Multiple indicators of poor diet quality in children and adolescents with type 1 diabetes are associated with higher body mass index percentile but not glycemic control.
Multiple indicators of poor diet quality in children and adolescents with type 1 diabetes are associated with higher body mass index percentile but not glycemic control.
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DOI：
10.1016/j.jand.2012.08.029
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发表时间：
2012-11
影响因子：
4.8
通讯作者：
Mehta, Sanjeev N.
中科院分区：
文献类型：
--
作者：
Nansel, Tonja R.;Haynie, Denise L.;Lipsky, Leah M.;Laffel, Lori M. B.;Mehta, Sanjeev N.
饮食是 1 型糖尿病治疗的基石，不良的饮食质量可能会影响血糖控制和其他健康结果。然而，1 型糖尿病儿童和青少年的饮食质量仍然没有得到充分研究。评估 1 型糖尿病儿童和青少年饮食质量的多项指标及其与糖化血红蛋白和体重指数百分位数的关系。在这项横断面研究中，参与者完成了 3 天的饮食记录，数据是从参与者的医疗记录中提取的。饮食质量指标包括水果、蔬菜和全谷物的份量； 2005 年健康饮食指数 (HEI-2005) 分数；营养丰富的食品 9.3 分 (NRF 9.3)；和血糖指数。在常规门诊就诊时招募了年龄 8 至 18 岁、≥1 岁的 1 型糖尿病儿童和青少年。在 291 个参与调查的家庭中，有 252 个提供了饮食数据。使用协方差和多元线性回归分析检查饮食质量指标与 HbA1c 和体重指数百分位数的关联。参与者对饮食指南的遵守程度较低； HEI-2005 平均分数为 53.4±11.0（范围 = 26.7 至 81.2）。水果、蔬菜和全谷物的摄入量少于推荐量的一半。参与者每日能量摄入量的近一半来自精制谷物产品、甜点、薯条和加糖饮料。在未调整但未调整的分析中，较高的水果 (P=0.04) 和全谷物 (P=0.03) 摄入量与较低的 HbA1c 相关；蔬菜摄入量、HEI-2005 评分、NRF 9.3 评分和血糖指数与 HbA1c 无关。在调整分析中，较高的水果（P=0.01）和全谷物（P=0.04）摄入量以及 NRF 9.3 评分（P=0.02）与较低的体重指数百分位相关，但与其他饮食质量指标无关。数据表明，患有 1 型糖尿病的青少年的饮食质量较差，并为饮食质量对体重管理的重要性提供了支持。未来对饮食摄入决定因素和促进改善饮食质量的方法的研究将有助于为临床护理提供信息。
Diet is a cornerstone of type 1 diabetes treatment, and poor diet quality may affect glycemic control and other health outcomes. Yet diet quality in children and adolescents with type 1 diabetes remains understudied. To evaluate multiple indicators of diet quality in children and adolescents with type 1 diabetes and their associations with hemoglobin A1c and body mass index percentile. In this cross-sectional study, participants completed 3-day diet records, and data were abstracted from participants’ medical records. Diet quality indicators included servings of fruit, vegetables, and whole grains; Healthy Eating Index-2005 (HEI-2005) score; Nutrient Rich Foods 9.3 score (NRF 9.3); and glycemic index. Children and adolescents with type 1 diabetes ≥1 year, aged 8 to 18 years, were recruited at routine clinic visits. Of 291 families enrolled, 252 provided diet data. Associations of diet quality indicators to HbA1c and body mass index percentile were examined using analysis of covariance and multiple linear regression. Participants demonstrated low adherence to dietary guidelines; mean HEI-2005 score was 53.4±11.0 (range = 26.7 to 81.2). Intake of fruit, vegetables, and whole grains was less than half the recommended amount. Almost half of the participants’ daily energy intake was derived from refined-grain products, desserts, chips, and sweetened beverages. Higher fruit (P=0.04) and whole-grain (P=0.03) intake were associated with lower HbA1c in unadjusted, but not adjusted analyses; vegetable intake, HEI-2005 score, NRF 9.3 score, and glycemic index were not associated with HbA1c. Higher fruit (P=0.01) and whole-grain (P=0.04) intake and NRF 9.3 score (P=0.02), but not other diet quality indicators, were associated with lower body mass index percentile in adjusted analyses. Data demonstrate poor diet quality in youth with type 1 diabetes and provide support for the importance of diet quality for weight management. Future research on determinants of dietary intake and methods to promote improved diet quality would be useful to inform clinical care.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
--
作者：
ANDERSON, EJ;RICHARDSON, M;SNETSELAAR, L
通讯作者：
SNETSELAAR, L
影响因子：
7.1
作者：
Drewnowski, Adam
通讯作者：
Drewnowski, Adam
影响因子：
37.8
作者：
Liese AD;Bortsov A;Günther AL;Dabelea D;Reynolds K;Standiford DA;Liu L;Williams DE;Mayer-Davis EJ;D'Agostino RB Jr;Bell R;Marcovina S
通讯作者：
Marcovina S
影响因子：
2
作者：
Faulkner, Melissa Spezia;Chao, Wei-Hsun;Reynolds, Robert D.
通讯作者：
Reynolds, Robert D.