Next Article in Journal
Subclinical Mastitis in a European Multicenter Cohort: Prevalence, Impact on Human Milk (HM) Composition, and Association with Infant HM Intake and Growth
Next Article in Special Issue
Snapshots of Urban and Rural Food Environments: EPOCH-Based Mapping in a High-, Middle-, and Low-Income Country from a Non-Communicable Disease Perspective
Previous Article in Journal
Synbiotic Combination of Djulis (Chenopodium formosanum) and Lactobacillus acidophilus Inhibits Colon Carcinogenesis in Rats
Previous Article in Special Issue
A Dietary Pattern with High Sugar Content Is Associated with Cardiometabolic Risk Factors in the Pomak Population
Open AccessArticle

Eating Competence Is Associated with Lower Prevalence of Obesity and Better Insulin Sensitivity in Finnish Adults with Increased Risk for Type 2 Diabetes: The StopDia Study

1
Department of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70211 Kuopio, Finland
2
Collaborative Care Systems Finland, 00270 Helsinki, Finland
3
Department of Medicine, Endocrinology and Clinical Nutrition, Kuopio University Hospital, 70029 KYS Kuopio, Finland
4
Department of Public Health Solutions, National Institute for Health and Welfare, 00271 Helsinki, Finland
5
Institute of Biomedicine, School of Medicine, University of Eastern Finland, 70211 Kuopio, Finland
6
Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, 70029 KYS, Kuopio, Finland
7
Kuopio Research Institute of Exercise Medicine, 70100 Kuopio, Finland
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work as first authors.
Nutrients 2020, 12(1), 104; https://doi.org/10.3390/nu12010104
Received: 2 December 2019 / Revised: 20 December 2019 / Accepted: 26 December 2019 / Published: 30 December 2019
A healthy diet prevents type 2 diabetes but is often difficult to adhere to. This cross-sectional study aimed to investigate whether eating competence is associated with diet or risk factors and prevalence of type 2 diabetes in individuals screened for type 2 diabetes risk. Eating competence is an indicator of food acceptance, positive attitudes, internal regulation and contextual skills related to food and eating. In total, 3147 Finnish adults aged 18–74 at an increased risk for type 2 diabetes identified via online risk screening participated in the baseline examinations of the Stop Diabetes (StopDia) study. The participants filled out the digital questionnaire on food intake, physical activity and sleep, and the Satter Eating Competence Inventory 2.0TM (ecSI 2.0TM). In addition, anthropometric and laboratory measurements were performed at primary healthcare centres. Eating competent individuals (37%, classified by ecSI 2.0TM) had a better quality of diet (p < 0.05 for all). Additionally, eating competence was associated with a lower prevalence of previously undiagnosed type 2 diabetes, abdominal obesity, metabolic syndrome and hypertriglyceridaemia, and with better insulin sensitivity (p < 0.05 for all). However, these associations, except for metabolic syndrome, were at least partly mediated by body mass index. Eating competence is associated with a healthy diet and could, thus, in the long term, support the prevention of type 2 diabetes. View Full-Text
Keywords: diet; eating behaviour; eating competence; glucose metabolism; insulin metabolism; lifestyle; metabolic syndrome; type 2 diabetes diet; eating behaviour; eating competence; glucose metabolism; insulin metabolism; lifestyle; metabolic syndrome; type 2 diabetes
Show Figures

Figure 1

MDPI and ACS Style

Tilles-Tirkkonen, T.; Aittola, K.; Männikkö, R.; Absetz, P.; Kolehmainen, M.; Schwab, U.; Lindström, J.; Lakka, T.; Pihlajamäki, J.; Karhunen, L. Eating Competence Is Associated with Lower Prevalence of Obesity and Better Insulin Sensitivity in Finnish Adults with Increased Risk for Type 2 Diabetes: The StopDia Study. Nutrients 2020, 12, 104.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop