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

Year 2024, , 51 - 58, 29.04.2024

Seda Önal , Aslı Uçar , Zeynep Şıklar , Merih Berberoğlu

https://doi.org/10.25048/tudod.1455685

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.

Keywords

Nutrition, behavioral pediatric feeding assessment scale, young children, type-1 diabetes, eating behaviors

Ethical Statement

The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the Rectorate of Ankara University with decision number 56786525-050.04.04/7012

Thanks

We would like to thank the parents who participated in this research, all the health workers who helped in the collection of the data.

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

Abstract

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

Keywords

Beslenme, davranışsal pediatrik besleme değerlendirme ölçeği, küçük çocuklar, tip-1 diyabet, yeme davranışları

Ethical Statement

The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the Rectorate of Ankara University with decision number 56786525-050.04.04/7012

Thanks

We would like to thank the parents who participated in this research, all the health workers who helped in the collection of the data.

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