Eating Disorders: Dietary Adherence and Mealtime Behaviors in Young Children With Type 1 Diabetes on Intensive Insulin Therapy.

Dietary adherence and mealtime behaviors in young children with type 1 diabetes on intensive insulin therapy.

Filed under: Eating Disorders

J Acad Nutr Diet. 2013 Feb; 113(2): 258-62
Patton SR, Dolan LM, Chen M, Powers SW

Diet is an important component of diabetes treatment and integral to successful management. While intensive insulin therapy can allow patients to eat more freely, it is not known how the rapid uptake of intensive therapy in young children with type 1 diabetes has impacted their diet and if diet and healthful eating in young children correlates with mealtime behaviors and glycemic control. This study examined diet, mealtime behaviors, and glucose control in a sample of 39 young children on intensive therapy. This was a one-sample, cross-sectional study. Children had a mean age of 5.1±1.1 years. Children’s 3-day diet diaries were assessed using a deviation scale (measure of adherence) and a healthy eating index. Mealtime behaviors were assessed using the Behavioral Pediatric Feeding Assessment Scale. Children’s glucose control was measured using continuous glucose monitoring. Children’s mean carbohydrate intake was 72%±24% of the recommended levels based on their age, sex, size, and activity level, and children exceeded national guidelines for percentage of calories from fat and saturated fat. A more healthful diet correlated with fewer child mealtime behavior problems, but better dietary adherence correlated with more parent mealtime behavior problems. Even in the context of intensive management, diet can be problematic for young children with type 1 diabetes. Parent-reported problems with mealtime behaviors seem to correlate with healthy eating and dietary adherence.
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Single-larger-portion-size and dual-column nutrition labeling may help consumers make more healthful food choices.

Filed under: Eating Disorders

J Acad Nutr Diet. 2013 Feb; 113(2): 241-50
Lando AM, Lo SC

The Food and Drug Administration is considering changes to the Nutrition Facts label to help consumers make more healthful choices.To examine the effects of modifications to the Nutrition Facts label on foods that can be listed as having 1 or 2 servings per container, but are reasonably consumed at a single eating occasion.Participants were randomly assigned to study conditions that varied on label format, product, and nutrition profile. Data were collected via an online consumer panel.Adults aged 18 years and older were recruited from Synovate’s online household panel. Data were collected during August 2011. A total of 32,897 invitations were sent for a final sample of 9,493 interviews.Participants were randomly assigned to one of 10 label formats classified into three groups: listing 2 servings per container with a single column, listing 2 servings per container with a dual column, and listing a single serving per container. Within these groups there were versions that enlarged the font size for “calories,” removed “calories from fat,” and changed the wording for serving size declaration.The single product task measured product healthfulness, the amount of calories and various nutrients per serving and per container, and label perceptions. The product comparison task measured ability to identify the healthier product and the product with fewer calories per container and per serving.Analysis of covariance models with Tukey-Kramer tests were used. Covariates included general label use, age, sex, level of education, and race/ethnicity.Single-serving and dual-column formats performed better and scored higher on most outcome measures.For products that contain 2 servings but are customarily consumed at a single eating occasion, using a single-serving or dual-column labeling approach may help consumers make healthier food choices.
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Healthy behaviours and abdominal adiposity in adolescents from southern Italy.

Filed under: Eating Disorders

Public Health Nutr. 2013 Jan 28; 1-8
Iaccarino Idelson P, Scalfi L, Vaino N, Mobilia S, Montagnese C, Franzese A, Valerio G

OBJECTIVE: The present study aimed to evaluate the prevalence of meeting health recommendations on diet and physical activity (having breakfast, eating fruit and vegetables, consumption of milk/yoghurt, performing moderate-to-vigorous physical activity, limiting television watching) and to assess junk snack food consumption in adolescents from southern Italy. The association between healthy behaviours and abdominal adiposity was also examined. DESIGN: In a cross-sectional protocol, anthropometric data were measured by trained operators while other data were collected through a structured interview. SETTING: Three high schools in Naples, Italy. SUBJECTS: A sample of 478 students, aged 14-17 years, was studied. RESULTS: The proportion of adolescents who met each of the health recommendations varied: 55·4 % had breakfast on ?6 d/week; 2·9 % ate ?5 servings of fruit and vegetables/d; 1·9 % had ?3 servings of milk/yoghurt daily; 13·6 % performed moderate-to-vigorous physical activity for ?60 min/d; and 46·3 % watched television for <2 h/d. More than 65 % of adolescents consumed ?1 serving of junk snack foods/d. Only 5 % fulfilled at least three recommendations. Healthy habits tended to correlate with each other. As the number of health recommendations met decreased, the percentage of adolescents with high abdominal adiposity (waist-to-height ratio ?0·5) increased. The trend was not significant when the proportion of overweight/obese adolescents was considered. Logistic regression analysis indicated that male gender and watching television for ?2 h/d were independently associated with a higher waist-to-height ratio. CONCLUSIONS: Most adolescents failed to meet the five health recommendations considered. Male gender and excessive television watching were associated with abdominal adiposity. HubMed – eating


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