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Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review
BACKGROUND: Medical nutrition therapy (MNT) has an integral role in overall diabetes management. During adolescence, consideration of physiological and psychosocial changes is essential for implementing an optimal diabetes treatment. OBJECTIVES: Our aim was to identify, summarize, and interpret the...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9033775/ https://www.ncbi.nlm.nih.gov/pubmed/35459205 http://dx.doi.org/10.1038/s41387-022-00201-7 |
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author | Granado-Casas, Minerva Solà, Ivan Hernández, Marta Rojo-López, Marina Idalia Julve, Josep Mauricio, Didac |
author_facet | Granado-Casas, Minerva Solà, Ivan Hernández, Marta Rojo-López, Marina Idalia Julve, Josep Mauricio, Didac |
author_sort | Granado-Casas, Minerva |
collection | PubMed |
description | BACKGROUND: Medical nutrition therapy (MNT) has an integral role in overall diabetes management. During adolescence, consideration of physiological and psychosocial changes is essential for implementing an optimal diabetes treatment. OBJECTIVES: Our aim was to identify, summarize, and interpret the published literature about MNT in adolescents with type 1 diabetes. METHODS: The Medline (PubMed) and EMBASE databases were searched from January 1959 to December 2021. The inclusion criteria were interventional studies with MNT in adolescents with type 1 diabetes with a disease duration over 1 year, including the following outcomes: dietary intake and daily eating patterns (assessed with validated tools, two or more 24 h dietary recall or 3-day dietary records), the diabetes self-management education and support (DSMES), glycemic control, lipid profile and body mass index (BMI). The exclusion criteria were studies without a control group (except for pre-post studies), the lack of randomization and those studies that assessed only a single nutrient, food or meal consumption, as well as reviews, and in-vitro/in-vivo studies. The risk of bias assessment was performed using the Cochrane risk-of-bias tool for randomized trials. A narrative synthesis was performed to present the results. The quality of evidence was assessed with the GRADE guidance. RESULTS: From a total of 5377 records, 12 intervention studies (9 RCT and 3 pre-post intervention studies) were included. The data were assessed in order to perform a meta-analysis; however, the studies were too heterogeneous. The studies showed conflicting results about the effectiveness of MNT on dietary pattern, DSMES, glycemic control, lipid profile and BMI. CONCLUSIONS: Clinical research studies on the effectiveness of MNT in adolescents with type 1 diabetes are scarce. The limited number of studies with a high risk of bias precludes establishing robust conclusions on this issue. Further research is warranted. |
format | Online Article Text |
id | pubmed-9033775 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-90337752022-04-28 Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review Granado-Casas, Minerva Solà, Ivan Hernández, Marta Rojo-López, Marina Idalia Julve, Josep Mauricio, Didac Nutr Diabetes Review Article BACKGROUND: Medical nutrition therapy (MNT) has an integral role in overall diabetes management. During adolescence, consideration of physiological and psychosocial changes is essential for implementing an optimal diabetes treatment. OBJECTIVES: Our aim was to identify, summarize, and interpret the published literature about MNT in adolescents with type 1 diabetes. METHODS: The Medline (PubMed) and EMBASE databases were searched from January 1959 to December 2021. The inclusion criteria were interventional studies with MNT in adolescents with type 1 diabetes with a disease duration over 1 year, including the following outcomes: dietary intake and daily eating patterns (assessed with validated tools, two or more 24 h dietary recall or 3-day dietary records), the diabetes self-management education and support (DSMES), glycemic control, lipid profile and body mass index (BMI). The exclusion criteria were studies without a control group (except for pre-post studies), the lack of randomization and those studies that assessed only a single nutrient, food or meal consumption, as well as reviews, and in-vitro/in-vivo studies. The risk of bias assessment was performed using the Cochrane risk-of-bias tool for randomized trials. A narrative synthesis was performed to present the results. The quality of evidence was assessed with the GRADE guidance. RESULTS: From a total of 5377 records, 12 intervention studies (9 RCT and 3 pre-post intervention studies) were included. The data were assessed in order to perform a meta-analysis; however, the studies were too heterogeneous. The studies showed conflicting results about the effectiveness of MNT on dietary pattern, DSMES, glycemic control, lipid profile and BMI. CONCLUSIONS: Clinical research studies on the effectiveness of MNT in adolescents with type 1 diabetes are scarce. The limited number of studies with a high risk of bias precludes establishing robust conclusions on this issue. Further research is warranted. Nature Publishing Group UK 2022-04-22 /pmc/articles/PMC9033775/ /pubmed/35459205 http://dx.doi.org/10.1038/s41387-022-00201-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Article Granado-Casas, Minerva Solà, Ivan Hernández, Marta Rojo-López, Marina Idalia Julve, Josep Mauricio, Didac Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review |
title | Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review |
title_full | Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review |
title_fullStr | Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review |
title_full_unstemmed | Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review |
title_short | Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review |
title_sort | effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9033775/ https://www.ncbi.nlm.nih.gov/pubmed/35459205 http://dx.doi.org/10.1038/s41387-022-00201-7 |
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