与1型糖尿病儿童每年营养检查相关的患者特征
Svetlana Azova1,2, Belinda S Lennerz1,2, Carter R Petty3
1Division of Endocrinology, Boston Children's Hospital, 300 Longwood Avenue, Boston 02115, Massachusetts, USA.
Pediatric diabetes
|May 5, 2025
概括
对于患有1型糖尿病 (T1D) 的儿童,每年注册营养师 (RD) 的访问是罕见的. 年龄较大和糖尿病持续时间较长降低了RD参与度,尽管随访与更好的血糖控制有关,特别是在西班牙裔儿童中.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 营养科学 营养科学
- 糖尿病管理 糖尿病管理
背景情况:
- 糖尿病组织建议注册营养师 (RD) 每年为患有1型糖尿病 (T1D) 的儿童提供营养教育.
- 了解RD参与模式和相关因素对于优化儿童群体T1D护理至关重要.
研究的目的:
- 检查T1D儿童年期RD随访率的时间趋势.
- 为了确定与R&D参与相关的患者特征.
主要方法:
- 从1982年开始,分析了6034名患有T1D (持续时间≥1年) 的儿科患者5年 (2018-2022) 的糖尿病医疗访问.
- 概括估计方程用于评估 RD 访问完成率的变化,并确定相关的患者因素 (社会人口统计学,糖尿病护理,临床).
- 模型按种族和种族分层.
主要成果:
- 总的年度研发和开发后续率为20.8%,与2018年相比,2021年观察到的下降.
- 增加年龄和更长的糖尿病持续时间与减少RD随访的可能性有关 (每年3%的年龄和每年15%的糖尿病持续时间的几率减少).
- RD随访与随后较低的血红蛋白A1c水平相关,在西班牙裔患者中发现的最显著的改善.
结论:
- 患有T1D的儿童的年度RD访问频率仍然低于最佳.
- 调查结果强调需要有针对性的干预措施来加强研发与开发的参与.
- 随访RD似乎与儿童T1D的改善血糖结果有关.
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