Responsive feeding, diabetes management, weight status and diet quality in a culturally diverse group of 1–5-year-old Australian children with type 1 diabetes
Authors' conclusion
Young children with T1D are not meeting healthy eating guidelines, with over half above a healthy weight. Exposure to non-responsive feeding practices is culturally sensitive and impacts diabetes management. A validated assessment tool identifies feeding and mealtime concerns, facilitating targeted conversations about not only what children eat, but also how they are fed.
Study context
- Population
- Culturally-and-linguistically diverse Australian children aged 1–5 years with T1D
- Participants
- 76 families
- Outcome
- Responsive feeding and associations with diabetes management, weight status and diet quality
Methodological detailsretrospective, multi-centre
- Retrospective
- Multi-centre
Main finding
As reported in the abstract
- Culturally-and-linguistically diverse (CALD) parents more likely to engage in Reward for Behaviour
- p = 0.02
- CALD parents more likely to engage in Persuasive Feeding
- p = 0.04
- CALD parents more likely to engage in Overt Restriction
- p = 0.01
- Eating >2 meals/day in front of TV/screen associated with Reward for Eating
- p = 0.004
- Eating >2 meals/day in front of TV/screen associated with Persuasive Feeding
- p = 0.01
- Eating >2 meals/day in front of TV/screen associated with CALD background
- p = 0.001
- Children with HbA1c <7.0% experienced more Covert Restriction
- p = 0.002
- MDI vs insulin pump: more likely Rewarded for Eating
- p = 0.04
- MDI vs insulin pump: more likely to experience Persuasive Feeding
- p = 0.02
- MDI vs insulin pump: more Willing to try new foods
- p = 0.01
- Met Australian recommendations for vegetables
- 9 %
- Exceeded recommendations for discretionary foods
- 67 %
Observational data: associations, not effects.
Original publication
Responsive feeding, diabetes management, weight status and diet quality in a culturally diverse group of 1–5-year-old Australian children with type 1 diabetes. Diabetes Res Clin Pract. Published 7 August 2025. doi:10.
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