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Weight-Loss Practices and Weight-Related Issues Among Youth With Type 1 or Type 2 Diabetes

OBJECTIVE—The purpose of this study was to describe the weight-loss practices and weight-related issues reported by youth with diabetes, according to sex and diabetes type. RESEARCH DESIGN AND METHODS—A total of 1,742 female and 1,615 male youth aged 10–21 years with type 1 or type 2 diabetes comple...

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Autores principales: Lawrence, Jean M., Liese, Angela D., Liu, Lenna, Dabelea, Dana, Anderson, Andrea, Imperatore, Giuseppina, Bell, Ronny
Formato: Texto
Lenguaje:English
Publicado: American Diabetes Association 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584173/
https://www.ncbi.nlm.nih.gov/pubmed/18809623
http://dx.doi.org/10.2337/dc08-0719
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author Lawrence, Jean M.
Liese, Angela D.
Liu, Lenna
Dabelea, Dana
Anderson, Andrea
Imperatore, Giuseppina
Bell, Ronny
author_facet Lawrence, Jean M.
Liese, Angela D.
Liu, Lenna
Dabelea, Dana
Anderson, Andrea
Imperatore, Giuseppina
Bell, Ronny
author_sort Lawrence, Jean M.
collection PubMed
description OBJECTIVE—The purpose of this study was to describe the weight-loss practices and weight-related issues reported by youth with diabetes, according to sex and diabetes type. RESEARCH DESIGN AND METHODS—A total of 1,742 female and 1,615 male youth aged 10–21 years with type 1 or type 2 diabetes completed a SEARCH for Diabetes in Youth study visit during which height, weight, and A1C were measured. A survey assessed weight-related issues and weight-loss practices. RESULTS—Although more common in youth with type 2 diabetes, youth with type 1 diabetes also reported weight-related concerns and had elevated BMI. Among youth who had ever tried to lose weight (n = 1,646), healthy weight-loss practices (diet [76.5%] and exercise [94.8%]) were the most common, whereas unhealthy practices (fasting [8.6%], using diet aids [7.5%], vomiting or laxative use [2.3%], and skipping insulin doses [4.2%]) were less common. In sex-specific multivariable models including age, race/ethnicity, diabetes type, BMI category, and glycemic control, obese females and overweight/obese males were more likely to report ever practicing any unhealthy weight-loss practice than normal-weight youth. These practices were associated with poor glycemic control for female but not male subjects. All unhealthy weight-loss practices except fasting were more common in female than in male subjects. Dieting, fasting, and using diet aids were all more common in youth with type 2 diabetes than in those with type 1 diabetes. CONCLUSIONS—Given the prevalence of overweight and obesity among youth with type 1 or type 2 diabetes, health care professionals caring for youth with diabetes need to pay particular attention to identifying youth, particularly females, with unhealthy weight-loss practices.
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spelling pubmed-25841732009-12-01 Weight-Loss Practices and Weight-Related Issues Among Youth With Type 1 or Type 2 Diabetes Lawrence, Jean M. Liese, Angela D. Liu, Lenna Dabelea, Dana Anderson, Andrea Imperatore, Giuseppina Bell, Ronny Diabetes Care Clinical Care/Education/Nutrition/Psychosocial Research OBJECTIVE—The purpose of this study was to describe the weight-loss practices and weight-related issues reported by youth with diabetes, according to sex and diabetes type. RESEARCH DESIGN AND METHODS—A total of 1,742 female and 1,615 male youth aged 10–21 years with type 1 or type 2 diabetes completed a SEARCH for Diabetes in Youth study visit during which height, weight, and A1C were measured. A survey assessed weight-related issues and weight-loss practices. RESULTS—Although more common in youth with type 2 diabetes, youth with type 1 diabetes also reported weight-related concerns and had elevated BMI. Among youth who had ever tried to lose weight (n = 1,646), healthy weight-loss practices (diet [76.5%] and exercise [94.8%]) were the most common, whereas unhealthy practices (fasting [8.6%], using diet aids [7.5%], vomiting or laxative use [2.3%], and skipping insulin doses [4.2%]) were less common. In sex-specific multivariable models including age, race/ethnicity, diabetes type, BMI category, and glycemic control, obese females and overweight/obese males were more likely to report ever practicing any unhealthy weight-loss practice than normal-weight youth. These practices were associated with poor glycemic control for female but not male subjects. All unhealthy weight-loss practices except fasting were more common in female than in male subjects. Dieting, fasting, and using diet aids were all more common in youth with type 2 diabetes than in those with type 1 diabetes. CONCLUSIONS—Given the prevalence of overweight and obesity among youth with type 1 or type 2 diabetes, health care professionals caring for youth with diabetes need to pay particular attention to identifying youth, particularly females, with unhealthy weight-loss practices. American Diabetes Association 2008-12 /pmc/articles/PMC2584173/ /pubmed/18809623 http://dx.doi.org/10.2337/dc08-0719 Text en Copyright © 2008, American Diabetes Association https://creativecommons.org/licenses/by-nc-nd/3.0/Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
spellingShingle Clinical Care/Education/Nutrition/Psychosocial Research
Lawrence, Jean M.
Liese, Angela D.
Liu, Lenna
Dabelea, Dana
Anderson, Andrea
Imperatore, Giuseppina
Bell, Ronny
Weight-Loss Practices and Weight-Related Issues Among Youth With Type 1 or Type 2 Diabetes
title Weight-Loss Practices and Weight-Related Issues Among Youth With Type 1 or Type 2 Diabetes
title_full Weight-Loss Practices and Weight-Related Issues Among Youth With Type 1 or Type 2 Diabetes
title_fullStr Weight-Loss Practices and Weight-Related Issues Among Youth With Type 1 or Type 2 Diabetes
title_full_unstemmed Weight-Loss Practices and Weight-Related Issues Among Youth With Type 1 or Type 2 Diabetes
title_short Weight-Loss Practices and Weight-Related Issues Among Youth With Type 1 or Type 2 Diabetes
title_sort weight-loss practices and weight-related issues among youth with type 1 or type 2 diabetes
topic Clinical Care/Education/Nutrition/Psychosocial Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584173/
https://www.ncbi.nlm.nih.gov/pubmed/18809623
http://dx.doi.org/10.2337/dc08-0719
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