Objective: Given that 38% of adults in the United States have pre-diabetes, there is a demand for culturally tailored nutrition education as an effective intervention. The MyPlate system introduced by the USDA offers customizable portion control guidance. This study investigates correlates of MyPlate use among US adults aged 20 and older with pre-diabetes.

Methods: Weighted National Health and Nutrition Examination Survey data from 2017 to March 2020 were analyzed. Pre-diabetes was defined as individuals with HbA1c between 5.7% to 6.4% and having answered no if ever been told they had diabetes. Outcome was defined as indicating yes to awareness of MyPlate and no to use of MyPlate. Logistic regression was run with age, sex, race/ethnicity, insurance status, BMI, food insecurity, hypertension, and high LDL as possible correlates.

Results: Among 5,610 adults aged ≥20, prevalence of pre-diabetes was 21.2%. Among 2,359 adults who heard of MyPlate, 67.4% used it. Correlates of awareness of MyPlate but lack of use included age (60-80 years 0.52, 95%CI 0.29,0.93), female (0.37 and 95%CI 0.24,0.57), non-Hispanic Black (0.38 and 95%CI 0.19,0.75), and food-insecurity (2.10 and 95%CI 0.99,4.47).

Conclusions: Findings suggest tailoring MyPlate education to offer culturally relevant strategies for older adults, women, non-Hispanic black adults, and food-insecure individuals may be an effective strategy for improving outcomes for adults with pre-diabetes.

Disclosure

K. Folivi: None. R. Anguzu: None. C. Wyckoff: None. R.J. Walker: None.

© 2024 by the American Diabetes Association
2024
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