Associations of Youth and Parent Weight Status with Reported versus Predicted Daily Energy Intake and Hemoglobin A1c in Youth with Type 1 Diabetes Mellitus
| Autor: | Amanda L. P. Sands, Leah M. Lipsky, Laurie A. Higgins, Lori M.B. Laffel, Sanjeev N. Mehta, Tonja R. Nansel |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Parents Insulin pump medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Biomedical Engineering Obesity Technology Bioengineering Overweight Body Mass Index Internal medicine Prevalence Internal Medicine Humans Medicine Obesity Child Weight status Glycemic Glycated Hemoglobin Type 1 diabetes business.industry Body Weight nutritional and metabolic diseases medicine.disease Diabetes Mellitus Type 1 Endocrinology Female Hemoglobin medicine.symptom Energy Intake business Body mass index Demography |
| Zdroj: | Journal of Diabetes Science and Technology. 7:263-270 |
| ISSN: | 1932-2968 |
| DOI: | 10.1177/193229681300700131 |
| Popis: | Background: The epidemic of overweight/obesity affects youth with type 1 diabetes mellitus (T1DM) and their families. In youth with T1DM and their parents, we examined weight status with reported and expected energy intake and with youth hemoglobin A1c (HbA1c). Methods: In 243 youth (48% female, 13 ± 3 years) and their parents (84% female, 45 ± 6 years), we assessed body mass index (BMI), prevalence of overweight/obesity, reported energy intake (REI), and youth glycemic control (HbA1c). The REI was compared with predicted daily energy requirements (DER; based on age, weight, sex, and physical activity). Results: Youth had diabetes duration of 6.3 ± 3.4 years and HbA1c of 8.5% ± 1.3%; 69% used insulin pump therapy. Overweight and obesity affected 23% and 11% of youth and 30% and 24% of parents, respectively. Youth and parent BMI ( r = 0.38; p < .001) and weight status (overweight/obese; p < .001) were significantly associated. The ratio of REI:DER was significantly lower in overweight/obese compared with underweight/normal weight parents (1.0 ± 0.4 versus 1.2 ± 0.5; p = .001) but did not differ among youth by weight status. Both youth and parent BMI were positively correlated with youth HbA1c (r = 0.14, p = .02; r = 0.16, p = .01, respectively). Hemoglobin A1c tended to be higher in obese than in overweight and normal weight youth (mean ± standard deviation [SD] 8.4 ± 1.4, 8.4 ± 1.3, and 8.8 ± 1.0, respectively; p = .06) and was significantly higher in youth whose parents were obese versus overweight or underweight/normal weight (mean ± SD 8.2 ± 1.2, 8.5 ± 1.4, and 8.9 ± 1.5, respectively; p < .001). Conclusions: Similar to the general population, overweight and obesity are prevalent among families of youth with T1DM. Weight status appears to influence self-REI in parents and glycemic control in youth with T1DM, suggesting the need for family-based dietary interventions. |
| Databáze: | OpenAIRE |
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