Journals / Türkiye Diyabet ve Obezite Dergisi / 2026 / Cilt: 8 Sayı: 1

Evaluation of the Nutritional Status and Eating Behaviors of Young Children with Type 1 Diabetes and Healthy Peers: A Controlled Cross Sectional Study

Tip 1 Diyabetli Küçük Çocukların ve Sağlıklı Akranlarının Beslenme Durumları ve Yeme Davranışlarının Değerlendirilmesi: Kontrollü Kesitsel Araştırma

Zeynep Şıklar(ANKARA ÜNİVERSİTESİ, ANKARA TIP FAKÜLTESİ)0000-0003-0921-2694
Merih Berberoğlu(ANKARA ÜNİVERSİTESİ, ANKARA TIP FAKÜLTESİ)0000-0003-3102-0242
Pages
51–58
Publication Date
2024-04-29
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Because parents of preschool children with type 1 diabetes feel more anxiety about their child’s disease, behavioral observation techniques should be used to examine their eating behavior, glycemic control, and other factors that may affect nutritional management.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Eating behaviors affect young children with type 1 diabetes mellitus (T1DM).
📊
Key Findings & Data:The aim is to identify eating behaviors, and nutritional status in young children with T1DM and healthy peers and evaluate the effect of eating behaviors on glycemic control in children with T1DM.
💡
Conclusion & Impact:Conclusion: Because parents of preschool children with type 1 diabetes feel more anxiety about their child’s disease, behavioral observation techniques should be used to examine their eating behavior, glycemic control, and other factors that may affect nutritional management.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Beslenme · davranışsal pediatrik besleme değerlendirme ölçeği · küçük çocuklar

Abstract

Aim: Eating behaviors affect young children with type 1 diabetes mellitus (T1DM). The aim is to identify eating behaviors, and nutritional status in young children with T1DM and healthy peers and evaluate the effect of eating behaviors on glycemic control in children with T1DM. Material and Methods: The study was a single-center controlled cross-sectional study of young children with T1DM (n=33) (age<7 years) and healthy peers (n=31).The eating behaviors of the young children were examined through the Behavioral Pediatric Feeding Assessment Scale and the food consumption status was evaluated using a 3-day food record. Glycosilated hemoglobin (Hemoglobin A1c) values of the young children with T1DM were obtained from hospital records, and analyzed. Results: Young children with T1DM have higher energy, fiber, and cholesterol intake than their healthy peers. (p<0.05). The young children with T1DM eat more healthily and have fewer behavioral eating disorders than their healthy peers. Parents of children with T1DM reported feeling worse about the child’s nutrition. No relationship was found between eating behaviors and glycemic control. Conclusion: Because parents of preschool children with type 1 diabetes feel more anxiety about their child’s disease, behavioral observation techniques should be used to examine their eating behavior, glycemic control, and other factors that may affect nutritional management.

Özet

Amaç: Yeme davranışları Tip 1 Diabetes Mellituslu (T1DM) çocukları etkilemektedir. Amaç T1DM'li küçük çocuklarda ve sağlıklı akranlarında yeme davranışlarını ve beslenme durumunu belirlemek ve T1DM'li çocuklarda yeme davranışlarının glisemik kontrol üzerindeki etkisini değerlendirmektir. Gereç ve Yöntemler: Bu araştırma, T1DM'li küçük çocuklar (n=33) (yaş <7 yıl) ve sağlıklı akranları (n=31) üzerinde yapılan tek merkezli, kontrollü, kesitsel bir çalışmaydı. Küçük çocukların yeme davranışları Davranışsal Pediatrik Beslenme Değerlendirme Ölçeği ile incelendi ve 3-günlük besin tüketim kaydı kullanılarak besin tüketim durumları değerlendirildi. T1DM'li küçük çocukların glikozillenmiş hemoglobin (Hemoglobin A1c) değerleri hastane kayıtlarından elde edildi ve analiz edildi. Bulgular: T1DM’li küçük çocukların sağlıklı akranlarına göre enerji, posa ve kolesterol alımları daha yüksektir(p<0,05). T1DM’li küçük çocuklar, sağlıklı akranlarına göre daha sağlıklı beslenmiş ve daha az davranışsal yeme bozukluğu yaşamışlardır. T1DM'li çocukların ebeveynleri, çocuklarının beslenmesi konusunda kendilerini daha kötü hissettiklerini bildirdi. Yeme davranışı ile glisemik kontrol arasında bir ilişki bulunamadı. Sonuç: T1DM’li okul öncesi çocukların ebeveynleri, çocuklarının hastalığıyla ilgili daha fazla kaygı duyduklarından, yeme davranışlarını, glisemik kontrollerini ve beslenme yönetimini etkileyebilecek diğer faktörleri incelemek için davranışsal gözlem teknikleri kullanılmalıdır

🔖

Cite This Article

Önal, S., Uçar, A., Şıklar, Z., Berberoğlu, M. (2024). Evaluation of the Nutritional Status and Eating Behaviors of Young Children with Type 1 Diabetes and Healthy Peers: A Controlled Cross Sectional Study. Türkiye Diyabet ve Obezite Dergisi, Cilt: 8 Sayı: 1, 51–58. https://doi.org/10.25048/tudod.1455685

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (26)

  1. Atkinson MA. The pathogenesis and natural history of type 1 diabetes. Cold Spring Harb Perspect Biol. 2012;4.
  2. IDF Diabetes Atlas 2021 | IDF Diabetes Atlas. (Accessed Apr 23, 2023, at https://diabetesatlas.org/atlas/tenth-edition/)
  3. Global report on diabetes (Accessed Apr 23, 2023, at https:// www.who.int/publications/i/item/9789241565257)
  4. For Disease Control C. National Diabetes Statistics Report, 2017 Estimates of Diabetes and Its Burden in the United States Background. 2017
  5. Jovanovic SM-, Jovanovic SM-. Nutritional Management in Type 1 Diabetes Mellitus. Type 1 Diabetes 2013 (Accessed Apr 23, 2023, at https://www.intechopen.com/chapters/41898)
  6. Patton SR, Dolan LM, Chen M, Powers SW. Dietary adherence and mealtime behaviors in young children with type 1 diabetes on intensive insulin therapy. J Acad Nutr Diet. 2013;113(2):258-262.
  7. Monaghan M, Herbert LJ, Wang J, Holmes C, Cogen FR, Streisand R. Mealtime behavior and diabetes-specific parent functioning in young children with type 1 diabetes. Health Psychol. 2015;34:794-801.
  8. Powers SW, Patton SR, Byars KC, Mitchell MJ, Jelalian E, Mulvihill MM, Hovell MF, Stark LJ. Caloric intake and eating behavior in infants and toddlers with cystic fibrosis. Pediatrics. 2002;109(5):E75-75.
  9. Patton SR, Williams LB, Dolan LM, Chen M, Powers SW. Feeding problems reported by parents of young children with type 1 diabetes on insulin pump therapy and their associations with children’s glycemic control. Pediatr Diabetes. 2009;10:455-460.
  10. Mealtime interactions relate to dietary adherence and glycemic control in young children with type 1 diabetes. Diabetes Care. 2006;29(5):1002-1006.
  11. Streisand R, Monaghan M. Young children with type 1 diabetes: Challenges, research, and future directions. Curr Diab Rep. 2014;14(9):520.
  12. Crist W, Napier-Phillips A. Mealtime behaviors of young children: A comparison of normative and clinical data. J Dev Behav Pediatr. 2001;22:279-286.
  13. Önal S, Çalık Var E, Uçar A. Davranışsal Pediatrik Besleme Değerlendirmesi Ölçeği (DPBDÖ)’ni Türkçe’ye Uyarlama Çalışması. Nevşehir Bilim ve Teknol Derg. 2017;6:93-101.
  14. Castro K, Faccioli LS, Baronio D, Gottfried C, Perry IS, Riesgo R. Feeding behavior and dietary intake of male children and adolescents with autism spectrum disorder: A case-control study. Int J Dev Neurosci. 2016;53:68-74.
  15. De Onis M, Lobstein T. Defining obesity risk status in the general childhood population: Which cut-offs should we use? Int J Pediatr Obes. 2010;5:458-460.
  16. de Onis M, Onyango AW, Borghi E, Garza C, Yang H; WHO Multicentre Growth Reference Study Group. Comparison of the World Health Organization (WHO) Child Growth Standards and the National Center for Health Statistics/WHO international growth reference: implications for child health programmes. Public Health Nutr. 2006;9(7):942-947.
  17. Barnard K, Thomas S, Royle P, Noyes K, Waugh N. Fear of hypoglycaemia in parents of young children with type 1 diabetes: a systematic review. BMC Pediatr. 2010;10:50.
  18. Seckold R, Fisher E, de Bock M, King BR, Smart CE. The ups and downs of low-carbohydrate diets in the management of Type 1 diabetes: a review of clinical outcomes. Diabet Med. 2019;36:326-334.
  19. Sundberg F, Barnard K, Cato A, de Beaufort C, DiMeglio LA, Dooley G, Hershey T, Hitchcock J, Jain V, Weissberg-Benchell J, Rami-Merhar B, Smart CE, Hanas R. ISPAD Guidelines. Managing diabetes in preschool children. Pediatr Diabetes. 2017;18(7):499-517.
  20. Smart CE, Annan F, Higgins LA, Jelleryd E, Lopez M, Acerini CL. ISPAD Clinical Practice Consensus Guidelines 2018: Nutritional management in children and adolescents with diabetes. Pediatr Diabetes. 2018;19 Suppl 27:136-154.
  21. Mehta SN, Volkening LK, Quinn N, Laffel LMB. Intensively managed young children with type 1 diabetes consume highfat, low-fiber diets similar to age-matched controls. Nutr Res. 2014;34:428-35.
  22. Overby NC, Flaaten V, Veierød MB, Bergstad I, Margeirsdottir HD, Dahl-Jørgensen K, Andersen LF. Children and adolescents with type 1 diabetes eat a more atherosclerosis-prone diet than healthy control subjects. Diabetologia. 2007;50(2):307-316.
  23. Sasaki M, Kawasaki R, Rogers S, Man RE, Itakura K, Xie J, Flood V, Tsubota K, Lamoureux E, Wang JJ. The Associations of Dietary Intake of Polyunsaturated Fatty Acids With Diabetic Retinopathy in Well-Controlled Diabetes. Invest Ophthalmol Vis Sci. 2015;56(12):7473-7479.
  24. Mackey ER, Rose M, Tully C, Monaghan M, Hamburger S, Herrera N, Streisand R. The current state of parent feeding behavior, child eating behavior, and nutrition intake in young children with type 1 diabetes. Pediatr Diabetes. 2020;21(5):841- 845.
  25. Dovey TM, Jordan C, Aldridge VK, Martin CI. Screening for feeding disorders. Creating critical values using the behavioural pediatrics feeding assessment scale. Appetite. 2013;69:108-13.
  26. American Diabetes Association. 13. Children and Adolescents: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S148-S164.