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Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach

Healthy diet remains the primary means to prevent chronic diseases among those with prediabetes. We conducted a mixed methods study, consisting of a cross-sectional survey and in-depth interviews to assess factors associated with fulfilling the healthy plate recommendation, and to explore reasons fo...

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Autores principales: Lim, Raymond Boon Tar, Wee, Wei Keong, For, Wei Chek, Ananthanarayanan, Jayalakshmy Aarthi, Soh, Ying Hua, Goh, Lynette Mei Lim, Tham, Dede Kam Tyng, Wong, Mee Lian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566398/
https://www.ncbi.nlm.nih.gov/pubmed/31064063
http://dx.doi.org/10.3390/nu11051014
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author Lim, Raymond Boon Tar
Wee, Wei Keong
For, Wei Chek
Ananthanarayanan, Jayalakshmy Aarthi
Soh, Ying Hua
Goh, Lynette Mei Lim
Tham, Dede Kam Tyng
Wong, Mee Lian
author_facet Lim, Raymond Boon Tar
Wee, Wei Keong
For, Wei Chek
Ananthanarayanan, Jayalakshmy Aarthi
Soh, Ying Hua
Goh, Lynette Mei Lim
Tham, Dede Kam Tyng
Wong, Mee Lian
author_sort Lim, Raymond Boon Tar
collection PubMed
description Healthy diet remains the primary means to prevent chronic diseases among those with prediabetes. We conducted a mixed methods study, consisting of a cross-sectional survey and in-depth interviews to assess factors associated with fulfilling the healthy plate recommendation, and to explore reasons for the behaviour among primary care patients with prediabetes in Singapore. The prevalence of meeting the recommendation was 57.3%. This was positively associated with being married and negatively associated with being Malay, frequency of eating out weekly and frequency of deep-fried food consumption weekly. The recurrent themes for not meeting the recommendation included family influence, perception of healthy food being not tasty, lack of skills to prepare or choose healthy food, difficulty in finding healthier options when eating out, and healthy food being costly. The recurrent themes for meeting the recommendation included family influence, self-discipline, fear of disease complications, education by healthcare professionals, mass media influence and health promotion campaigns. Much more remains to be done to promote healthy eating among these patients. There were different levels of facilitators and barriers to healthy eating. Apart from the individual and interpersonal levels, practitioners and policy makers need to work together to address the organisational, community and policy barriers to healthy eating.
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spelling pubmed-65663982019-06-17 Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach Lim, Raymond Boon Tar Wee, Wei Keong For, Wei Chek Ananthanarayanan, Jayalakshmy Aarthi Soh, Ying Hua Goh, Lynette Mei Lim Tham, Dede Kam Tyng Wong, Mee Lian Nutrients Article Healthy diet remains the primary means to prevent chronic diseases among those with prediabetes. We conducted a mixed methods study, consisting of a cross-sectional survey and in-depth interviews to assess factors associated with fulfilling the healthy plate recommendation, and to explore reasons for the behaviour among primary care patients with prediabetes in Singapore. The prevalence of meeting the recommendation was 57.3%. This was positively associated with being married and negatively associated with being Malay, frequency of eating out weekly and frequency of deep-fried food consumption weekly. The recurrent themes for not meeting the recommendation included family influence, perception of healthy food being not tasty, lack of skills to prepare or choose healthy food, difficulty in finding healthier options when eating out, and healthy food being costly. The recurrent themes for meeting the recommendation included family influence, self-discipline, fear of disease complications, education by healthcare professionals, mass media influence and health promotion campaigns. Much more remains to be done to promote healthy eating among these patients. There were different levels of facilitators and barriers to healthy eating. Apart from the individual and interpersonal levels, practitioners and policy makers need to work together to address the organisational, community and policy barriers to healthy eating. MDPI 2019-05-06 /pmc/articles/PMC6566398/ /pubmed/31064063 http://dx.doi.org/10.3390/nu11051014 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lim, Raymond Boon Tar
Wee, Wei Keong
For, Wei Chek
Ananthanarayanan, Jayalakshmy Aarthi
Soh, Ying Hua
Goh, Lynette Mei Lim
Tham, Dede Kam Tyng
Wong, Mee Lian
Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach
title Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach
title_full Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach
title_fullStr Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach
title_full_unstemmed Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach
title_short Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach
title_sort correlates, facilitators and barriers of healthy eating among primary care patients with prediabetes in singapore—a mixed methods approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566398/
https://www.ncbi.nlm.nih.gov/pubmed/31064063
http://dx.doi.org/10.3390/nu11051014
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