Clinical, Psychosocial, and Demographic Factors Are Associated With Overweight and Obesity in Early Adolescent Girls With Type 1 Diabetes
Purpose The purpose of the study was to examine the differences in clinical, psychosocial, and demographic factors by sex and weight status. Methods Baseline data were analyzed from 318 adolescents (mean age = 12.3 ± 1.1 years, 55.0% female, 62.7% white) with type 1 diabetes (T1D) from a multisite c...
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| Veröffentlicht in: | The Diabetes educator 2016-10, Vol.42 (5), p.538-548 |
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| container_title | The Diabetes educator |
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| creator | Minges, Karl E. Whittemore, Robin Chao, Ariana M. Jefferson, Vanessa Murphy, Kathryn M. Grey, Margaret |
| description | Purpose
The purpose of the study was to examine the differences in clinical, psychosocial, and demographic factors by sex and weight status.
Methods
Baseline data were analyzed from 318 adolescents (mean age = 12.3 ± 1.1 years, 55.0% female, 62.7% white) with type 1 diabetes (T1D) from a multisite clinical trial. Differences were examined between normal weight (body mass index ≥5th and |
| doi_str_mv | 10.1177/0145721716654006 |
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The purpose of the study was to examine the differences in clinical, psychosocial, and demographic factors by sex and weight status.
Methods
Baseline data were analyzed from 318 adolescents (mean age = 12.3 ± 1.1 years, 55.0% female, 62.7% white) with type 1 diabetes (T1D) from a multisite clinical trial. Differences were examined between normal weight (body mass index ≥5th and <85th percentile) and overweight/obese (body mass index ≥85th percentile) boys and girls with T1D in clinical, psychosocial, and demographic factors. Descriptive and multiple logistic regression analyses were used.
Results
Overweight/obesity was prevalent (39.0%) and common in girls (42.6%) and boys (33.1%). In bivariate analyses, overweight/obese girls had parents with lower educational attainment, longer diabetes duration, and significantly worse self-management and psychosocial health as compared with normal weight girls. There were no differences between overweight/obese and normal weight girls in A1C, therapy type, race/ethnicity, or household income. No significant differences were found between normal weight and overweight/obese boys. In multivariate analysis, parental educational attainment (master or higher vs high school diploma or less) and perceived stress were significantly associated with overweight/obesity in girls. Longer duration of T1D bordered statistical significance.
Conclusions
Overweight/obesity is prevalent among adolescents with T1D. Clinical, psychosocial, and demographic factors are associated with overweight/obesity in girls but not boys. Greater attention to weight status and aspects of health that are germane to adolescents with T1D is warranted.</description><identifier>ISSN: 0145-7217</identifier><identifier>EISSN: 1554-6063</identifier><identifier>DOI: 10.1177/0145721716654006</identifier><identifier>PMID: 27302183</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Body Mass Index ; Body Weight ; Child ; Diabetes Mellitus, Type 1 - complications ; Female ; Humans ; Logistic Models ; Male ; Nursing ; Parents - psychology ; Pediatric Obesity - epidemiology ; Pediatric Obesity - psychology ; Prevalence ; Sex Factors</subject><ispartof>The Diabetes educator, 2016-10, Vol.42 (5), p.538-548</ispartof><rights>2016 The Author(s)</rights><rights>2016 The Author(s).</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-d4422f967e44205c705280c81ed47f5217177684ef81963f54a0884b652d61ea3</citedby><cites>FETCH-LOGICAL-c500t-d4422f967e44205c705280c81ed47f5217177684ef81963f54a0884b652d61ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0145721716654006$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0145721716654006$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,780,784,885,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27302183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Minges, Karl E.</creatorcontrib><creatorcontrib>Whittemore, Robin</creatorcontrib><creatorcontrib>Chao, Ariana M.</creatorcontrib><creatorcontrib>Jefferson, Vanessa</creatorcontrib><creatorcontrib>Murphy, Kathryn M.</creatorcontrib><creatorcontrib>Grey, Margaret</creatorcontrib><title>Clinical, Psychosocial, and Demographic Factors Are Associated With Overweight and Obesity in Early Adolescent Girls With Type 1 Diabetes</title><title>The Diabetes educator</title><addtitle>Diabetes Educ</addtitle><description>Purpose
The purpose of the study was to examine the differences in clinical, psychosocial, and demographic factors by sex and weight status.
Methods
Baseline data were analyzed from 318 adolescents (mean age = 12.3 ± 1.1 years, 55.0% female, 62.7% white) with type 1 diabetes (T1D) from a multisite clinical trial. Differences were examined between normal weight (body mass index ≥5th and <85th percentile) and overweight/obese (body mass index ≥85th percentile) boys and girls with T1D in clinical, psychosocial, and demographic factors. Descriptive and multiple logistic regression analyses were used.
Results
Overweight/obesity was prevalent (39.0%) and common in girls (42.6%) and boys (33.1%). In bivariate analyses, overweight/obese girls had parents with lower educational attainment, longer diabetes duration, and significantly worse self-management and psychosocial health as compared with normal weight girls. There were no differences between overweight/obese and normal weight girls in A1C, therapy type, race/ethnicity, or household income. No significant differences were found between normal weight and overweight/obese boys. In multivariate analysis, parental educational attainment (master or higher vs high school diploma or less) and perceived stress were significantly associated with overweight/obesity in girls. Longer duration of T1D bordered statistical significance.
