Weight Management Behaviors are Associated with Elevated Glycemic Outcomes in Adolescents and Young Adults with Type 1 Diabetes

doi:10.1007/s10880-023-09936-6

. 2023 Feb 2.

doi: 10.1007/s10880-023-09936-6. Online ahead of print.

Weight Management Behaviors are Associated with Elevated Glycemic Outcomes in Adolescents and Young Adults with Type 1 Diabetes

Breana L Bryant¹, Christine H Wang¹, Maureen Monaghan^{2

3}

Affiliations

PMID: 36729339
DOI: 10.1007/s10880-023-09936-6

Weight Management Behaviors are Associated with Elevated Glycemic Outcomes in Adolescents and Young Adults with Type 1 Diabetes

Breana L Bryant et al. J Clin Psychol Med Settings. 2023.

. 2023 Feb 2.

doi: 10.1007/s10880-023-09936-6. Online ahead of print.

Authors

Breana L Bryant¹, Christine H Wang¹, Maureen Monaghan^{2

3}

Affiliations

¹ Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA.
² Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA. mmonagha@childrensnational.org.
³ George Washington University School of Medicine, Washington, DC, USA. mmonagha@childrensnational.org.

PMID: 36729339
DOI: 10.1007/s10880-023-09936-6

Abstract

Many adolescents and young adults (AYAs) with type 1 diabetes (T1D) engage in weight management behaviors (i.e., trying to lose weight), and efforts to manage weight may impact glycemic control. We assessed objective/subjective weight status and weight management behaviors in a diverse sample of 76 AYAs with T1D, and examined differences in sociodemographic characteristics and A1c levels by the following categories: (1) Overweight BMI/weight management (n = 21), (2) overweight BMI/no weight management (n = 6), (3) in/below-range BMI/weight management (n = 25), (4) in/below-range BMI/no weight management (n = 24). Subjective overweight status was more common among late adolescents and females; female gender was associated with weight management behaviors. AYAs endorsing weight management behaviors evidenced higher A1c values than those who did not. Clinicians working with AYAs should be aware of associations among weight management and glycemic indicators and routinely screen for weight management behaviors. Future research should explore interventions to promote healthy lifestyle behaviors among AYAs.

Keywords: Adolescent health; Body Mass Index; Diabetes mellitus; Type 1; Weight perception.

References

1. Araia, E., Hendrieckx, C., Skinner, T., Pouwer, F., Speight, J., & King, R. M. (2017). Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: Results from diabetes MILES youth-Australia. International Journal of Eating Disorders, 50, 1183–1193. https://doi.org/10.1002/eat.22746 - DOI
1. Baldwin, S. A., & Hoffmann, J. P. (2002). The dynamics of self-esteem: A growth-curve analysis. Journal of Youth and Adolescence, 31, 101–113. https://doi.org/10.1023/A:1014065825598 - DOI
1. Baskaran, C., Volkening, L. K., Diaz, M., & Laffel, L. M. (2015). A decade of temporal trends in overweight/obesity in youth with type 1 diabetes after the diabetes control and complications trial. Pediatric Diabetes, 16, 263–270. https://doi.org/10.1111/pedi.12166 - DOI
1. Beck, R. W., Bergenstal, R. M., Riddlesworth, T. D., Kollman, C., Li, Z., Brown, A. S., & Close, K. L. (2019). Validation of time in range as an outcome measure for diabetes clinical trials. Diabetes Care, 42, 400. https://doi.org/10.2337/dc18-1444 - DOI
1. CDC. (2013). Youth risk behavior survey questionnaire. Retrieved 7 August 2021 from www.cdc.gov/yrbs

Grant support

[1] Araia, E., Hendrieckx, C., Skinner, T., Pouwer, F., Speight, J., & King, R. M. (2017). Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: Results from diabetes MILES youth-Australia. International Journal of Eating Disorders, 50, 1183–1193. https://doi.org/10.1002/eat.22746 - DOI

[2] Araia, E., Hendrieckx, C., Skinner, T., Pouwer, F., Speight, J., & King, R. M. (2017). Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: Results from diabetes MILES youth-Australia. International Journal of Eating Disorders, 50, 1183–1193. https://doi.org/10.1002/eat.22746 - DOI

[3] Baldwin, S. A., & Hoffmann, J. P. (2002). The dynamics of self-esteem: A growth-curve analysis. Journal of Youth and Adolescence, 31, 101–113. https://doi.org/10.1023/A:1014065825598 - DOI

[4] Baldwin, S. A., & Hoffmann, J. P. (2002). The dynamics of self-esteem: A growth-curve analysis. Journal of Youth and Adolescence, 31, 101–113. https://doi.org/10.1023/A:1014065825598 - DOI

[5] Baskaran, C., Volkening, L. K., Diaz, M., & Laffel, L. M. (2015). A decade of temporal trends in overweight/obesity in youth with type 1 diabetes after the diabetes control and complications trial. Pediatric Diabetes, 16, 263–270. https://doi.org/10.1111/pedi.12166 - DOI

[6] Baskaran, C., Volkening, L. K., Diaz, M., & Laffel, L. M. (2015). A decade of temporal trends in overweight/obesity in youth with type 1 diabetes after the diabetes control and complications trial. Pediatric Diabetes, 16, 263–270. https://doi.org/10.1111/pedi.12166 - DOI

[7] Beck, R. W., Bergenstal, R. M., Riddlesworth, T. D., Kollman, C., Li, Z., Brown, A. S., & Close, K. L. (2019). Validation of time in range as an outcome measure for diabetes clinical trials. Diabetes Care, 42, 400. https://doi.org/10.2337/dc18-1444 - DOI

[8] Beck, R. W., Bergenstal, R. M., Riddlesworth, T. D., Kollman, C., Li, Z., Brown, A. S., & Close, K. L. (2019). Validation of time in range as an outcome measure for diabetes clinical trials. Diabetes Care, 42, 400. https://doi.org/10.2337/dc18-1444 - DOI

[9] CDC. (2013). Youth risk behavior survey questionnaire. Retrieved 7 August 2021 from www.cdc.gov/yrbs

[10] CDC. (2013). Youth risk behavior survey questionnaire. Retrieved 7 August 2021 from www.cdc.gov/yrbs