2024
Urban Environmental Threat Moderates the Relationship Between Depression and Insulin Resistance Among Latinxs With Type 2 Diabetes
Matlock K, Albright‐Pierce M, Bermúdez‐Millán A, Pérez‐Escamilla R, Segura‐Pérez S, Wagner J. Urban Environmental Threat Moderates the Relationship Between Depression and Insulin Resistance Among Latinxs With Type 2 Diabetes. Stress And Health 2024, e3504. PMID: 39579357, DOI: 10.1002/smi.3504.Peer-Reviewed Original ResearchDepressive symptomsType 2 diabetesParticipants self-reported depressive symptomsSelf-reported depressive symptomsImpact of depressionMinoritised ethnic groupsHealth-related factorsPatient Health QuestionnaireCommunity sampleFasting blood drawUrban Hassles IndexHealth QuestionnaireLatinx adultsDepressionGreater insulin resistanceInsulin resistanceHOMA-IR formulaUrban living conditionsCalculate insulin resistanceLatinxBlood drawSymptomsSevere symptomsEthnic groupsRegression analysisHousehold food insecurity is associated with greater autonomic dysfunction testing score in Latinos with type 2 diabetes
Bermúdez-Millán A, Feinn R, Lampert R, Pérez-Escamilla R, Segura-Pérez S, Wagner J. Household food insecurity is associated with greater autonomic dysfunction testing score in Latinos with type 2 diabetes. PLOS ONE 2024, 19: e0297681. PMID: 38394186, PMCID: PMC10889858, DOI: 10.1371/journal.pone.0297681.Peer-Reviewed Original ResearchConceptsDiastolic blood pressureAutonomic function testsAutonomic nervous systemType 2 diabetesHousehold food insecurityDysfunction indexFunction testsHigher diastolic blood pressureAverage diastolic blood pressureAssociated with ANS dysfunctionU.S. Household Food Security Survey ModuleHousehold Food Security Survey ModuleFood Security Survey ModuleBaseline supineFood insecuritySustained handgripBenefit health outcomesLow-income LatinosANS dysfunctionScore 0Improve food accessHandgrip testInsulin useBlood pressureHeart rate variabilityDepression and Anxiety Mediate the Relationship between Discrimination and Well-Being in a Sample of Latinx Adults with Type 2 Diabetes: Results from a Dual Mediation Analysis
Matlock K, Pérez-Escamilla R, Wagner J. Depression and Anxiety Mediate the Relationship between Discrimination and Well-Being in a Sample of Latinx Adults with Type 2 Diabetes: Results from a Dual Mediation Analysis. Journal Of Immigrant And Minority Health 2024, 26: 453-460. PMID: 38244119, PMCID: PMC11096199, DOI: 10.1007/s10903-024-01582-w.Peer-Reviewed Original ResearchEffects of discriminationDeleterious effects of discriminationElevated symptoms of depressionLatinx adultsWell-beingReduced emotional well-beingType 2 diabetesSymptoms of depressionBootstrap mediation testsAnxiety pathwaysPsychotherapeutic treatmentElevated symptomsPoor mental healthEmotional well-beingPublic health policiesAnxietyDepressionEveryday discriminationEffect sizeMental healthHealth covariatesMediation testHealth policyDual mediatorsRegression models
2022
Household Food Insecurity, Mental Distress and Sleep Quality Among Latinas at Risk for Type 2 Diabetes
Bermúdez-Millán A, Segura-Pérez S, Wagner J, Grady J, Pérez-Escamilla R. Household Food Insecurity, Mental Distress and Sleep Quality Among Latinas at Risk for Type 2 Diabetes. Current Developments In Nutrition 2022, 6: 6009140. PMCID: PMC9193542, DOI: 10.1093/cdn/nzac051.009.Peer-Reviewed Original ResearchPittsburgh Sleep Quality IndexPoor sleep qualitySleep qualityHousehold food insecurityRisk factorsDepressive symptomsPreliminary cross-sectional analysisMental distressIndependent risk factorFood insecureUS Household Food Security Survey ModuleSleep Quality IndexType 2 diabetesGroup differencesWorse sleep qualityHousehold Food Security Survey ModuleFood Security Survey ModuleCross-sectional analysisElevated anxiety symptomsHFI statusKidney diseaseFood insecuritySignificant associationSymptomsMarital status
2020
Food Insecurity is Associated with Autonomic Dysfunction Among Latinos with Type 2 Diabetes
Bermúdez-Millán A, Seng K, Feinn R, Pérez-Escamilla R, Segura-Pérez S, Wagner J. Food Insecurity is Associated with Autonomic Dysfunction Among Latinos with Type 2 Diabetes. Current Developments In Nutrition 2020, 4: nzaa043_013. PMCID: PMC7257396, DOI: 10.1093/cdn/nzaa043_013.Peer-Reviewed Original ResearchDiastolic blood pressureDysfunction indexAverage diastolic blood pressureAutonomic nervous system dysfunctionHigher diastolic blood pressureANS measuresNervous system dysfunctionUS Household Food Security Survey ModuleType 2 diabetesAge 18 yearsHousehold Food Security Survey ModuleNormal heart rateNon-Hispanic whitesFood Security Survey ModuleHeart rate variabilityANS dysfunctionBaseline supineHandgrip testingAmbulatory statusAutonomic dysfunctionInsulin useSustained handgripBlood pressureFood insecurityIntervention trials
2019
339-OR: Yo Puedo! A Self-Management Group and mHealth Program for Low-Income Adults with Type 2 Diabetes in Mexico City
WHITTEMORE R, VILAR-COMPTE M, LA CERDA S, DELVY R, JEON S, BURROLA-MÉNDEZ S, LOZANO-MARRUFO A, PEREZ-ESCAMILLA R. 339-OR: Yo Puedo! A Self-Management Group and mHealth Program for Low-Income Adults with Type 2 Diabetes in Mexico City. Diabetes 2019, 68 DOI: 10.2337/db19-339-or.Peer-Reviewed Original ResearchSelf-management groupType 2 diabetesDepressive symptomsBlood glucose monitoringMHealth programsIntervention groupSevere food insecure householdsGlucose monitoringOverweight/obeseYo PuedoBetween-group differencesBlood glucose outcomesWait-list control groupDaily text messagesYears of ageLow-income adultsSelf-management skillsBaseline characteristicsLower A1CPreliminary efficacyMean durationClinical trialsGlucose outcomesFood insecure householdsSelf-efficacy outcomes2284-PUB: Food Insecurity and Autonomic Dysfunction among Latinos with Type 2 Diabetes
SENG K, FEINN R, BERMUDEZ-MILLAN A, PEREZ-ESCAMILLA R, WAGNER J. 2284-PUB: Food Insecurity and Autonomic Dysfunction among Latinos with Type 2 Diabetes. Diabetes 2019, 68 DOI: 10.2337/db19-2284-pub.Peer-Reviewed Original ResearchDiastolic blood pressureDysfunction indexAverage diastolic blood pressureAutonomic nervous system dysfunctionHigher diastolic blood pressureANS measuresAmerican Diabetes AssociationNervous system dysfunctionU.S. Household Food Security Survey ModuleType 2 diabetesHousehold Food Security Survey ModuleNormal heart rateNon-Hispanic whitesFood Security Survey ModuleHeart rate variabilityLow-income LatinosANS dysfunctionBaseline supineHandgrip testingAmbulatory statusAutonomic dysfunctionInsulin useSustained handgripBlood pressureFood insecurityInflammation and Stress Biomarkers Mediate the Relationship Between Household Food Insecurity and Insulin Resistance Among Latinos with Type 2 Diabetes (OR02-02-19)
Bermudez-Millan A, Wagner J, Feinn R, Segura-Pérez S, Damio G, Chhabra J, Pérez-Escamilla R. Inflammation and Stress Biomarkers Mediate the Relationship Between Household Food Insecurity and Insulin Resistance Among Latinos with Type 2 Diabetes (OR02-02-19). Current Developments In Nutrition 2019, 3: nzz051.or02-02-19. PMCID: PMC6573882, DOI: 10.1093/cdn/nzz051.or02-02-19.Peer-Reviewed Original ResearchInsulin resistanceType 2 diabetesHousehold food insecurityStress hormonesHigh-sensitivity C-reactive proteinFood-secure individualsAmerican Diabetes AssociationC-reactive proteinUS Household Food Security Survey ModuleHousehold Food Security Survey ModuleFood Security Survey ModuleHigh hsCRPLow-income LatinosTotal cholesterolDiabetes AssociationFood-insecure individualsBlood glucoseHsCRPFood insecurityInflammationDirect effectHealth disparitiesCortisolT2DStress biomarkers
2017
Food Insecurity, Glycemic Control, and Heart Rate Variability among Latinos with Type 2 Diabetes
Bermúdez‐Millán A, Pérez‐Escamilla R, Lampert R, Segura‐Pérez S, Damio G, Chhabra J, Wagner J. Food Insecurity, Glycemic Control, and Heart Rate Variability among Latinos with Type 2 Diabetes. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.lb432.Peer-Reviewed Original ResearchHeart rate variabilityGlycemic controlRate variabilityPoor cardiovascular outcomesAmerican Diabetes AssociationType 2 diabetesNon-invasive measureAmbulatory ECG monitorCardiovascular outcomesFood insecurityDiabetes AssociationDiabetes outcomesLower SDNNSecondary data analysisAutonomic statusType 2HRV indicesR intervalHealth disparitiesMinority HealthSocioeconomic statusSocial adversityBaseline dataNational InstituteManagement trials
2016
Understanding the double burden of malnutrition in food insecure households in Brazil
Gubert MB, Spaniol AM, Segall‐Corrêa A, Pérez‐Escamilla R. Understanding the double burden of malnutrition in food insecure households in Brazil. Maternal And Child Nutrition 2016, 13 PMID: 27502214, PMCID: PMC6866242, DOI: 10.1111/mcn.12347.Peer-Reviewed Original ResearchConceptsOverweight/obesityHousehold food insecurityRisk factorsHierarchical multivariable logistic regression analysisMaternal overweight/obesityMultivariable logistic regression analysisSevere household food insecurityAdult overweight/obesityDouble burdenCostly chronic diseasesMother/child pairsSame householdStrong risk factorMajor risk factorType 2 diabetesLogistic regression analysisYears of agePoor child developmentMaternal overweightOverweight mothersChronic diseasesCardiovascular diseaseHealth SurveySecondary data analysisFood insecure householdsFood Label Use Improves Dietary Quality and Mediates Improved Glycemic Control in Latinos with Type 2 Diabetes: The DIALBEST trial
SAMUEL G, Shebl F, Segura‐Pérez S, Chhabra J, Vega‐López S, Pérez‐Escamilla R. Food Label Use Improves Dietary Quality and Mediates Improved Glycemic Control in Latinos with Type 2 Diabetes: The DIALBEST trial. The FASEB Journal 2016, 30 DOI: 10.1096/fasebj.30.1_supplement.422.5.Peer-Reviewed Original ResearchType 2 diabetesFood label useGlycemic controlDietary qualityLabel useType 2 diabetes managementBetter dietary qualityBlood glucose controlStandard of careCommunity health workersHome-based sessionsRandomized control trialRelated complicationsGlucose controlIntervention groupIntervention participantsHealth workersHigher oddsControl trialDiabetes managementType 2Health disparitiesEliminating Health DisparitiesIntervention effectsIntervention impactFood Label Use is associated with Dietary Quality and Dietary Patterns among Latinos with Type 2 Diabetes
SAMUEL G, Segura‐Pérez S, Shebl F, Hawley N, Damio G, Chhabra J, Vega‐López S, Fernandez M, Pérez‐Escamilla R. Food Label Use is associated with Dietary Quality and Dietary Patterns among Latinos with Type 2 Diabetes. The FASEB Journal 2016, 30 DOI: 10.1096/fasebj.30.1_supplement.674.41.Peer-Reviewed Original ResearchType 2 diabetesFood frequency questionnaireDietary patternsFood label useDietary qualityLabel useDietary intakeHealth disparitiesType 2 diabetes careDiabetes-related knowledgeHealthy dietary patternMultivariable logistic regressionHealthy Eating IndexHealthy food choicesEthnic health disparitiesEducation levelFFQ dataFrequency questionnaireIndependent determinantsDiabetes careSnack patternsDiet managementLatino adultsDiabetesType 2
2014
Impact of a Community Health Workers–Led Structured Program on Blood Glucose Control Among Latinos With Type 2 Diabetes: The DIALBEST Trial
Pérez-Escamilla R, Damio G, Chhabra J, Fernandez ML, Segura-Pérez S, Vega-López S, Kollannor-Samuel G, Calle M, Shebl FM, D’Agostino D. Impact of a Community Health Workers–Led Structured Program on Blood Glucose Control Among Latinos With Type 2 Diabetes: The DIALBEST Trial. Diabetes Care 2014, 38: 197-205. PMID: 25125508, PMCID: PMC4302259, DOI: 10.2337/dc14-0327.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlood GlucoseBlood Glucose Self-MonitoringCommunity Health WorkersDelivery of Health CareDiabetes ComplicationsDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHealthcare DisparitiesHispanic or LatinoHumansHypertensionLife StyleLipidsMaleMedication AdherenceMiddle AgedPatient Care TeamPatient Education as TopicPatient-Centered CareSelf CareTreatment OutcomeYoung AdultConceptsBlood glucose controlGlucose controlBlood lipid levelsCommunity health workersType 2 diabetesHealthy food choicesT2D complicationsCHW interventionGlycemic controlMedication adherenceBlood glucoseCHW groupLipid levelsHealth workersControl groupType 2Management disparitiesAdult LatinosHealthcare accessHealthy lifestyleDiabetesEffective interventionsStructured interventionMonthsStandard of healthcare
2013
Dietary Pattern Low in Fruits Explains Variations in Inflammation and in Biomarkers of Cardiovascular Disease in Latinos Diagnosed with Type-2 Diabetes
Calle M, Vega-López S, Segura-Pérez S, Pérez-Escamilla R, Fernandez M. Dietary Pattern Low in Fruits Explains Variations in Inflammation and in Biomarkers of Cardiovascular Disease in Latinos Diagnosed with Type-2 Diabetes. Journal Of Advances In Medicine And Medical Research 2013, 3: 1558-1573. DOI: 10.9734/bjmmr/2013/4248.Peer-Reviewed Original Research
2011
A dietary pattern characterized by higher intake of fruits and vegetables is inversely associated with inflammatory markers in Latinos diagnosed with type 2 diabetes
Calle M, Vega‐López S, Segura‐Pérez S, Volek J, Pérez‐Escamilla R, Fernandez M. A dietary pattern characterized by higher intake of fruits and vegetables is inversely associated with inflammatory markers in Latinos diagnosed with type 2 diabetes. The FASEB Journal 2011, 25: 595.4-595.4. DOI: 10.1096/fasebj.25.1_supplement.595.4.Peer-Reviewed Original ResearchFirst dietary patternType 2 diabetesDietary patternsFood groupsTumor necrosis factor alphaDark yellow vegetablesDietary pattern analysisNecrosis factor alphaPotential confounding factorsInflammatory markersInflammatory biomarkersInflammatory statusWaist circumferenceIL-6Sugar-free beveragesInterleukin-6TNF-alphaYellow vegetablesRank regression analysisFactor alphaHigh intakeFood patternsConfounding factorsRed meatDiabetes
2010
Blood Pressure is Associated with BMI and Predicts Plasma Glucose Control and Triglycerides among Obese Latinos with Type 2 Diabetes
Chhabra J, Vega‐López S, D'Agostino D, Fernandes M, Segura‐Pérez S, Damio G, Pérez‐Escamilla R. Blood Pressure is Associated with BMI and Predicts Plasma Glucose Control and Triglycerides among Obese Latinos with Type 2 Diabetes. The FASEB Journal 2010, 24: 935.3-935.3. DOI: 10.1096/fasebj.24.1_supplement.935.3.Peer-Reviewed Original ResearchBlood pressureDiastolic BPPlasma glucoseDiagnosis of hypertensionSystolic blood pressurePlasma glucose controlRelationship of BMIMetabolic syndrome indicatorsType 2 diabetesObese LatinosHDL cholesterolObese populationGlucose controlGlycosylated hemoglobinLatino patientsBlood samplesBMIType 2TriglyceridesHealth disparitiesPatientsFPGDlDemographic informationLDLHypolipidemic medication use is associated with protective dietary behaviors against metabolic risk in Latinos with type 2 diabetes
