A Comparison of Dietary Intake Among Rural Americans With and Without Diabetes.

J Nutr Educ Behav

Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY; Department of Emergency Medicine, Bellevue Hospital Center, New York, NY; Department of Population Health, NYU Grossman School of Medicine, New York, NY. Electronic address:

Published: May 2025


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Article Abstract

Objective: To compare alternative Healthy Eating Index (aHEI) scores among residents with or without diabetes in a rural county and analyze food/drink subgroups for notable differences between the 2 groups.

Methods: We performed cross-sectional surveys and validated food frequency questionnaires among rural residents in Sullivan County, New York. We compared total aHEI and component scores between participants with and without diabetes.

Results: The 155 respondents with diabetes were older, less frequently non-Hispanic White, and had higher mean body mass index than the 961 respondents without diabetes. We found lower aHEI scores among participants with diabetes (54.1) than those without (56.7) (P = 0.001). Respondents with diabetes had significantly lower component scores for alcoholic beverages, red meat, nuts/legumes, and trans-fats than those without diabetes.

Conclusions And Implications: Our findings highlight the need for nutrition education in high-risk rural communities. We also identified specific food/drink categories among rural residents with diabetes that should be targeted to improve glycemic control.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058409PMC
http://dx.doi.org/10.1016/j.jneb.2025.01.011DOI Listing

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