Conclusions
Overweight/obesity is prevalent among adolescents with T1D. Clinical, psychosocial, and demographic factors are associated with overweight/obesity in girls but not boys. Greater attention to weight status and aspects of health that are germane to adolescents with T1D is warranted.</description><subject>Adolescent</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Child</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Nursing</subject><subject>Parents - psychology</subject><subject>Pediatric Obesity - epidemiology</subject><subject>Pediatric Obesity - psychology</subject><subject>Prevalence</subject><subject>Sex Factors</subject><issn>0145-7217</issn><issn>1554-6063</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk1v1DAQhi0Eokvhzgn5yIGAnXhs54K02n6AVGk5FHG0vM5k4yobL7a3KD-Bf03SLRUgIfXkseZ5X80XIa85e8-5Uh8YF6BKrriUIBiTT8iCA4hCMlk9JYs5Xcz5E_IipRvGKhC1fk5OSlWxkutqQX6uej94Z_t39EsaXRdScH7-2aGhZ7gL22j3nXf0wrocYqLLiHSZ7qiMDf3mc0fXtxh_oN92-U623mDyeaR-oOc29iNdNqHH5HDI9NLHPh1V1-MeKadn3m4wY3pJnrW2T_jq_j0lXy_Or1efiqv15efV8qpwwFguGiHKsq2lwilg4BSDUjOnOTZCtTAPQympBbaa17JqQVimtdhIKBvJ0Van5OPRd3_Y7LCZq4q2N_vodzaOJlhv_s4MvjPbcGugBsVUNRm8vTeI4fsBUzY7PzXX93bAcEhmmquaFgAAj0BLpWuQoB-DMqhrJsWEsiPqYkgpYvtQPGdmvgvz711Mkjd_Nv0g-H0IE1AcgWS3aG7CIQ7TEv5v-Au8T77l</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Minges, Karl E.</creator><creator>Whittemore, Robin</creator><creator>Chao, Ariana M.</creator><creator>Jefferson, Vanessa</creator><creator>Murphy, Kathryn M.</creator><creator>Grey, Margaret</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TS</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20161001</creationdate><title>Clinical, Psychosocial, and Demographic Factors Are Associated With Overweight and Obesity in Early Adolescent Girls With Type 1 Diabetes</title><author>Minges, Karl E. ; Whittemore, Robin ; Chao, Ariana M. ; Jefferson, Vanessa ; Murphy, Kathryn M. ; Grey, Margaret</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-d4422f967e44205c705280c81ed47f5217177684ef81963f54a0884b652d61ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Child</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Nursing</topic><topic>Parents - psychology</topic><topic>Pediatric Obesity - epidemiology</topic><topic>Pediatric Obesity - psychology</topic><topic>Prevalence</topic><topic>Sex Factors</topic><toplevel>online_resources</toplevel><creatorcontrib>Minges, Karl E.</creatorcontrib><creatorcontrib>Whittemore, Robin</creatorcontrib><creatorcontrib>Chao, Ariana M.</creatorcontrib><creatorcontrib>Jefferson, Vanessa</creatorcontrib><creatorcontrib>Murphy, Kathryn M.</creatorcontrib><creatorcontrib>Grey, Margaret</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Diabetes educator</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Minges, Karl E.</au><au>Whittemore, Robin</au><au>Chao, Ariana M.</au><au>Jefferson, Vanessa</au><au>Murphy, Kathryn M.</au><au>Grey, Margaret</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical, Psychosocial, and Demographic Factors Are Associated With Overweight and Obesity in Early Adolescent Girls With Type 1 Diabetes</atitle><jtitle>The Diabetes educator</jtitle><addtitle>Diabetes Educ</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>42</volume><issue>5</issue><spage>538</spage><epage>548</epage><pages>538-548</pages><issn>0145-7217</issn><eissn>1554-6063</eissn><abstract>Purpose
The purpose of the study was to examine the differences in clinical, psychosocial, and demographic factors by sex and weight status.
Methods
Baseline data were analyzed from 318 adolescents (mean age = 12.3 ± 1.1 years, 55.0% female, 62.7% white) with type 1 diabetes (T1D) from a multisite clinical trial. Differences were examined between normal weight (body mass index ≥5th and <85th percentile) and overweight/obese (body mass index ≥85th percentile) boys and girls with T1D in clinical, psychosocial, and demographic factors. Descriptive and multiple logistic regression analyses were used.
Results
Overweight/obesity was prevalent (39.0%) and common in girls (42.6%) and boys (33.1%). In bivariate analyses, overweight/obese girls had parents with lower educational attainment, longer diabetes duration, and significantly worse self-management and psychosocial health as compared with normal weight girls. There were no differences between overweight/obese and normal weight girls in A1C, therapy type, race/ethnicity, or household income. No significant differences were found between normal weight and overweight/obese boys. In multivariate analysis, parental educational attainment (master or higher vs high school diploma or less) and perceived stress were significantly associated with overweight/obesity in girls. Longer duration of T1D bordered statistical significance.
Conclusions
Overweight/obesity is prevalent among adolescents with T1D. Clinical, psychosocial, and demographic factors are associated with overweight/obesity in girls but not boys. Greater attention to weight status and aspects of health that are germane to adolescents with T1D is warranted.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27302183</pmid><doi>10.1177/0145721716654006</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Body Mass Index Body Weight Child Diabetes Mellitus, Type 1 - complications Female Humans Logistic Models Male Nursing Parents - psychology Pediatric Obesity - epidemiology Pediatric Obesity - psychology Prevalence Sex Factors |
| title | Clinical, Psychosocial, and Demographic Factors Are Associated With Overweight and Obesity in Early Adolescent Girls With Type 1 Diabetes |
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