Vega‐López S, Chhabra J, D'Agostino D, Samuel G, Calle M, Segura‐Pérez S, Fernandez M, Damio G, Pérez‐Escamilla R. Hypolipidemic medication use is associated with protective dietary behaviors against metabolic risk in Latinos with type 2 diabetes. The FASEB Journal 2010, 24: 324.2-324.2. DOI: 10.1096/fasebj.24.1_supplement.324.2.Peer-Reviewed Original ResearchType 2 diabetesTotal cholesterolFrequency of consumptionMedication useDietary behaviorsFast foodFood frequency dataMetabolic disease riskMetabolic riskLDL cholesterolPrepared mealsCT centerDisease riskHealth disparitiesEliminating Health DisparitiesTriglyceridesDiabetesLDLSnack foodsGreater consumptionParticipantsRiskMealLatinosHbA1c
2009
Associations between fast food and fried food intake and metabolic risk factors in Latinos with type 2 diabetes: Preliminary results from the DIALBEST study
Vega‐López S, Chhabra J, D'Agostino D, Calle M, Samuel G, Segura‐Pérez S, Fernandez M, Damio G, Pérez‐Escamilla R. Associations between fast food and fried food intake and metabolic risk factors in Latinos with type 2 diabetes: Preliminary results from the DIALBEST study. The FASEB Journal 2009, 23: 550.1-550.1. DOI: 10.1096/fasebj.23.1_supplement.550.1.Peer-Reviewed Original ResearchMetabolic risk factorsLDL/HDLType 2 diabetesFood intakeRisk factorsFast foodTrans fat intakeFood frequency dataFast food intakeHDL cholesterolMetabolic riskFat intakePlasma lipidsPlasma glucoseMacronutrient intakeDietary habitsCT centerEnergy intakeHbA1cHealth disparitiesEliminating Health DisparitiesFPGLDLIntakeTriglyceridesDeterminants of fasting plasma glucose and HbA1c among Latinos with type 2 diabetes: DIALBEST trial preliminary results
Samuel G, Fernandez M, Chhabra J, Vega‐López S, Segura‐Pérez S, Damio G, Calle M, D'Agostino D, Pérez‐Escamilla R. Determinants of fasting plasma glucose and HbA1c among Latinos with type 2 diabetes: DIALBEST trial preliminary results. The FASEB Journal 2009, 23: 736.7-736.7. DOI: 10.1096/fasebj.23.1_supplement.736.7.Peer-Reviewed Original ResearchType 2 diabetesPlasma glucoseBivariate chi-square analysesHigher FPG levelsPoor glycemic controlInadequate physical activityHigher depression scoresFPG controlFPG levelsMiddle age rangeGlycemic controlGlycemic statusWaist circumferenceChi-square analysisHigh intakePhysical activityDepression scoresHigh school educationMeal skippingSignificant associationBaseline surveyAge rangeMedical insuranceHbA1cMedicationsShort and long term impacts of diabetes peer counseling on HbA1c among Latinos: Preliminary results
Perez‐Escamilla R, Vega‐López S, Damio G, Segura‐Pérez S, Fernandez M, Calle M, Samuel G, Chhabra J, D'Agostino D. Short and long term impacts of diabetes peer counseling on HbA1c among Latinos: Preliminary results. The FASEB Journal 2009, 23: 336.8-336.8. DOI: 10.1096/fasebj.23.1_supplement.336.8.Peer-Reviewed Original ResearchIntervention groupType 2 diabetesIntervention group participantsOngoing diabetesGlycemic controlMonth 2Clinical careHome visitsControl groupWeekly visitsFirst monthPeer counselingMonthsPeer counselorsGroup differencesGroup participantsDiabetesGreater improvementPractice trialsVisitsLong-term impactGroupLong termStatistical powerTerm impact