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The Association between Dietary Pattern, Obesity, and Glycemic Control of Children and Adolescents with Type 1 Diabetes Mellitus.
Souza da Cunha, Letícia Victoria; Carvalho Ramos Salles de Oliveira, Dayan; de Oliveira Cardoso, Leticia; Sartorelli, Daniela Saes; Xavier Peniche, Beatriz; de Araujo, Beatriz Bastos; Luescher, Jorge Luiz; Silverio, Raquel Nascimento Chanca; Davalos, Alberto; Padilha, Patricia de Carvalho.
Afiliação
  • Souza da Cunha LV; Instituto de Nutrição Josué de Castro (INJC/UFRJ), Rio de Janeiro 21941-590, Brazil.
  • Carvalho Ramos Salles de Oliveira D; Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro 21941-590, Brazil.
  • de Oliveira Cardoso L; Fundação Oswaldo Cruz (FIOCRUZ), Escola Nacional de Saúde Pública (ENSP), Av. Brasil, 4365-Manguinhos, Rio de Janeiro 21040-360, Brazil.
  • Sartorelli DS; Fundação Oswaldo Cruz (FIOCRUZ), Escola Nacional de Saúde Pública (ENSP), Av. Brasil, 4365-Manguinhos, Rio de Janeiro 21040-360, Brazil.
  • Xavier Peniche B; Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo, Campus da USP-Cidade Universitária, Ribeirão Preto 14040-900, Brazil.
  • de Araujo BB; Instituto de Nutrição Josué de Castro (INJC/UFRJ), Rio de Janeiro 21941-590, Brazil.
  • Luescher JL; Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro 21941-590, Brazil.
  • Silverio RNC; Instituto de Nutrição Josué de Castro (INJC/UFRJ), Rio de Janeiro 21941-590, Brazil.
  • Davalos A; Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro 21941-590, Brazil.
  • Padilha PC; Instituto de Nutrição Josué de Castro (INJC/UFRJ), Rio de Janeiro 21941-590, Brazil.
Nutrients ; 16(3)2024 Jan 26.
Article em En | MEDLINE | ID: mdl-38337649
ABSTRACT

AIMS:

To evaluate the association between dietary patterns, obesity, and glycemic control in children and adolescents with type 1 diabetes mellitus (T1DM).

METHODS:

A cross-sectional study was carried out in 2015 at a diabetes reference center in Rio de Janeiro. Sociodemographic data and those related to outpatient follow-ups were obtained from the medical records. The assessment of food consumption was performed using a 24 h food recall. Obesity was defined as body mass index-for-age (BMI-for-age) ≥ +1 z-score. Glycemic control was assessed using glycated hemoglobin (HbA1c). Dietary patterns were generated by factorial analysis, and each individual's adherence to these dietary patterns was determined by the factor loadings and then classified into terciles.

RESULTS:

The study population included 120 children and adolescents, among whom 5 dietary patterns were identified. The prevalence of obesity was 31.7% (n = 38), and 64.2% (n = 77) of the participants had inadequate glycemic control. We observed that individuals with higher adherence to dietary pattern five, characterized by a greater consumption of ultra-processed foods, had higher odds of having higher HbA1c levels (OR = 3.49; 95% CI = 1.18-11.16).

CONCLUSIONS:

Higher consumption of ultra-processed foods can be detrimental to glycemic control in children and adolescents. Thus, food intake monitoring is of paramount importance as part of the multidisciplinary care of patients with T1DM.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus Tipo 1 Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Nutrients Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus Tipo 1 Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Nutrients Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça