Mealtime interactions relate to dietary adherence and glycemic control in young children with type 1 diabetes

Diabetes Care
Susana R PattonS W Powers

Abstract

This study examined the relationships between parent-child mealtime interactions and dietary adherence and glycemic control in young children with type 1 diabetes. It was hypothesized that young children who exhibited disruptive mealtime behaviors would have more dietary deviations (poorer dietary adherence) and poor glycemic control. It was also hypothesized that parents of young children who used ineffective/coercive parenting strategies at mealtimes would have children with more dietary deviations and poor glycemic control. A total of 35 families of children (aged 2.2-7.9 years) with type 1 diabetes were recruited from a pediatric hospital. Families had at least three meals videotaped in their home, which were coded for parent, child, and eating behaviors, using the Dyadic Interaction Nomenclature for Eating. Children's dietary adherence was assessed according to deviations from the prescribed number of carbohydrate units per meal. Children's average glycemic excursion was assessed prospectively for 2 weeks, using a standardized home blood glucose meter. Findings demonstrated significant positive relationships between children's mealtime behavior, dietary deviations, and glycemic control. An examination of parent behaviors r...Continue Reading

Citations

Oct 30, 2009·Journal of Paediatrics and Child Health·Susana R PattonScott W Powers
Nov 8, 2013·The International Journal of Behavioral Nutrition and Physical Activity·Tonja R NanselLori M B Laffel
Jul 16, 2014·Current Diabetes Reports·Kimberly A Driscoll, Deborah Young-Hyman
Jan 21, 2014·Journal of Nutrition Education and Behavior·Susana R PattonMark A Clements
Feb 21, 2008·Journal of Developmental and Behavioral Pediatrics : JDBP·Carrie Piazza-WaggonerSusana R Patton

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