{"id":{"repo_id":"uiuc","oai_identifier":"oai:www.ideals.illinois.edu:2142/122256"},"canonical_url":"https://search.dev.ndltd.org/etd/uiuc/oai:www.ideals.illinois.edu:2142/122256","repository":{"repo_id":"uiuc","name":"University of Illinois - Urbana-Champaign","base_url":"https://www.ideals.illinois.edu/oai-pmh"},"display":{"title":"A cultural adaptation to improve metabolic health outcomes in Mexican adults (MEXIMEDI diet): a randomized controlled pilot study","abstract":"Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2025-12-01","abstract_html":"Submission published under a 24 month embargo labeled &#x27;Closed Access&#x27;, the embargo will last until 2025-12-01","abstract_has_math":false,"creators":["Barragan, Maribel"],"institution":"University of Illinois at Urbana-Champaign","degree_name":"Ph.D.","degree_level":"Dissertation","degree_discipline":"Nutritional Sciences","degree_department":null,"school":null,"contributors":["Teran-Garcia, Margarita","Donovan, Sharon M","Holscher, Hannah","Hernandez, Rosalba"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-12","date_published":"2023-12","updated_at":"2026-07-22T22:25:00Z","subjects":["Mediterranean Diet Noncommunicable Diseases Dietary Patterns Cultural Adaptation"],"languages":["en","eng"],"rights":["Copyright 2023 Maribel Barragan"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/2142/122256","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Teran-Garcia, Margarita","Donovan, Sharon M","Holscher, Hannah","Hernandez, Rosalba"]},{"key":"dc:creator","label":"Author","values":["Barragan, Maribel"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2023-12","2023-11-30"]},{"key":"dc:type","label":"Dc Type","values":["text"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nutritional Sciences"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Illinois at Urbana-Champaign"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Mediterranean Diet Noncommunicable Diseases Dietary Patterns Cultural Adaptation"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en","eng"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright 2023 Maribel Barragan"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://hdl.handle.net/2142/122256"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2025-12-01","The student, Maribel Barragan, accepted the attached license on 2023-11-29 at 20:19.","The student, Maribel Barragan, submitted this Dissertation for approval on 2023-11-29 at 20:36.","This Dissertation was approved for publication on 2023-11-30 at 12:26.","DSpace SAF Submission Ingestion Package generated from Vireo submission #20071 on 2024-03-01 at 13:54:15","Noncommunicable diseases (NCDs) affect six in ten US adults. Finding a “one-size-fits-all” solution to these conditions is challenging due to their complex and multifactorial etiologies. Healthy dietary patterns are critical modifiable lifestyle factors to help prevent or manage NCDs. The Mediterranean dietary (MedDiet) pattern has evidence-based benefits in managing NCDs. However, interventions that assess the effect of a MedDiet on the metabolic health of populations outside of the Mediterranean region are sparse. Therefore, we conducted a 5wk, randomized, parallel-arm controlled trial to determine if it was feasible to implement a MedDiet among Mexican-born adults living in the U.S. and determine the health implications of this dietary pattern. Another objective was to identify barriers and facilitators to participating in the intervention. Adults (n=42) were randomized to two arms, one with (MEXIMEDI, n=21) or without (MedDiet, n=21) cultural adaptations. Thirty-four participants completed the study, 20 in the MEXIMEDI and 14 in the MedDiet group. Recruitment rates, retention rates, and acceptability of the meals were used to assess feasibility. All participants were provided with eucaloric personalized meal plans that included ingredient quantities and instructions to prepare breakfast, lunch, dinner, and a snack each day for 35 days. Participants prepared their meals individually, and if they had questions, a registered dietitian would assist them. Meal plans followed a macronutrient distribution with a minimum of 35% of calories from fat, (17-20% MUFA, 7-8% PUFA, <10% SFA), 18-20% from protein, and a maximum of 46% of calories from carbohydrates. Fasting blood samples were collected at baseline, wk 3, and wk 5 to assess changes in lipid panel, glucose, and liver enzymes. Additionally, we assessed skin carotenoids by reflection spectroscopy using a Veggie Meter® and measured blood pressure at all time points. Implementation of a Mediterranean-style dietary pattern was deemed feasible. Recruitment and retention rates were 55.2% and 81.0%, respectively. There were no significant differences in the acceptability of the meals between the MED and MEXIMEDI group. Individuals with greater adherence to either diet significantly decreased their systolic (P=0.02) and diastolic (P=0.04) blood pressure at wk 5. Greater adherence resulted in a significant increase in Veggie Meter scores at wk 5 (P=0.05). Semi-structured interviews were conducted to identify barriers and facilitators to the intervention. Food costs, unsupportive environments, and criticism from friends and family were significant barriers that had to be overcome to finish the study. Meanwhile, family support, familiarity with foods, and intrinsic and extrinsic motivators aided individuals. The outcomes of this research suggest that it is feasible to implement a short-term Mediterranean-style dietary pattern among Mexican adults, and it can help improve blood pressure and increase skin carotenoids."