>Results: </strong>Education with the meal-plate method was associated with lower HbA1c and improved dietary behavior of less juice-drinking and less cake/pastry/cookie-eating. Media acculturation on SASH was positively associated with appropriate juice-drinking at baseline. Years lived in the United States was positively associated with appropriate juice-drinking at follow-up.</p><p><strong>Conclusions: </strong>Meal-plate method education, even if delivered by a solo clinician outside of an interdisciplinary program, can reduce HbA1c levels in people who are Hispanic.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"657-669"},"PeriodicalIF":1.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Meal-plate Method: Hemoglobin A1c Levels and Dietary Behavior Among Hispanics with Diabetes and Varying Levels of Acculturation Over Three Months.\",\"authors\":\"Bharat Gautam, Joshua Fogel, Bishal Tiwari, Huijuan Liao\",\"doi\":\"10.1353/hpu.2025.a959119\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>We studied education with the meal-plate method among Hispanics with uncontrolled diabetes and its impact on hemoglobin A1c (HbA1c) and dietary behaviors over three months.</p><p><strong>Methods: </strong>Retrospective study of 102 Hispanics with HbA1c of eight percent or greater. Patients received physician-led education about the meal-plate method. Acculturation measures were the Short Acculturation Scale for Hispanics (SASH) and years lived in the United States. HbA1c and dietary behaviors were recorded at baseline and at three-month follow-up.</p><p><strong>Results: </strong>Education with the meal-plate method was associated with lower HbA1c and improved dietary behavior of less juice-drinking and less cake/pastry/cookie-eating. Media acculturation on SASH was positively associated with appropriate juice-drinking at baseline. Years lived in the United States was positively associated with appropriate juice-drinking at follow-up.</p><p><strong>Conclusions: </strong>Meal-plate method education, even if delivered by a solo clinician outside of an interdisciplinary program, can reduce HbA1c levels in people who are Hispanic.</p>\",\"PeriodicalId\":48101,\"journal\":{\"name\":\"Journal of Health Care for the Poor and Underserved\",\"volume\":\"36 2\",\"pages\":\"657-669\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Health Care for the Poor and Underserved\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1353/hpu.2025.a959119\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Care for the Poor and Underserved","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1353/hpu.2025.a959119","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
Meal-plate Method: Hemoglobin A1c Levels and Dietary Behavior Among Hispanics with Diabetes and Varying Levels of Acculturation Over Three Months.
Objective: We studied education with the meal-plate method among Hispanics with uncontrolled diabetes and its impact on hemoglobin A1c (HbA1c) and dietary behaviors over three months.
Methods: Retrospective study of 102 Hispanics with HbA1c of eight percent or greater. Patients received physician-led education about the meal-plate method. Acculturation measures were the Short Acculturation Scale for Hispanics (SASH) and years lived in the United States. HbA1c and dietary behaviors were recorded at baseline and at three-month follow-up.
Results: Education with the meal-plate method was associated with lower HbA1c and improved dietary behavior of less juice-drinking and less cake/pastry/cookie-eating. Media acculturation on SASH was positively associated with appropriate juice-drinking at baseline. Years lived in the United States was positively associated with appropriate juice-drinking at follow-up.
Conclusions: Meal-plate method education, even if delivered by a solo clinician outside of an interdisciplinary program, can reduce HbA1c levels in people who are Hispanic.
期刊介绍：
The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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