Intensively managed young children with type 1 diabetes consume high-fat, low-fiber diets similar to age-matched controls
Intensively managed young children with type 1 diabetes consume high-fat, low-fiber diets similar to age-matched controls
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DOI：
10.1016/j.nutres.2014.04.008
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发表时间：
2014-05-01
影响因子：
4.5
通讯作者：
Laffel, Lori M. B.
中科院分区：
文献类型：
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作者：
Mehta, Sanjeev N.;Volkening, Lisa K.;Laffel, Lori M. B.
尽管非常重视营养，但患有糖尿病的年龄较大的儿童表现出较差的饮食质量。我们检验了一个假设，即1型糖尿病（T1 D）幼儿的饮食质量优于美国人群中年龄匹配的儿童。将2至12岁的T1 D儿童（n = 67）的饮食数据与来自国家健康和营养调查（NHANES; n = 1691）的全国代表性年龄匹配样本进行比较。使用了多次24小时饮食回忆。推荐的摄入量是基于国家指南，饮食质量是使用健康饮食指数-2005进行评估。与参与NHANES的儿童相比，更多的T1 D儿童超重或肥胖（42% vs 30%，P = 0.04）。与NHANES儿童相比，更大比例的T1 D儿童符合每日蔬菜推荐（22% vs 13%，P =.03），全谷物（12% vs 5%，P =.005）和乳制品（55% vs 36%，P =.001），而类似比例符合每日水果推荐（40% vs 33%，P =.2）。不到三分之一的儿童将总脂肪限制在推荐水平; T1 D儿童比NHANES儿童消耗更多的饱和脂肪（14% vs 12%总能量摄入，P =.0009）。两组的纤维摄入量都很低。与NHANES儿童相比，T1 D儿童的健康饮食指数-2005评分较高（59.6 vs 49.7，P =.0006），主要是因为添加糖的摄入量较低。在当代糖尿病管理中，T1 D幼儿的营养摄入仍然不理想。尽管有集中的营养管理，但T1 D幼儿的高脂肪、低纤维饮食与普通人群中的青年相当。(C)2014年爱思唯尔公司All rights reserved.
Despite significant emphasis on nutrition, older children with diabetes demonstrate poor dietary quality. We tested the hypothesis that dietary quality in young children with type 1 diabetes (T1D) would be better than age-matched children in the US population. Dietary data from children with T1D (n = 67) aged 2 to 12 years attending a pediatric diabetes clinic were compared with a nationally representative, age-matched sample from the National Health and Nutrition Examination Survey (NHANES; n = 1691). Multiple 24-hour dietary recalls were used. Recommended intakes were based on national guidelines, and dietary quality was assessed using the Healthy Eating Index-2005. More children with T1D were overweight or obese compared with children participating in NHANES (42% vs 30%, P =.04). Greater proportions of children with T1D met daily recommendations for vegetables (22% vs 13%, P =.03), whole grains (12% vs 5%, P =.005), and dairy (55% vs 36%, P =.001) compared with NHANES children, whereas similar proportions met daily fruit recommendations (40% vs 33%, P =.2). Less than one-third of all children limited total fat to recommended levels; children with T1D consumed more saturated fat than did NHANES children (14% vs 12% total energy intake, P =.0009). Fiber intakes were very low in both groups. Compared with NHANES children, children with T1D had higher Healthy Eating Index-2005 scores (59.6 vs 49.7, P =.0006) primarily because of lower intakes of added sugars. The nutritional intake of young children with T1D remains suboptimal in the contemporary era of diabetes management. Despite focused nutrition management, young children with T1D consume high-fat, low-fiber diets comparable with youth in the general population. (C) 2014 Elsevier Inc. All rights reserved.