Document Detail

Dietary adherence and mealtime behaviors in young children with type 1 diabetes on intensive insulin therapy.
MedLine Citation:
PMID:  23351629     Owner:  NLM     Status:  MEDLINE    
Diet is an important component of diabetes treatment and integral to successful management. While intensive insulin therapy can allow patients to eat more freely, it is not known how the rapid uptake of intensive therapy in young children with type 1 diabetes has impacted their diet and if diet and healthful eating in young children correlates with mealtime behaviors and glycemic control. This study examined diet, mealtime behaviors, and glucose control in a sample of 39 young children on intensive therapy. This was a one-sample, cross-sectional study. Children had a mean age of 5.1 ± 1.1 years. Children's 3-day diet diaries were assessed using a deviation scale (measure of adherence) and a healthy eating index. Mealtime behaviors were assessed using the Behavioral Pediatric Feeding Assessment Scale. Children's glucose control was measured using continuous glucose monitoring. Children's mean carbohydrate intake was 72% ± 24% of the recommended levels based on their age, sex, size, and activity level, and children exceeded national guidelines for percentage of calories from fat and saturated fat. A more healthful diet correlated with fewer child mealtime behavior problems, but better dietary adherence correlated with more parent mealtime behavior problems. Even in the context of intensive management, diet can be problematic for young children with type 1 diabetes. Parent-reported problems with mealtime behaviors seem to correlate with healthy eating and dietary adherence.
Susana R Patton; Lawrence M Dolan; Ming Chen; Scott W Powers
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of the Academy of Nutrition and Dietetics     Volume:  113     ISSN:  2212-2672     ISO Abbreviation:  J Acad Nutr Diet     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-28     Completed Date:  2013-03-14     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  101573920     Medline TA:  J Acad Nutr Diet     Country:  United States    
Other Details:
Languages:  eng     Pagination:  258-62     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Blood Glucose / metabolism
Child Behavior
Child, Preschool
Cross-Sectional Studies
Diabetes Mellitus, Type 1 / diet therapy*,  drug therapy,  metabolism
Diabetic Diet*
Feeding Behavior
Hemoglobin A, Glycosylated / metabolism
Hypoglycemic Agents / therapeutic use*
Insulin / therapeutic use*
Patient Compliance*
Video Recording
Grant Support
Reg. No./Substance:
0/Blood Glucose; 0/Hemoglobin A, Glycosylated; 0/Hypoglycemic Agents; 0/Insulin

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