Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?

Objective. To characterize the intake of macronutrient and fiber in adolescents with type 1 diabetes (T1D) and examine their association with health indicators. Methods. Baseline data from an RCT were examined. Adolescent-parent dyads (n=257, mean age 12 ± 1.2 years, 49.4% girls) reported dietary in...

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Main Authors: Eleanor Race Mackey, Lyndsay O’Brecht, Clarissa S. Holmes, Marni Jacobs, Randi Streisand
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2018/5094569
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author Eleanor Race Mackey
Lyndsay O’Brecht
Clarissa S. Holmes
Marni Jacobs
Randi Streisand
author_facet Eleanor Race Mackey
Lyndsay O’Brecht
Clarissa S. Holmes
Marni Jacobs
Randi Streisand
author_sort Eleanor Race Mackey
collection DOAJ
description Objective. To characterize the intake of macronutrient and fiber in adolescents with type 1 diabetes (T1D) and examine their association with health indicators. Methods. Baseline data from an RCT were examined. Adolescent-parent dyads (n=257, mean age 12 ± 1.2 years, 49.4% girls) reported dietary intake via two separate 24-hour recall interviews during a two-week period. Demographic and medical variables were abstracted from questionnaires and medical charts. Results. Controlling for demographic and diet variables, a higher percentage of daily energy intake from fats was associated with poorer HbA1c. In contrast, an association between higher percent of energy intake from proteins and carbohydrates was found with higher systolic and diastolic BP, respectively. Conclusions. Many early adolescents with T1D did not meet diabetes nutritional guidelines. Lower adherence to nutritional guidelines, specifically more than recommended energy intake from fats, was associated with poorer HbA1c. Addressing nutritional guidelines and increasing adherence as part of treatment may improve health outcomes for youth with T1D.
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spelling doaj-art-d30672abb98b46f3893cbd7d9f5f55ff2025-08-20T03:24:07ZengWileyJournal of Diabetes Research2314-67452314-67532018-01-01201810.1155/2018/50945695094569Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?Eleanor Race Mackey0Lyndsay O’Brecht1Clarissa S. Holmes2Marni Jacobs3Randi Streisand4Children’s National Health System, Psychology, Washington, DC, USAUniversity of Toronto, Toronto, Ontario, CanadaVirginia Commonwealth University, Pediatrics, Richmond, VA, USAChildren’s National Health System, Psychology, Washington, DC, USAChildren’s National Health System, Psychology, Washington, DC, USAObjective. To characterize the intake of macronutrient and fiber in adolescents with type 1 diabetes (T1D) and examine their association with health indicators. Methods. Baseline data from an RCT were examined. Adolescent-parent dyads (n=257, mean age 12 ± 1.2 years, 49.4% girls) reported dietary intake via two separate 24-hour recall interviews during a two-week period. Demographic and medical variables were abstracted from questionnaires and medical charts. Results. Controlling for demographic and diet variables, a higher percentage of daily energy intake from fats was associated with poorer HbA1c. In contrast, an association between higher percent of energy intake from proteins and carbohydrates was found with higher systolic and diastolic BP, respectively. Conclusions. Many early adolescents with T1D did not meet diabetes nutritional guidelines. Lower adherence to nutritional guidelines, specifically more than recommended energy intake from fats, was associated with poorer HbA1c. Addressing nutritional guidelines and increasing adherence as part of treatment may improve health outcomes for youth with T1D.http://dx.doi.org/10.1155/2018/5094569
spellingShingle Eleanor Race Mackey
Lyndsay O’Brecht
Clarissa S. Holmes
Marni Jacobs
Randi Streisand
Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?
Journal of Diabetes Research
title Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?
title_full Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?
title_fullStr Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?
title_full_unstemmed Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?
title_short Teens with Type 1 Diabetes: How Does Their Nutrition Measure Up?
title_sort teens with type 1 diabetes how does their nutrition measure up
url http://dx.doi.org/10.1155/2018/5094569
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