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United States Department of Agriculture

Agricultural Research Service

Research Project: MOLECULAR, CELLULAR, AND REGULATORY ASPECTS OF NUTRITIONAL METABOLISM DURING CHILDHOOD DEVELOPMENT

Location: Children's Nutrition Research Center

Title: Self-reported dietary intake of youth with recent onset of type 2 diabetes: Results from the TODAY study)

Author
item Delahanty, Linda
item Kriska, Andrea
item Edelstein, Sharon
item Amodei, Nancy
item Chadwick, Jennifer
item Copeland, Kenneth
item Galvin, Bryan
item El Ghormli, Laure
item Haymond, Morey
item Kelsey, Megan

Submitted to: Nutrition and Dietetics
Publication Type: Peer Reviewed Journal
Publication Acceptance Date: 11/20/2012
Publication Date: 3/20/2013
Citation: Delahanty, L., Kriska, A., Edelstein, S., Amodei, N., Chadwick, J., Copeland, K., Galvin, B., El Ghormli, L., Haymond, M.W., Kelsey, M.M. 2013. Self-reported dietary intake of youth with recent onset of type 2 diabetes: Results from the TODAY study. Nutrition and Dietetics. 113(3):431-439.

Interpretive Summary: This study is to assess dietary intake among a variety of young individuals with Type 2 Diabetes, from different environment, physiological, and social factors and to compare their intake to the current recommendations of the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study. At the time of entry into the TODAY trial, subjects' diet quality was very poor, with a high intake of saturated fat and very low fruit and vegetable intake. This study will provide an evaluation of a long-term influence of a nutrition and lifestyle intervention on dietary intake and health outcomes of these high-risk youth with Type 2 diabetes.

Technical Abstract: Despite the widely recognized importance of diet in managing diabetes, few studies have documented usual dietary intake in young people with type 2 diabetes. The objective of our study were to assess dietary intake among a large, ethnically diverse cohort of young people with type 2 diabetes and compare intake to current recommendations. The Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study is a multicenter randomized clinical trial of 699 youth aged 10 to 17 years. At baseline, following a run-in period that included standard diabetes education, diet was assessed between 2004 and 2009 using a food frequency questionnaire. Analysis of variance and nonparametric tests were used to compare mean and median nutrient intakes; logistic regression was used to compare the odds of meeting predefined dietary intake recommendation cutpoints between subgroups of age, sex, and race-ethnicity. Percent of energy from saturated fat was consistently 13% to 14% across all subgroups, substantially exceeding national recommendations. Overall, only 12% of youth met Healthy People 2010 guidelines for intake of <10% of energy from saturated fat and only 1% of youth met American Diabetes Association recommendations for intake of <7% of energy from saturated fat. Dietary intake fell substantially below other Healthy People 2010 targets; only 3% met calcium intake goals, 11% met fruit consumption goals, 5% met vegetable consumption goals, and 67% met grain intake goals. Overall, dietary intake in this large cohort of young people with type 2 diabetes fell substantially short of recommendations, in ways that were consistent by sex, age, and race-ethnicity. The data suggest a critical need for better approaches to improve dietary intake of these young people.

Last Modified: 8/24/2016
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