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["A cultural adaptation to improve metabolic health outcomes in Mexican adults (MEXIMEDI diet): a randomized controlled pilot study"]}]}],"canonical_facts":{"dc:contributor":["Teran-Garcia, Margarita","Donovan, Sharon M","Holscher, Hannah","Hernandez, Rosalba"],"dc:creator":["Barragan, Maribel"],"dc:date":["2023-12","2023-11-30"],"dc:description":["Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2025-12-01","The student, Maribel Barragan, accepted the attached license on 2023-11-29 at 20:19.","The student, Maribel Barragan, submitted this Dissertation for approval on 2023-11-29 at 20:36.","This Dissertation was approved for publication on 2023-11-30 at 12:26.","DSpace SAF Submission Ingestion Package generated from Vireo submission #20071 on 2024-03-01 at 13:54:15","Noncommunicable diseases (NCDs) affect six in ten US adults. Finding a “one-size-fits-all” solution to these conditions is challenging due to their complex and multifactorial etiologies. Healthy dietary patterns are critical modifiable lifestyle factors to help prevent or manage NCDs. The Mediterranean dietary (MedDiet) pattern has evidence-based benefits in managing NCDs. However, interventions that assess the effect of a MedDiet on the metabolic health of populations outside of the Mediterranean region are sparse. Therefore, we conducted a 5wk, randomized, parallel-arm controlled trial to determine if it was feasible to implement a MedDiet among Mexican-born adults living in the U.S. and determine the health implications of this dietary pattern. Another objective was to identify barriers and facilitators to participating in the intervention. Adults (n=42) were randomized to two arms, one with (MEXIMEDI, n=21) or without (MedDiet, n=21) cultural adaptations. Thirty-four participants completed the study, 20 in the MEXIMEDI and 14 in the MedDiet group. Recruitment rates, retention rates, and acceptability of the meals were used to assess feasibility. All participants were provided with eucaloric personalized meal plans that included ingredient quantities and instructions to prepare breakfast, lunch, dinner, and a snack each day for 35 days. Participants prepared their meals individually, and if they had questions, a registered dietitian would assist them. Meal plans followed a macronutrient distribution with a minimum of 35% of calories from fat, (17-20% MUFA, 7-8% PUFA, <10% SFA), 18-20% from protein, and a maximum of 46% of calories from carbohydrates. Fasting blood samples were collected at baseline, wk 3, and wk 5 to assess changes in lipid panel, glucose, and liver enzymes. Additionally, we assessed skin carotenoids by reflection spectroscopy using a Veggie Meter® and measured blood pressure at all time points. Implementation of a Mediterranean-style dietary pattern was deemed feasible. Recruitment and retention rates were 55.2% and 81.0%, respectively. There were no significant differences in the acceptability of the meals between the MED and MEXIMEDI group. Individuals with greater adherence to either diet significantly decreased their systolic (P=0.02) and diastolic (P=0.04) blood pressure at wk 5. Greater adherence resulted in a significant increase in Veggie Meter scores at wk 5 (P=0.05). Semi-structured interviews were conducted to identify barriers and facilitators to the intervention. Food costs, unsupportive environments, and criticism from friends and family were significant barriers that had to be overcome to finish the study. Meanwhile, family support, familiarity with foods, and intrinsic and extrinsic motivators aided individuals. The outcomes of this research suggest that it is feasible to implement a short-term Mediterranean-style dietary pattern among Mexican adults, and it can help improve blood pressure and increase skin carotenoids."],"dc:format":["application/pdf"],"dc:identifier":["https://hdl.handle.net/2142/122256"],"dc:language":["en","eng"],"dc:rights":["Copyright 2023 Maribel Barragan"],"dc:subject":["Mediterranean Diet Noncommunicable Diseases Dietary Patterns Cultural Adaptation"],"dc:title":["A cultural adaptation to improve metabolic health outcomes in Mexican adults (MEXIMEDI diet): a randomized controlled pilot study"],"dc:type":["text"],"thesis:degree_discipline":["Nutritional Sciences"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Ph.D."],"thesis:institution_name":["University of Illinois at Urbana-Champaign"]},"updated_at":"2026-07-22T22:25:00Z"}