1型糖尿病青少年遵守地中海饮食:对饮食模式,血糖控制和性别差异的洞察
Michal Gillon-Keren1, Tamar Propper-Lewinsohn2, Maayan David3
1The Institute of Endocrinology and Diabetes, Schneider Children's Medical Center, Petah Tikva 4920235, Israel; Faculty of Sciences, Kibbutzim College of Education Technology and the Arts, Tel Aviv 6250769, Israel.
Diabetes research and clinical practice
|August 2, 2025
概括
在1型糖尿病 (T1D) 的青少年中,地中海饮食的坚持是中度的,较高的坚持与持续血糖监测 (CGM) 使用有关. 减少快餐摄入量与更好的血糖控制相关,强调个性化的营养策略.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 1型糖尿病 (T1D) 的管理需要小心注意青少年的饮食和心脏代谢健康.
- 患有T1D的青少年在坚持健康饮食模式方面面临着独特的挑战.
- 地中海饮食 (MD) 已因其健康益处而得到认可,但其在T1D青少年中的坚持和影响不明.
研究的目的:
- 评估青少年1型糖尿病 (T1D) 的地中海饮食 (MD) 坚持情况.
- 在这个人群中调查MD坚持,血糖控制和心脏代谢风险因素之间的关联.
- 探索性别特定的饮食模式及其与健康结果的关系.
主要方法:
- 一项涉及283名患有T1D的青少年 (15-19岁,女性45%) 的横截面研究.
- 使用KIDMED调查问卷评估了地中海饮食 (MD) 的坚持.
- 从医疗记录中收集了临床数据,包括血糖控制 (HbA1c) 和人体测量.
主要成果:
- 观察到总体中度的MD坚持,只有19.1%的人表现出高坚持.
- 较高的MD坚持与使用持续血糖监测 (CGM) 有显著的关联.
- 具有更好的血糖控制 (HbA1c ≤ 7.0%) 的青少年更有可能使用CGM并消费更少的快餐. 女人表现出更高的MD坚持和更低的快餐摄入量,但与男性相比,她们的BMIz分数更高.
结论:
- 患有T1D的青少年使用持续血糖监测 (CGM) 与更健康的饮食习惯有关.
- 减少快餐消费与该队列中改善的血糖控制有关.
- 饮食模式和代谢结果的显著性别差异需要为患有T1D的青少年提供量身定制,性别敏感的营养干预措施.
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