Nutrition & Food Science

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Author: search.filters.author.Pandya, Amisha

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    The Relationship between Macronutrient Distribution and Type 2 Diabetes in Asian Indians
    (MDPI, 2021-12-09) Pandya, Amisha; Mehta, Mira; Sankavaram, Kavitha
    Asian Indians (AIs) are at increased risk for type 2 diabetes mellitus than other ethnic groups. AIs also have lower body mass index (BMI) values than other populations, so can benefit from strategies other than weight reduction. Macronutrient distributions are associated with improved glycemic control; however, no specific distribution is generally recommended. This study looks at whether a macronutrient distribution of 50:30:20 (percent of total calories from carbohydrates, fats, and protein) is related to diabetes status in AIs. Diet and Hemoglobin A1c (HbA1c) were assessed from convenience sample of AI adults in Maryland. A ratio of actual to needed calories using the 50:30:20 macronutrient distribution was then tested against diabetes status to identify associations. All groups except non-diabetic females, were in negative energy balance. The non-diabetic group consumed larger actual to needed ratios of protein than pre-diabetics and diabetics. However, all groups consumed protein at the lower end of the Acceptable Macronutrient Distribution Range (AMDR), and the quality of all macronutrients consumed was low. Therefore, weight loss may not be the recommendation for diabetes management for AIs. Increasing protein and insoluble fiber consumption, could play a critical role.
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    Dietary Quality and Type 2 Diabetes Mellitus in US Asian Indian Populations
    (2017) Pandya, Amisha; Mehta, Mira; Nutrition; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Asian Indians (AIs) have Type 2 Diabetes (T2DM) at extraordinarily high rates, and it is associated with higher central adiposity, lower lean muscle mass to fat ratios and insulin resistance. Associations between diabetes status and dietary quality, physical activity, acculturation and demographic characteristics were investigated in a convenience sample of older Gujaratis residing in Maryland. Diagnostic cut-offs, acculturation, physical activity and dietary assessment tools used were validated for South Asian populations. Results showed that pre-diabetics and diabetics had lower diet quality than non-diabetics, and anthropometric measurements except BMI varied significantly by diabetes status. Vegetarians consumed less protein and fat than non-vegetarians. Most participants self-identified as bicultural, but Asian (traditional) values were associated with lower dietary quality. Females were universally responsible for cooking, suggesting control over dietary consumption that could impact diabetes status. Evidence-based education with a focus on diet quality could improve management of T2DM in this high-risk population.