The current state of parent feeding behavior, child eating behavior, and nutrition intake in young children with type 1 diabetes

Mackey, Eleanor R.; Rose, Meredith; Tully, Carrie; Monaghan, Maureen; Hamburger, Samantha; Herrera, Nicole; Streisand, Randi

doi:10.1111/pedi.12997

Cited by 11 publications

(12 citation statements)

References 18 publications

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“…The results of this study agree with previous studies that indicated that high dietary carbohydrate intake was associated with low HbA 1 c [35]. In contrast, another study showed that increased carbohydrate intake increased HbA 1 c levels in young patients with T1D [36].…”

Section: Discussionsupporting

confidence: 91%

Assessment of nutritional status, dietary intake and adherence to dietary recommendations in type 1 diabetic children and adolescents

El-Jamal

Elfane

Chamlal

et al. 2022

Rocz Panstw Zakl Hig

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Background. Currently, T1D is one of the most common chronic diseases in children and adolescents. The International Diabetes Federation (IDF) estimates that more than 1.1 million children and adolescents are living with (T1D). A few studies have evaluated the relationship between dietary intake and glycemic control (GC) in people with T1D, and in particular, children and adolescents. Objective. The aim of this study was to evaluate the relationship between anthropometric characteristics, lipid profile, inflammation, dietary intake and GC in comparison with international guidelines. Materials and methods. The study included a sample of 240 children, aged 15 years old or less with T1D. A structured questionnaire was used to collect information on the socio-demographic status, disease characteristics, and diet of the participants. Weight, height, and WC were measured and WHtR and BMI were calculated. Biochemical measurements were determined. Dietary intake was assessed using three 24-hour recalls. Results. Saturated fat intake was five times higher than recommended. Only 8.3% of participants reached the recommended level of fiber. Overweight, obesity, TC, TG, HDL and CRP were significantly higher in children with poor GC to those with good GC. In addition, participants with poor GC had significantly low intakes of calories, carbohydrates, fiber, MUFAs, and PUFAs and high intakes of fat and SFAs. The use of Bivariate correlation analyses showed that calorie, protein, fat and fiber intake were positively correlated with weight, height, WC, and GO, whereas carbohydrate intake was negatively associated with these parameters. On the contrary, CO showed a negative correlation with calorie, protein, fat and fiber intake and a positive correlation with carbohydrate intake. Conclusions. The results revealed that the dietary quality was poor and adherence to dietary recommendations was low with insufficient fiber intake and excess SFA. These results suggest that GC can be improved by a healthy, balanced diet by increasing fiber intake and limiting SFA intake.

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Section: Discussionsupporting

confidence: 91%

Assessment of nutritional status, dietary intake and adherence to dietary recommendations in type 1 diabetic children and adolescents

El-Jamal

Elfane

Chamlal

et al. 2022

Rocz Panstw Zakl Hig

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“…First, the sample size of the single center cohort study is small, and our results need to be validated by a larger sample size study. In addition, studies report that factors such as family socioeconomic status (SES) and children’s nutrition are correlated with glycemic control ( 31 – 33 ), however, we lack some important covariables in the regression model due to the insufficient response rate of participants, so the overall stability of the model is not strong enough. HbA1c is the gold standard indirect measure of glucose control and it estimates the glycemic exposure over the last three months prior to sampling.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Continuous Subcutaneous Insulin Infusion and Multiple Daily Injections in Pediatric Type 1 Diabetes: A Meta‐Analysis and Prospective Cohort Study

et al. 2021

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BackgroundThe incidence of pediatric type 1 diabetes (T1D) is increasing worldwide, and the appropriate choice of therapy regimens is important for children, especially in developing countries with inadequate resources.MethodsWe conducted a design combining meta-analysis and prospective cohort study. In meta-analysis, 14 studies involving 69,085 TID cases reported glycosylated hemoglobin (HbA1c) levels, including 48,363 multiple daily insulin injections therapy (MIT) and 20,722 continuous subcutaneous insulin infusion (CSII). In our prospective cohort study, TID cases were recruited from a tertiary children’s hospital, and randomly divided into Group MIT and Group CSII. After the 4-year follow-up, the effects of MDI (n = 112) and CSII (n = 76) therapy on glycemic control, long-term complications, as well as the growth and pubertal development were explored.ResultsCompared to CSII in TID, HbA1c levels in MDI (WMD = 0.21, 95% CI: 0.20 to 0.23) were increased significantly in meta-analysis. Among 188 clinical cases, mean age at recruitment was 7.55 (SD 2.91) years. Duration of TID was 4.23 (SD 2.61) years. 50.53% (n = 95) of them were boys. The 4-year follow-up showed that children’s HbA1c was 0.67 (95% CI −1.28, −0.05) % lower in children with CSII compared to children with MDI in multivariable regression models with adjustment for potential confounders (children’s age at follow-up, duration of TID, gender, birthweight, parity, and delivery method). CSII was associated with 2.31 kg higher in children’s weight (95% CI 0.59, 4.04) in the adjusted model. No difference was found in peripheral nerve and fundus consequences as well as the status of obesity and thin and pubertal development between CSII and MIT.ConclusionCSII might be associated with better glycemic control and better effect for children growth development. No higher risks of long-term complications and delayed pubertal development were observed in CSII. Our findings provided evidence for a better therapy regimen for T1D in children, nevertheless, they need to be validated by a larger sample size study.

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“…Research has found that while parents of young children generally know what healthy eating entails, they do not always follow healthy eating patterns because of barriers to feeding and dietary intake [ 28 ]. Our nutrition research evaluating breakfast dietary quality in a sample of young children with T1D found that less than half met dietary recommendations for protein and fat (46% each), and even fewer met dietary recommendations for carbohydrates (23%) [ 29 ]. Parent-identified challenges to feeding their child with T1D a healthy diet may include (1) cost and availability of healthy foods, (2) picky eating tendencies in young children, (3) desire to maintain same food options as siblings and peers, and (4) difficulties getting younger children to try new foods.…”

Section: Nutritionmentioning

confidence: 99%

Young Children with Type 1 Diabetes: Recent Advances in Behavioral Research

et al. 2022

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Purpose of Review This review provides a recent update of behavioral research pertinent to young children with T1D and addresses current priorities and future directions. Recent Findings Rates of type 1 diabetes (T1D) in young children (ages 1–7) are continuing to rise. Since 2014, changes to diabetes care and management have impacted young children and reinforced the need for increased attention and interventions to support diabetes management, especially in caregivers who are primarily responsible for their young child’s diabetes management. Summary T1D is associated with unique physiologic challenges in young children, with constant management demands elevating parental diabetes-related stress and fear of hypoglycemia. Diabetes technology use has significantly increased in young children, contributing to improvements in glycemic levels and parent and child psychosocial functioning. Yet despite the positive outcomes demonstrated in select clinical behavioral interventions, research with this young child age group remains limited in scope and quantity.

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The current state of parent feeding behavior, child eating behavior, and nutrition intake in young children with type 1 diabetes

Cited by 11 publications

References 18 publications

Assessment of nutritional status, dietary intake and adherence to dietary recommendations in type 1 diabetic children and adolescents

Assessment of nutritional status, dietary intake and adherence to dietary recommendations in type 1 diabetic children and adolescents

Comparison of Continuous Subcutaneous Insulin Infusion and Multiple Daily Injections in Pediatric Type 1 Diabetes: A Meta‐Analysis and Prospective Cohort Study

Young Children with Type 1 Diabetes: Recent Advances in Behavioral Research

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