Cargando…
An audit of the dietary intake of Australian children with type 1 diabetes
To understand what children with type 1 diabetes in a representative tertiary hospital clinic are eating compared to their peers and explore dietary intake impact on HbA1c outcome. An open cross-sectional dietary audit of children and adolescents with diabetes aged 2–17 years attending the Royal Chi...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856789/ https://www.ncbi.nlm.nih.gov/pubmed/29549246 http://dx.doi.org/10.1038/s41387-018-0021-5 |
_version_ | 1783307340226756608 |
---|---|
author | Gilbertson, Heather R. Reed, Kristen Clark, Sarah Francis, Kate L. Cameron, Fergus J. |
author_facet | Gilbertson, Heather R. Reed, Kristen Clark, Sarah Francis, Kate L. Cameron, Fergus J. |
author_sort | Gilbertson, Heather R. |
collection | PubMed |
description | To understand what children with type 1 diabetes in a representative tertiary hospital clinic are eating compared to their peers and explore dietary intake impact on HbA1c outcome. An open cross-sectional dietary audit of children and adolescents with diabetes aged 2–17 years attending the Royal Children’s Hospital, Melbourne was conducted using an age-appropriate validated Food Frequency Questionnaire. Total energy, macronutrient intake and diet quality were calculated and compared to dietary advice provided and national intake data. Body weight, and dietary intake influences on glycaemic control were investigated. Overall, 785 patients were recruited, from which 429 dietary surveys were completed. Dietary intakes were overall nutritionally adequate with macronutrient distribution (% total energy intake) being lower carbohydrate (48.6%), higher total sugars (22.4%), fat (32.9%), saturated fat (14.9%) and protein intake (19.1%) than recommendations, but similar to their peers. Energy intakes were excessive compared to their peers in the 4–13 year olds. Rates of overweight (30%) were significantly higher than national data (18%). Overall, 43% achieved optimal glycaemic control (HbA1c < 7.5%; <58 mmol/mol). HbA1c prediction via linear regression indicated that the following factors were associated with lower HbA1c values: being male, on pump regimen, lower rates of insulin per kg, shorter duration of disease. This audit has identified areas requiring targeted education/support to improve health outcomes including dietary adherence, rates of overweight/obesity, appropriate energy intakes and optimal glycaemic targets. Furthermore, it provides baseline data to evaluate efficacy of future interventions. |
format | Online Article Text |
id | pubmed-5856789 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-58567892018-03-20 An audit of the dietary intake of Australian children with type 1 diabetes Gilbertson, Heather R. Reed, Kristen Clark, Sarah Francis, Kate L. Cameron, Fergus J. Nutr Diabetes Article To understand what children with type 1 diabetes in a representative tertiary hospital clinic are eating compared to their peers and explore dietary intake impact on HbA1c outcome. An open cross-sectional dietary audit of children and adolescents with diabetes aged 2–17 years attending the Royal Children’s Hospital, Melbourne was conducted using an age-appropriate validated Food Frequency Questionnaire. Total energy, macronutrient intake and diet quality were calculated and compared to dietary advice provided and national intake data. Body weight, and dietary intake influences on glycaemic control were investigated. Overall, 785 patients were recruited, from which 429 dietary surveys were completed. Dietary intakes were overall nutritionally adequate with macronutrient distribution (% total energy intake) being lower carbohydrate (48.6%), higher total sugars (22.4%), fat (32.9%), saturated fat (14.9%) and protein intake (19.1%) than recommendations, but similar to their peers. Energy intakes were excessive compared to their peers in the 4–13 year olds. Rates of overweight (30%) were significantly higher than national data (18%). Overall, 43% achieved optimal glycaemic control (HbA1c < 7.5%; <58 mmol/mol). HbA1c prediction via linear regression indicated that the following factors were associated with lower HbA1c values: being male, on pump regimen, lower rates of insulin per kg, shorter duration of disease. This audit has identified areas requiring targeted education/support to improve health outcomes including dietary adherence, rates of overweight/obesity, appropriate energy intakes and optimal glycaemic targets. Furthermore, it provides baseline data to evaluate efficacy of future interventions. Nature Publishing Group UK 2018-03-09 /pmc/articles/PMC5856789/ /pubmed/29549246 http://dx.doi.org/10.1038/s41387-018-0021-5 Text en © The Author(s) 2018 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Gilbertson, Heather R. Reed, Kristen Clark, Sarah Francis, Kate L. Cameron, Fergus J. An audit of the dietary intake of Australian children with type 1 diabetes |
title | An audit of the dietary intake of Australian children with type 1 diabetes |
title_full | An audit of the dietary intake of Australian children with type 1 diabetes |
title_fullStr | An audit of the dietary intake of Australian children with type 1 diabetes |
title_full_unstemmed | An audit of the dietary intake of Australian children with type 1 diabetes |
title_short | An audit of the dietary intake of Australian children with type 1 diabetes |
title_sort | audit of the dietary intake of australian children with type 1 diabetes |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856789/ https://www.ncbi.nlm.nih.gov/pubmed/29549246 http://dx.doi.org/10.1038/s41387-018-0021-5 |
work_keys_str_mv | AT gilbertsonheatherr anauditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT reedkristen anauditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT clarksarah anauditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT franciskatel anauditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT cameronfergusj anauditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT gilbertsonheatherr auditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT reedkristen auditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT clarksarah auditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT franciskatel auditofthedietaryintakeofaustralianchildrenwithtype1diabetes AT cameronfergusj auditofthedietaryintakeofaustralianchildrenwithtype1diabetes |