Type 1 diabetes

Modifiable lifestyle risk factors for overweight and obesity in children and adolescents with type 1 diabetes: A systematic review

Diabetes Res Clin PractPublished Systematic review of observational studies

Authors' conclusion

Overall, the findings infer relationships between DEB, fat and carbohydrate intake and adiposity outcomes in people with T1D.

Study context

Population
Children and adolescents (<18 years) with T1D; 13 studies included adolescents up to 19 years37 studies
Outcome
Associations between modifiable lifestyle risk factors (diet, disordered eating, physical activity, sedentary and sleep behaviours) and measures of adiposity
Methodological detailsLiterature search of medical databases from 1990 to 2023
  • Literature search of medical databases from 1990 to 2023

Pooled result

As reported in the abstract

Associations of lifestyle factors with adiposity
  • Higher adiposity positively associated with disordered eating behaviours (DEB) in adolescents with T1D
  • Higher adiposity positively associated with higher than recommended total fat and lower carbohydrate intake
  • Small amount of evidence: positive association with skipping meals; negative associations with diet quality and sleep stage
  • No published associations between overweight and physical activity, sedentary behaviours and eating disorders
  • Studies mostly cross-sectional (89 %)

Original publication

Modifiable lifestyle risk factors for overweight and obesity in children and adolescents with type 1 diabetes: A systematic review. Diabetes Res Clin Pract. Published 29 May 2024. doi:10.1016/j.diabres.2024.111724

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