Low-Carbohydrate Diets in Children and Adolescents With or at Risk for Diabetes
Carbohydrate restriction is increasingly popular as a weight loss strategy and for achieving better glycemic control in people with diabetes, including type 1 and type 2 diabetes. However, evidence to support low-carbohydrate diets in youth (children and adolescents 2–18 years of age) with obesity o...
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Veröffentlicht in: | Pediatrics (Evanston) 2023-10, Vol.152 (4) |
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creator | Neyman, Anna Hannon, Tamara S. Corkins, Mark R. Blanco, Cynthia L. Fuchs, George J. Goday, Praveen S. Hannon, Tamara S. Lindsey, C. Wesley Rome, Ellen S. Bremer, Andrew Lotze, Andrea Perrine, Cria Sant’Anna, Ana Funanich, Cheryl Burrowes, Debra L. |
description | Carbohydrate restriction is increasingly popular as a weight loss strategy and for achieving better glycemic control in people with diabetes, including type 1 and type 2 diabetes. However, evidence to support low-carbohydrate diets in youth (children and adolescents 2–18 years of age) with obesity or diabetes is limited. There are no guidelines for restricting dietary carbohydrate consumption to reduce risk for diabetes or improve diabetes outcomes in youth. Thus, there is a need to provide practical recommendations for pediatricians regarding the use of low-carbohydrate diets in patients who elect to follow these diets, including those with type 1 diabetes and for patients with obesity, prediabetes, and type 2 diabetes.
This clinical report will: Provide background on current dietary patterns in youth, describe how moderate-, low-, and very low-carbohydrate diets differ, and review safety concerns associated with the use of these dietary patternsReview the physiologic rationale for carbohydrate reduction in youth with type 1 diabetes and for youth with obesity, prediabetes, and type 2 diabetesReview the evidence for low-carbohydrate diets in the management of youth with type 1 diabetesReview the evidence for low-carbohydrate diets in the management of youth with obesity, prediabetes, and type 2 diabetesProvide practical information for pediatricians counseling families and youth on carbohydrate recommendations for type 1 diabetes and for obesity, prediabetes, and type 2 diabetes |
doi_str_mv | 10.1542/peds.2023-063755 |
format | Article |
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This clinical report will: Provide background on current dietary patterns in youth, describe how moderate-, low-, and very low-carbohydrate diets differ, and review safety concerns associated with the use of these dietary patternsReview the physiologic rationale for carbohydrate reduction in youth with type 1 diabetes and for youth with obesity, prediabetes, and type 2 diabetesReview the evidence for low-carbohydrate diets in the management of youth with type 1 diabetesReview the evidence for low-carbohydrate diets in the management of youth with obesity, prediabetes, and type 2 diabetesProvide practical information for pediatricians counseling families and youth on carbohydrate recommendations for type 1 diabetes and for obesity, prediabetes, and type 2 diabetes</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2023-063755</identifier><language>eng</language><publisher>Evanston: American Academy of Pediatrics</publisher><subject>Adolescents ; Body weight loss ; Carbohydrates ; Diabetes ; Diabetes mellitus (insulin dependent) ; Diabetes mellitus (non-insulin dependent) ; Low carbohydrate diet ; Nutrient deficiency ; Obesity ; Patients ; Pediatrics ; Weight control</subject><ispartof>Pediatrics (Evanston), 2023-10, Vol.152 (4)</ispartof><rights>Copyright American Academy of Pediatrics Oct 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c304t-489f846af31006962e3de3f694f63ec8d5d2cc2eef7210e8a8feb8bae8416d863</citedby><cites>FETCH-LOGICAL-c304t-489f846af31006962e3de3f694f63ec8d5d2cc2eef7210e8a8feb8bae8416d863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Neyman, Anna</creatorcontrib><creatorcontrib>Hannon, Tamara S.</creatorcontrib><creatorcontrib>Corkins, Mark R.</creatorcontrib><creatorcontrib>Blanco, Cynthia L.</creatorcontrib><creatorcontrib>Fuchs, George J.</creatorcontrib><creatorcontrib>Goday, Praveen S.</creatorcontrib><creatorcontrib>Hannon, Tamara S.</creatorcontrib><creatorcontrib>Lindsey, C. Wesley</creatorcontrib><creatorcontrib>Rome, Ellen S.</creatorcontrib><creatorcontrib>Bremer, Andrew</creatorcontrib><creatorcontrib>Lotze, Andrea</creatorcontrib><creatorcontrib>Perrine, Cria</creatorcontrib><creatorcontrib>Sant’Anna, Ana</creatorcontrib><creatorcontrib>Funanich, Cheryl</creatorcontrib><creatorcontrib>Burrowes, Debra L.</creatorcontrib><creatorcontrib>COMMITTEE ON NUTRITION</creatorcontrib><title>Low-Carbohydrate Diets in Children and Adolescents With or at Risk for Diabetes</title><title>Pediatrics (Evanston)</title><description>Carbohydrate restriction is increasingly popular as a weight loss strategy and for achieving better glycemic control in people with diabetes, including type 1 and type 2 diabetes. However, evidence to support low-carbohydrate diets in youth (children and adolescents 2–18 years of age) with obesity or diabetes is limited. There are no guidelines for restricting dietary carbohydrate consumption to reduce risk for diabetes or improve diabetes outcomes in youth. Thus, there is a need to provide practical recommendations for pediatricians regarding the use of low-carbohydrate diets in patients who elect to follow these diets, including those with type 1 diabetes and for patients with obesity, prediabetes, and type 2 diabetes.
