Dietary behaviors predict glycemic control in youth with type 1 diabetes

Sanjeev N. Mehta; Lisa K. Volkening; Barbara J. Anderson; Tonja Nansel; Jill Weissberg-Benchell; Tim Wysocki; Lori M.B. Laffel

doi:10.2337/dc07-2435

Dietary behaviors predict glycemic control in youth with type 1 diabetes

Sanjeev N. Mehta, Lisa K. Volkening, Barbara J. Anderson, Tonja Nansel, Jill Weissberg-Benchell, Tim Wysocki, Lori M.B. Laffel

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

54 Scopus citations

Abstract

OBJECTIVE - To investigate the association between dietary adherence and glycemic control among youth with type 1 diabetes. RESEARCH DESIGN AND METHODS -We conducted a cross-sectional analysis of 119youthaged9-14years(mean ± SD 12.1 ± 1.6 years) with diabetes duration ≥1year(5.4 ± 3.1 years). Dietary adherence was assessed using the Diabetes Self-Management Profile diet domain. Higher score defined greater dietary adherence. Glycemic control was determined by A1C. RESULTS -Dietary adherence score was inversely correlated with A1C (r =-0.36, P < 0.0001). In a multivariate model (R ² = 0.34, P < 0.0001), dietary adherence (P = 0.004), pump use (P = 0.03), and caregiver education (P = 0.01) were associated with A1C. A1C of youth in the lowest (9.0%) tertile of diet score was higher than A1C of youth in the middle (8.1%, P = 0.004) and upper (8.4%, P = 0.06) tertiles. Dietary adherence uniquely explained 8% of the variance in A1C in the model. CONCLUSIONS -Greater dietary adherence was associated with lower A1C among youth with type 1 diabetes.

Original language	English (US)
Pages (from-to)	1318-1320
Number of pages	3
Journal	Diabetes care
Volume	31
Issue number	7
DOIs	https://doi.org/10.2337/dc07-2435
State	Published - Jul 2008

ASJC Scopus subject areas

Advanced and Specialized Nursing
Internal Medicine
Endocrinology, Diabetes and Metabolism

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10.2337/dc07-2435

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title = "Dietary behaviors predict glycemic control in youth with type 1 diabetes",

abstract = "OBJECTIVE - To investigate the association between dietary adherence and glycemic control among youth with type 1 diabetes. RESEARCH DESIGN AND METHODS -We conducted a cross-sectional analysis of 119youthaged9-14years(mean ± SD 12.1 ± 1.6 years) with diabetes duration ≥1year(5.4 ± 3.1 years). Dietary adherence was assessed using the Diabetes Self-Management Profile diet domain. Higher score defined greater dietary adherence. Glycemic control was determined by A1C. RESULTS -Dietary adherence score was inversely correlated with A1C (r =-0.36, P < 0.0001). In a multivariate model (R 2 = 0.34, P < 0.0001), dietary adherence (P = 0.004), pump use (P = 0.03), and caregiver education (P = 0.01) were associated with A1C. A1C of youth in the lowest (9.0%) tertile of diet score was higher than A1C of youth in the middle (8.1%, P = 0.004) and upper (8.4%, P = 0.06) tertiles. Dietary adherence uniquely explained 8% of the variance in A1C in the model. CONCLUSIONS -Greater dietary adherence was associated with lower A1C among youth with type 1 diabetes.",

author = "Mehta, {Sanjeev N.} and Volkening, {Lisa K.} and Anderson, {Barbara J.} and Tonja Nansel and Jill Weissberg-Benchell and Tim Wysocki and Laffel, {Lori M.B.}",

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language = "English (US)",

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T1 - Dietary behaviors predict glycemic control in youth with type 1 diabetes

AU - Mehta, Sanjeev N.

AU - Volkening, Lisa K.

AU - Anderson, Barbara J.

AU - Nansel, Tonja

AU - Weissberg-Benchell, Jill

AU - Wysocki, Tim

AU - Laffel, Lori M.B.

PY - 2008/7

Y1 - 2008/7

N2 - OBJECTIVE - To investigate the association between dietary adherence and glycemic control among youth with type 1 diabetes. RESEARCH DESIGN AND METHODS -We conducted a cross-sectional analysis of 119youthaged9-14years(mean ± SD 12.1 ± 1.6 years) with diabetes duration ≥1year(5.4 ± 3.1 years). Dietary adherence was assessed using the Diabetes Self-Management Profile diet domain. Higher score defined greater dietary adherence. Glycemic control was determined by A1C. RESULTS -Dietary adherence score was inversely correlated with A1C (r =-0.36, P < 0.0001). In a multivariate model (R 2 = 0.34, P < 0.0001), dietary adherence (P = 0.004), pump use (P = 0.03), and caregiver education (P = 0.01) were associated with A1C. A1C of youth in the lowest (9.0%) tertile of diet score was higher than A1C of youth in the middle (8.1%, P = 0.004) and upper (8.4%, P = 0.06) tertiles. Dietary adherence uniquely explained 8% of the variance in A1C in the model. CONCLUSIONS -Greater dietary adherence was associated with lower A1C among youth with type 1 diabetes.

AB - OBJECTIVE - To investigate the association between dietary adherence and glycemic control among youth with type 1 diabetes. RESEARCH DESIGN AND METHODS -We conducted a cross-sectional analysis of 119youthaged9-14years(mean ± SD 12.1 ± 1.6 years) with diabetes duration ≥1year(5.4 ± 3.1 years). Dietary adherence was assessed using the Diabetes Self-Management Profile diet domain. Higher score defined greater dietary adherence. Glycemic control was determined by A1C. RESULTS -Dietary adherence score was inversely correlated with A1C (r =-0.36, P < 0.0001). In a multivariate model (R 2 = 0.34, P < 0.0001), dietary adherence (P = 0.004), pump use (P = 0.03), and caregiver education (P = 0.01) were associated with A1C. A1C of youth in the lowest (9.0%) tertile of diet score was higher than A1C of youth in the middle (8.1%, P = 0.004) and upper (8.4%, P = 0.06) tertiles. Dietary adherence uniquely explained 8% of the variance in A1C in the model. CONCLUSIONS -Greater dietary adherence was associated with lower A1C among youth with type 1 diabetes.

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Dietary behaviors predict glycemic control in youth with type 1 diabetes

Abstract

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