Conference Resources | Abstracts
September 3
rd
– 6
th
, 2014 | Toronto, Canada |
224
P133
Healthier food intake among youth with early-onset type 1 diabetes compared to the general
population
A. Stahl-Pehe
1
, C. Bächle
1
, K. Castillo
1
, T. Meissner
2
, R.W. Holl
3
, J. Rosenbauer
1
, in cooperation with
the German Pediatric Surveillance Unit (ESPED) and the DPV-Science initiative, supported by
Competence Network Diabetes Mellitus (support codes 01GI0802, 01GI1109A)
1
German Diabetes Center, Institute for Biometrics and Epidemiology, Düsseldorf, Germany,
2
University Children's Hospital, Department of General Pediatrics, Neonatology and Pediatric
Cardiology, Düsseldorf, Germany,
3
University of Ulm, Institute for Epidemiology and Medical Biometry,
Ulm, Germany
Objectives:
To evaluate food consumption in youth with long-duration early-onset type 1 diabetes
(T1D) compared to representative, normative data for the population of children and adolescents in
Germany.
Methods:
The 11- to 17-year old participants were diagnosed with T1D when they were younger than
5 years of age and had a T1D duration of at least 10 years at follow-up (N=629). Data on food
consumption were compared with those of a representative German sample (KiGGS study, N=6813).
The average food frequencies and portion sizes in recent weeks were assessed by means of the
same questions in both studies. Food frequencies and food specific portion sizes were converted into
food intakes (grams per day, g/d). Multivariable regression analyses were performed (SAS 9.3,
SURVEYREG procedure) adjusted for age group, sex, socioeconomic status, migration background,
region of residence, family structure, and weight status.
Results:
The characteristics of the T1D sample were 54 % boys, mean age 15.3 years (standard
deviation 1.7 years), diabetes duration 12.5 (1.6) years, and HbA1c 8.3 (1.3) %. A total of 29 % of the
youth with T1D had a nutritional counselling during the past 12 months. Youth with T1D reported a
higher intake of fresh fruits (adjusted difference
β
=90 (standard error 16) g/d, p< 0.001), raw
vegetables (
β
=63 (8) g/d, p< 0.001), and cooked vegetables (
β
=26 (4) g/d, p< 0.001). Youth with T1D
consumed less soft drinks (
β
=-91 (32) g/d, p=0.005) and sports/energy drinks (
β
=-50 (9) g/d, p<
0.001), while there were no differences in the consumption of burger/doner kebab/grilled
sausage/curried sausage, whole wheat bread, and white bread (p>0.05).
Conclusions:
The rough estimate of food intake indicates that youth with T1D had a more beneficial
food consumption pattern with less sweet drinks and more fruits and vegetables compared with the
general population.
