Perception and Awareness of Diabetes Risk and Reported Risk-Reducing Behaviors in Adolescents
Authors' conclusion
In this cross-sectional study including a US-representative sample of adolescents with overweight or obesity, diabetes risk perception and awareness were not associated with greater engagement in risk-reducing behaviors in youth. These findings suggest the need to address barriers to engagement in lifestyle change, including economic disadvantage.
Study context
- Population
- US youths aged 12 to 17 years with body mass index (BMI) ≥85th percentile without known diabetes, NHANES 2011 to 2018representing 8,716,794 US youths
- Participants
- 1,341 participants
- Exposure
- Diabetes risk perception and awareness vs none, and potential barriers, in relation to health behaviors
- Outcome
- Physical activity, screen time and attempted weight loss
Methodological detailsAnalyses conducted from February 2022 to February 2023
- Analyses conducted from February 2022 to February 2023
Main finding
As reported in the abstract
Risk perception: TV watching, β
0.3 hours per day
95% CI 0.2–0.5 hours per day
Risk perception: days per week with ≥60 minutes of physical activity, β
−1.2
95% CI −2.0 to −0.4
Observational data: associations, not effects.
Further findings
Elevated HbA1c
- Elevated HbA1c
- 8.6%
- HbA1c 5.7%-6.4%
- 8.3% (95% CI 6.5%-10.5%)
- HbA1c ≥6.5%
- 0.3% (95% CI 0.1%-0.7%)
Risk perception and awareness in youth with elevated HbA1c
- Risk perception
- 30.1% (95% CI 23.1%-38.1%)
- Risk awareness
- 26.5% (95% CI 20.0%-34.2%)
Potential barriers and health behaviors
- Households ≥5 vs 1-2 members: non-home-prepared meals, OR
- 0.4 (95% CI 0.2-0.7)
- Households ≥5 vs 1-2 members: screen time, β
- −1.1 hours per day (95% CI −2.0 to −0.3 hours per day)
- Public vs private insurance: physical activity, β
- −20.7 minutes per day (95% CI 35.5 to −5.8 minutes per day)
Original publication
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