Impact of a Mediterranean diet, physical activity, body composition, and insulin delivery methods on metabolic control in children with type 1 diabetes

• DOI: 10.3389/fnut.2023.1338601
• Publication Date: 2024-01-05T04:37:54Z
• Authors: Yeray Nóvoa-Medina; Alicia Pérez-Lemes; Nerea Suárez-Ramírez; Marta Barreiro-Ba...; Himar Fabelo; Sara López-López; Sofia Quinteiro; Angela Domínguez; Marta León; María A. González; Elisabeth Caballero; Ana M. Wägner
• Keywords: Mediterranean Diet; Metabolic control analysis

Aims To evaluate the synergistic impact of diet, lifestyle and technology on glycemic control in children with type 1 diabetes (T1D). Methods This cross-sectional study included 112 randomly selected patients T1D from Gran Canaria (median age 12 years; 51.8% female). The collected data height, weight, body composition (bioimpedance), age, disease duration, method insulin delivery. Physical activity was evaluated using Krece questionnaire an accelerometer (GENEActiv). Adherence to Mediterranean diet assessed KIDMED Quick Nutrition Test. Glycemic HbA1c percentage time range. SPSS version 21 RStudio were used for statistical analysis data. Stepwise linear regression (backwards) identify factors independently associated metabolic control. Results Insulin pump use, adherence found be significantly better control, whereas years worse values. No relationship between physical measured by accelerometry or questionnaire. Conclusion delivery methods, number are important consider management children.