Correlates of dietary intake in youth with diabetes: results from the SEARCH for diabetes in youth study

J Nutr Educ Behav. Mar-Apr 2011;43(2):123-9. doi: 10.1016/j.jneb.2009.12.007. Epub 2011 Jan 26.

Abstract

Objective: To explore demographic, socioeconomic, diabetes-related, and behavioral correlates of dietary intake of dairy, fruit, vegetables, sweetened soda, fiber, calcium, and saturated fat in youth with diabetes.

Methods: Cross-sectional study of youth 10-22 years old with type 1 (T1DM, n = 2,176) and type 2 diabetes (T2DM, n = 365). Association of dietary intake, demographics, socioeconomic status, behavioral, and diabetes-related measures was explored with quantile regression.

Results: T1DM males had lower consumption of vegetables, fruit, and fiber, and higher consumption of soda and saturated fat than females (P < .01). African Americans had lower dairy and higher soda intake than non-Hispanic T1DM whites (P < .01). Soda consumption was higher in older T2DM youth than in younger participants (P < .01). Lifestyle and physical activity patterns were also significantly associated with dietary intake.

Conclusions and implications: Identified demographic and behavioral correlates may help dietitians to focus on groups of youth with diabetes who have lower adherence to a healthful diet. Diet counseling groups may be tailored according to these major determinants.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Calcium, Dietary / administration & dosage
  • Carbonated Beverages
  • Child
  • Cross-Sectional Studies
  • Diabetes Mellitus / diet therapy*
  • Diet / statistics & numerical data*
  • Diet, Diabetic*
  • Dietary Fats / administration & dosage
  • Dietary Fiber / administration & dosage
  • Female
  • Fruit
  • Humans
  • Life Style
  • Male
  • Patient Compliance*
  • Sex Factors
  • Socioeconomic Factors
  • Vegetables
  • Young Adult

Substances

  • Calcium, Dietary
  • Dietary Fats
  • Dietary Fiber