Can Self-Determination Explain Dietary Patterns Among Adults at Risk of or with Type 2 Diabetes? A Cross-Sectional Study in Socio-Economically Disadvantaged Areas in Stockholm
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Nutrients
Abstract
Type 2 Diabetes (T2D) is a major health concern in Sweden, where prevalence rates have
been increasing in socioeconomically disadvantaged areas. Self-Determination Theory (SDT) is
posited as an optimal framework to build interventions targeted to improve and maintain long-term
healthy habits preventing and delaying the onset of T2D. However, research on SDT, T2D and diet
has been widely overlooked in socio-economically disadvantaged populations. This study aims to
identify the main dietary patterns of adults at risk of and with T2D from two socio-economically
disadvantaged Stockholm areas and to determine the association between those patterns and selected
SDT constructs (relatedness, autonomy motivation and competence). Cross-sectional data of 147
participants was collected via questionnaires. Exploratory Factor Analysis was used to identify
participants’ main dietary patterns. Multiple linear regressions were conducted to assess associations
between the SDT and diet behaviours, and path analysis was used to explore mediations. Two dietary
patterns (healthy and unhealthy) were identified. Competence construct was most strongly associated
with healthy diet. Autonomous motivation and competence mediated the e ect of relatedness on
diet behaviour. In conclusion, social surroundings can promote adults at high risk of or with T2D to
sustain healthy diets by supporting their autonomous motivation and competence.
Description
Keywords
Type 2 diabetes, Healthy diet, Self-determination theory, Social support, Competence, Autonomous motivation, Socio-economically disadvantaged, Sweden
Citation
Güil Oumrait, N., Daivadanam, M., Absetz, P., Guwatudde, D., Berggreen-Clausen, A., Mölsted Alvesson, H., ... & Sidney Annerstedt, K. (2020). Can self-determination explain dietary patterns among adults at risk of or with type 2 diabetes? A cross-sectional study in socio-economically disadvantaged areas in Stockholm. Nutrients, 12(3), 620. doi:10.3390/nu12030620