This clinical report will: Provide background on current dietary patterns in youth, describe how moderate-, low-, and very low-carbohydrate diets differ, and review safety concerns associated with the use of these dietary patternsReview the physiologic rationale for carbohydrate reduction in youth with type 1 diabetes and for youth with obesity, prediabetes, and type 2 diabetesReview the evidence for low-carbohydrate diets in the management of youth with type 1 diabetesReview the evidence for low-carbohydrate diets in the management of youth with obesity, prediabetes, and type 2 diabetesProvide practical information for pediatricians counseling families and youth on carbohydrate recommendations for type 1 diabetes and for obesity, prediabetes, and type 2 diabetes</description><subject>Adolescents</subject><subject>Body weight loss</subject><subject>Carbohydrates</subject><subject>Diabetes</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Low carbohydrate diet</subject><subject>Nutrient deficiency</subject><subject>Obesity</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Weight control</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpdkE1Lw0AQhhdRsFbvHhe8eEmd_chmcyypX1AoiOIxbLKzdGua1N0U6b93Sz15moF5GN73IeSWwYzlkj_s0MYZBy4yUKLI8zMyYVDqTPIiPycTAMEyCZBfkqsYNwAg84JPyGo5_GSVCc2wPthgRqQLj2OkvqfV2nc2YE9Nb-ncDh3GFvt0-_Tjmg6BmpG--fhFXdoX3jQ4YrwmF850EW_-5pR8PD2-Vy_ZcvX8Ws2XWStAjpnUpdNSGScYgCoVR2FROFVKpwS22uaWty1HdAVngNpoh41uDGrJlNVKTMn96e8uDN97jGO99Sle15keh32suVYq9U-FE3r3D90M-9CndIkqWMmA5TpRcKLaMMQY0NW74LcmHGoG9dFwfTRcHw3XJ8PiF6dnbgs</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Neyman, Anna</creator><creator>Hannon, Tamara S.</creator><creator>Corkins, Mark R.</creator><creator>Blanco, Cynthia L.</creator><creator>Fuchs, George J.</creator><creator>Goday, Praveen S.</creator><creator>Hannon, Tamara S.</creator><creator>Lindsey, C. 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Wesley</au><au>Rome, Ellen S.</au><au>Bremer, Andrew</au><au>Lotze, Andrea</au><au>Perrine, Cria</au><au>Sant’Anna, Ana</au><au>Funanich, Cheryl</au><au>Burrowes, Debra L.</au><aucorp>COMMITTEE ON NUTRITION</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-Carbohydrate Diets in Children and Adolescents With or at Risk for Diabetes</atitle><jtitle>Pediatrics (Evanston)</jtitle><date>2023-10-01</date><risdate>2023</risdate><volume>152</volume><issue>4</issue><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>Carbohydrate restriction is increasingly popular as a weight loss strategy and for achieving better glycemic control in people with diabetes, including type 1 and type 2 diabetes. However, evidence to support low-carbohydrate diets in youth (children and adolescents 2–18 years of age) with obesity or diabetes is limited. There are no guidelines for restricting dietary carbohydrate consumption to reduce risk for diabetes or improve diabetes outcomes in youth. Thus, there is a need to provide practical recommendations for pediatricians regarding the use of low-carbohydrate diets in patients who elect to follow these diets, including those with type 1 diabetes and for patients with obesity, prediabetes, and type 2 diabetes.
This clinical report will: Provide background on current dietary patterns in youth, describe how moderate-, low-, and very low-carbohydrate diets differ, and review safety concerns associated with the use of these dietary patternsReview the physiologic rationale for carbohydrate reduction in youth with type 1 diabetes and for youth with obesity, prediabetes, and type 2 diabetesReview the evidence for low-carbohydrate diets in the management of youth with type 1 diabetesReview the evidence for low-carbohydrate diets in the management of youth with obesity, prediabetes, and type 2 diabetesProvide practical information for pediatricians counseling families and youth on carbohydrate recommendations for type 1 diabetes and for obesity, prediabetes, and type 2 diabetes</abstract><cop>Evanston</cop><pub>American Academy of Pediatrics</pub><doi>10.1542/peds.2023-063755</doi></addata></record> |
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subjects | Adolescents Body weight loss Carbohydrates Diabetes Diabetes mellitus (insulin dependent) Diabetes mellitus (non-insulin dependent) Low carbohydrate diet Nutrient deficiency Obesity Patients Pediatrics Weight control |
title | Low-Carbohydrate Diets in Children and Adolescents With or at Risk for Diabetes |
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